LEAH MADSEN MD
NPI 1578501540
Family Medicine in Greenville, TX

Q: What is Leah Madsen's NPI number?

The NPI number for Leah Madsen is 1578501540. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Q: What is Leah Madsen's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Leah Madsen was last updated on November 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since June 03, 2006PECOS EnrolledAccepts Medicare Assignment

4211 JOE RAMSEY BLVD E, SUITE 100, GREENVILLE, TX 75401(903) 408-7750(903) 408-7802 Get Directions Write a Review

NPPES record last updated: November 18, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Leah Madsen Md NPPES

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

LEAH MADSEN MD (NPI 1578501540) is an individual family medicine provider in Greenville, Texas, licensed in Texas (K5343) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and is a graduate of University Of New Mexico School Of Medicine (1997).

NPPES Registry Identity

NPI1578501540

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameLEAH MADSENCredential: MD

Location Address4211 JOE RAMSEY BLVD E, SUITE 100Greenville, TX 75401-7852

Mailing AddressPo Box 957Greenville, TX 75403-0957 · (903) 408-7750 · Fax (903) 408-7802

Phone(903) 408-7750

Fax(903) 408-7802

Sole ProprietorNo

Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 1997

Enumeration DateJune 3, 2006

Last NPPES UpdateNovember 18, 2022

NPPES CertifiedNovember 18, 2022

✔ NPI 1578501540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · K5343

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.

4211 JOE RAMSEY BLVD E, Greenville, TX 75401

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Other Identifiers 2

Medicaid117124103TX

Other8A0120TX · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Leah Madsen 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 ID6800952268

PECOS Enrollment IDI20101005000410

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 12

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.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

1,833 services836 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

105 services80 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

86 services40 patients

Blood test, clotting time 85610

A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.

85 services23 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426

An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.

53 services48 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

50 services44 patients

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.

39 services18 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

23 services23 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

23 services17 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

22 services21 patients

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025

A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.

15 services14 patients

Blood test, comprehensive group of blood chemicals 80053

A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.

14 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Baylor University Medical Center

Acute Care Hospitals · Dallas, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450021

Location3500 Gaston AveDallas, TX 75246 · Dallas County

Emergency services Birthing friendly

Hunt Regional Medical Center

Acute Care Hospitals · Greenville, TX

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450352

Location4215 Joe Ramsey Blvd EGreenville, TX 75401 · Hunt County

Emergency services Birthing friendly

Baylor Scott And White Medical Center Lake Pointe

Acute Care Hospitals · Rowlett, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450742

Location6800 Scenic DrRowlett, TX 75088 · Dallas County

Emergency services Birthing friendly

Baylor Scott & White Medical Center Plano

Acute Care Hospitals · Plano, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number450890

Location4700 Alliance BoulevardPlano, TX 75093 · Collin County

Emergency services

Baylor Scott And White Medical Center Mckinney

Acute Care Hospitals · Mc Kinney, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670082

Location5252 West University DriveMc Kinney, TX 75071 · Collin County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75401 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 7

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

14 suppliers40 claims113 services$6.27 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

8 suppliers12 claims16 services$1.07 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers11 claims54 services$1.94 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers16 claims16 services$29.83 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers32 claims32 services$64.87 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

2 suppliers15 claims15 services$189.30 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.

CARDIOLOGY AND INTERVENTIONAL VASCULAR ASSOCIATES

Specialist

4211 JOE RAMSEY BLVD E, SUITE 101
GREENVILLE, TX 75401

Hunt County (903) 408-7920

LINTON M KOGER MD

Family Medicine

4211 JOE RAMSEY BLVD E, SUITE 100
GREENVILLE, TX 75401

Hunt County (903) 408-7750

COURTNEY E. TYSON P.A.

Physician Assistant

4211 JOE RAMSEY BLVD E, SUITE 100
GREENVILLE, TX 75401

Hunt County (903) 408-7700

DR. ELHAM ZIAI- JAMALABADI MD

Family Medicine

4211 JOE RAMSEY BLVD E
GREENVILLE, TX 75401

Hunt County (903) 408-7700

JOHN C.H. WANG, DO, PA

Urology

4211 JOE RAMSEY BLVD E, SUITE 203
GREENVILLE, TX 75401

Hunt County (903) 408-5129

SHYLA THOMAS VALENTINE M.D.

Internal Medicine (Cardiovascular Disease)

4211 JOE RAMSEY BLVD E, SUITE 108
GREENVILLE, TX 75401

Hunt County (469) 800-3400

HAROLD ALAN BARNARD D O

Family Medicine

4211 JOE RAMSEY BLVD E, SUITE 100
GREENVILLE, TX 75401

Hunt County (903) 408-7700

AB INTERNAL MEDICINE GROUP PA

Specialist

4211 JOE RAMSEY BLVD E
GREENVILLE, TX 75401

Hunt County (903) 217-7349

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 Leah Madsen's NPI number?

The NPI number for Leah Madsen is 1578501540. It was assigned to this individual provider in the NPPES registry on June 3, 2006.

Where is Leah Madsen located?

Leah Madsen practices at 4211 Joe Ramsey Blvd E Suite 100, Greenville, TX 75401. The listed phone number is (903) 408-7750.

What is Leah Madsen's specialty?

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

Is Leah Madsen enrolled in Medicare?

Yes. Leah Madsen 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 Leah Madsen accept?

Health plans from Blue Cross and Blue Shield of Texas list Leah Madsen 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 Leah Madsen affiliated with any hospitals?

According to CMS data, Leah Madsen is affiliated with Baylor University Medical Center, Hunt Regional Medical Center, Baylor Scott And White Medical Center Lake Pointe, Baylor Scott & White Medical Center Plano and Baylor Scott And White Medical Center Mckinney.

When was this NPI record last updated?

The NPPES record for Leah Madsen was last updated on November 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.