MADISON MARIE O'MEARA FNP
NPI 1568832228
Nurse Practitioner - Family in Charlotte, NC

Active since October 06, 2015PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
1350 S KINGS DR, CHARLOTTE, NC 28207(704) 446-1242 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 15, 2024, Nov 22, 2023, May 4, 2023 and 53 more (56 updates tracked since 2016).

About Madison Marie O'meara Fnp NPPES

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

MADISON MARIE O'MEARA FNP (NPI 1568832228) is an individual family provider in Charlotte, North Carolina, licensed in North Carolina (5008029) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, is affiliated with Carolinas Medical Center/behav Health, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1568832228
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMADISON MARIE O'MEARACredential: FNP
Location Address1350 S KINGS DRCharlotte, NC 28207-2134
Mailing AddressPo Box 19305Charlotte, NC 28219-9305
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 6, 2015
Last NPPES UpdateFebruary 25, 202656 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2026
NPI 1568832228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NC · 5008029
Also ListedNurse PractitionerTaxonomy 363L00000X · License 5008029 (NC)
1350 S KINGS DR, Charlotte, NC 28207

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

Madison Marie O'meara Fnp 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 ID9931400033
PECOS Enrollment IDI20151215000534
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 2

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.
153 services73 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.
47 services47 patients

Hospital Affiliations CMS Care Compare

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

Carolinas Medical Center/Behav Health

Acute Care Hospitals · Charlotte, NC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340113
Location1000 Blythe BlvdCharlotte, NC 28203 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28207 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

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
4 suppliers11 claims35 services$6.59 avg. paid by Medicare
Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims1,440 services$0.11 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
1 supplier12 claims1,440 services$5.72 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
3 suppliers13 claims2,272 services$0.03 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
4 suppliers40 claims40 services$190.56 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
4 suppliers13 claims13 services$24.21 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 20

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

Pediatrics (Pediatric Hematology-Oncology)
1350 S KINGS DR
CHARLOTTE, NC 28207
Internal Medicine
1350 S KINGS DR
CHARLOTTE, NC 28207
Obstetrics & Gynecology
1350 S KINGS DR
CHARLOTTE, NC 28207
Pharmacist
1350 S KINGS DR
CHARLOTTE, NC 28207
Nurse Practitioner (Family)
1350 S KINGS DR
CHARLOTTE, NC 28207
Obstetrics & Gynecology
1350 S KINGS DR
CHARLOTTE, NC 28207
Nurse Practitioner
1350 S KINGS DR
CHARLOTTE, NC 28207
Advanced Practice Midwife
1350 S KINGS DR
CHARLOTTE, NC 28207

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 Madison O'meara's NPI number?

The NPI number for Madison O'meara is 1568832228. It was assigned to this individual provider in the NPPES registry on October 6, 2015.

Where is Madison O'meara located?

Madison O'meara practices at 1350 S Kings Dr, Charlotte, NC 28207. The listed phone number is (704) 446-1242.

What is Madison O'meara's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Madison O'meara enrolled in Medicare?

Yes. Madison O'meara 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 Madison O'meara accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and BlueCross BlueShield of South Carolina and 2 other insurers list Madison O'meara 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 Madison O'meara affiliated with any hospitals?

According to CMS data, Madison O'meara is affiliated with Carolinas Medical Center/Behav Health.

When was this NPI record last updated?

The NPPES record for Madison O'meara was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.