LEAH MADSEN MD
NPI 1578501540
Family Medicine in Greenville, TX

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: July 19, 2026.

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 Hunt Regional 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
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

Other Identifiers 2

Medicaid117124103TX
Other8A0120TX · Blue Cross Blue Shield

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

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.

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Other DME (DE017N)

    Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)

    14 DME suppliers used 40 Medicare Claims 113 Services Paid

  • DME-Medical/Surgical Supplies (DA000N)

    Lancets, per box of 100 (HCPCS:A4259)

    8 DME suppliers used 12 Medicare Claims 16 Services Paid

  • DME-Other DME (DE001N)

    Filter, disposable, used with positive airway pressure device (HCPCS:A7038)

    5 DME suppliers used 11 Medicare Claims 54 Services Paid

  • DME-Other DME (DE001N)

    Continuous positive airway pressure (cpap) device (HCPCS:E0601)

    2 DME suppliers used 16 Medicare Claims 16 Services Paid

  • DME-Oxygen and Supplies (DC002N)

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

    2 DME suppliers used 32 Medicare Claims 32 Services Paid

  • DME-Other DME (DE017N)

    Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service (HCPCS:K0553)

    2 DME suppliers used 15 Medicare Claims 15 Services Paid

  • DME-Other DME (DE000N)

    Pharmacy dispensing fee for inhalation drug(s); per 30 days (HCPCS:Q0513)

    4 DME suppliers used 16 Medicare Claims 16 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Automated urinalysis test

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.

This service was performed 134 times for 96 patients

Blood test, clotting time

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.

This service was performed 87 times for 15 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus

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.

This service was performed 55 times for 49 patients

Detection test by immunoassay with direct visual observation for influenza virus

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.

This service was performed 123 times for 55 patients

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

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.

This service was performed 37 times for 35 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 36 times for 17 patients

Insertion of needle into vein for collection of blood sample

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.

This service was performed 2,068 times for 952 patients

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

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.

This service was performed 38 times for 37 patients

Urinalysis, manual test

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.

This service was performed 86 times for 72 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $21.23 for a new patient copayment and $24.26 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 75401 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.92
  • Minimum New Patient Price $54.84
  • Maximum New Patient Price $166.88
  • Average New Patient Copayment $21.23
  • Minimum New Patient Copayment $13.71
  • Maximum New Patient Copayment $41.72

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $97.05
  • Minimum Established Patient Price $17.52
  • Maximum Established Patient Price $136.11
  • Average Established Patient Copayment $24.26
  • Minimum Established Patient Copayment $4.38
  • Maximum Established Patient Copayment $34.02

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Leah Madsen is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
HUNT REGIONAL MEDICAL CENTER4215 JOE RAMSEY BLVD E
GREENVILLE, TX 75401
(903) 408-5000Acute Care Hospitals
BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE6800 SCENIC DR
ROWLETT, TX 75088
(972) 412-2273Acute Care Hospitals
BAYLOR SCOTT AND WHITE MEDICAL CENTER MCKINNEY5252 WEST UNIVERSITY DRIVE
MC KINNEY, TX 75071
(469) 764-2200Acute Care Hospitals

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Physical Therapist
4211 JOE RAMSEY BLVD E, SUITE 100
GREENVILLE, TX 75401
Specialist
4211 JOE RAMSEY BLVD E, SUITE 101
GREENVILLE, TX 75401
Specialist
4211 JOE RAMSEY BLVD E
GREENVILLE, TX 75401
Physical Therapist
4211 JOE RAMSEY BLVD E, STE 100
GREENVILLE, TX 75401
Nurse Practitioner (Family)
4211 JOE RAMSEY BLVD E, SUITE 100
GREENVILLE, TX 75401
Internal Medicine (Cardiovascular Disease)
4211 JOE RAMSEY BLVD E, SUITE 108
GREENVILLE, TX 75401
Urology
4211 JOE RAMSEY BLVD E, SUITE 203
GREENVILLE, TX 75401
Family Medicine
4211 JOE RAMSEY BLVD E, SUITE 100
GREENVILLE, TX 75401
Family Medicine
4211 JOE RAMSEY BLVD E, SUITE 100
GREENVILLE, TX 75401
Physician Assistant
4211 JOE RAMSEY BLVD E, SUITE 100
GREENVILLE, TX 75401
Family Medicine
4211 JOE RAMSEY BLVD E
GREENVILLE, TX 75401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1578501540, enumerated as an "individual" on June 03, 2006.

The provider is located at 4211 JOE RAMSEY BLVD E SUITE 100 GREENVILLE, TX 75401 and the phone number is (903) 408-7750.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas, Medicare,. Please consult your insurance carrier or call the provider to verify.

Leah Madsen is affiliated with: HUNT REGIONAL MEDICAL CENTER, BAYLOR SCOTT AND WHITE MEDICAL CENTER LAKE POINTE and BAYLOR SCOTT AND WHITE MEDICAL CENTER MCKINNEY.