DR. RAGINI T MADAN MD
NPI 1528115961
Family Medicine in Apex, NC

Active since January 05, 2007PECOS EnrolledAccepts Medicare Assignment
120 HEALTHPLEX WAY, SUITE 220, APEX, NC 27502(919) 350-0550(919) 350-9822 Get Directions Write a Review

NPPES record last updated: November 4, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ragini T Madan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RAGINI T MADAN MD (NPI 1528115961) is an individual family medicine provider in Apex, North Carolina, licensed in North Carolina (9800950) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Wakemed, Raleigh Campus, and is a graduate of Other (1976).

NPPES Registry Identity

NPI1528115961
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RAGINI T MADANCredential: MD
Location Address120 HEALTHPLEX WAY, SUITE 220Apex, NC 27502
Mailing Address120 Healthplex Way, 220Apex, NC 27502-8403 · (919) 350-0550 · Fax (919) 350-9822
Fax(919) 350-9822
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateJanuary 5, 2007
Last NPPES UpdateNovember 4, 2013
NPI 1528115961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 9800950
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
120 HEALTHPLEX WAY, Apex, NC 27502

Other Identifiers 3

Medicaid8911660NC
Medicare UPING79510NC
Medicare PIN2253185ANC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Ragini T Madan Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092839324
PECOS Enrollment IDI20100824000335
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
367 services178 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
127 services127 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
74 services39 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services25 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
28 services28 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
28 services28 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Wakemed, Raleigh Campus

Acute Care Hospitals · Raleigh, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340069
Location3000 New Bern AveRaleigh, NC 27610 · Wake County
Emergency services Birthing friendly

Wakemed, Cary Hospital

Acute Care Hospitals · Cary, NC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340173
Location1900 Kildare Farm RoadCary, NC 27518 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27502 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers26 claims47 services$5.89 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers13 claims13 services$1.17 avg. paid by Medicare
Rollabout chair, any and all types with casters 5" or greater E1031
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$29.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
120 HEALTHPLEX WAY
APEX, NC 27502
Emergency Medicine
120 HEALTHPLEX WAY
APEX, NC 27502
Family Medicine
120 HEALTHPLEX WAY
APEX, NC 27502
Physical Therapist
120 HEALTHPLEX WAY
APEX, NC 27502
Internal Medicine
120 HEALTHPLEX WAY
APEX, NC 27502
Dietitian, Registered
120 HEALTHPLEX WAY
APEX, NC 27502
Family Medicine
120 HEALTHPLEX WAY
APEX, NC 27502
Physical Therapist
120 HEALTHPLEX WAY
APEX, NC 27502

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ragini Madan's NPI number?

The NPI number for Ragini Madan is 1528115961. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Ragini Madan located?

Ragini Madan practices at 120 Healthplex Way Suite 220, Apex, NC 27502. The listed phone number is (919) 350-0550.

What is Ragini Madan's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ragini Madan enrolled in Medicare?

Yes. Ragini Madan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ragini Madan accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Ragini Madan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ragini Madan affiliated with any hospitals?

According to CMS data, Ragini Madan is affiliated with Wakemed, Raleigh Campus and Wakemed, Cary Hospital.

When was this NPI record last updated?

The NPPES record for Ragini Madan was last updated on November 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.