JOHN C. MADORE M.D.
NPI 1609262328
Surgery - Surgical Critical Care in Worcester, MA
About John C. Madore M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN C. MADORE M.D. (NPI 1609262328) is an individual surgical critical care provider in Worcester, Massachusetts, licensed in Massachusetts (288947) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and maintains a secondary practice location in Saint Louis.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
John C. Madore M.d. 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.
Medicare Billing Reassignment
Medicare enrollment records show John Madore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Worcester, MA 01655
- Reassigned Medicare billing, Massachusetts enrollment
- 2,902 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Umass Memorial Healthalliance Hospitals
Acute Care Hospitals · Leominster, MAUmass Memorial Health - Harrington Hospital
Acute Care Hospitals · Southbridge, MAUmass Memorial Healthcare-Marlborough Hospital
Acute Care Hospitals · Marlborough, MAMilford Regional Medical Center
Acute Care Hospitals · Milford, MAUmass Memorial Medical Center/University Campus
Acute Care Hospitals · Worcester, MAMedicare 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.
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.
WORCESTER, MA 01655
WORCESTER, MA 01655
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 John Madore's NPI number?
The NPI number for John Madore is 1609262328. It was assigned to this individual provider in the NPPES registry on April 9, 2015.
Where is John Madore located?
John Madore practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (508) 856-5288.
What is John Madore's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.
Is John Madore enrolled in Medicare?
Yes. John Madore 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.
Which organization bills Medicare for John Madore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Madore reassigns Medicare benefits to Umass Memorial Medical Group Inc (Worcester, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Madore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Madore accept?
Health plans from Anthem Blue Cross and Blue Shield and Taro Health list John Madore 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 John Madore affiliated with any hospitals?
According to CMS data, John Madore is affiliated with Umass Memorial Healthalliance Hospitals, Umass Memorial Health - Harrington Hospital, Umass Memorial Healthcare-Marlborough Hospital, Milford Regional Medical Center and Umass Memorial Medical Center/University Campus.
When was this NPI record last updated?
The NPPES record for John Madore was last updated on August 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# John C. Madore, M.D. · NPI 1609262328
Surgical Critical Care physician in Worcester, Massachusetts. Individual provider, active in the CMS NPPES registry since April 9, 2015.
## Identity
- **NPI:** 1609262328 (Entity type: Individual)
- **Enumerated:** April 9, 2015
- **Primary specialty:** Surgery - Surgical Critical Care · taxonomy 2086S0102X
- **State license:** 288947 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 55 LAKE AVE N, Worcester, MA 01655-0002
- **Phone:** (508) 856-5288 · **Fax:** (508) 856-4224
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Umass Memorial Medical Group Inc (NPI 1760445373, Worcester, MA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Massachusetts Medical School, class of 2015
## Record status
- **NPPES last updated:** August 3, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1609262328) · Data from the CMS NPPES public registry.