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MR. VICTOR MADRIGAL APRN
NPI 1629295480
Nurse Practitioner - Family in Dallas, TX

Active since April 20, 2007PECOS EnrolledAccepts Medicare Assignment
89.44/100
CMS Quality Rating
3535 WORTH ST STE C-1025, DALLAS, TX 75246(214) 865-1020(214) 823-3270 Get Directions Write a Review

NPPES record last updated: September 10, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 10, 2021, Jun 30, 2017 (2 updates tracked since 2017).

About Mr. Victor Madrigal Aprn NPPES

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

MR. VICTOR MADRIGAL APRN (NPI 1629295480) is an individual family provider in Dallas, Texas, licensed in Texas (AP112028) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Baylor University Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1629295480
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. VICTOR MADRIGALCredential: APRN
Location Address3535 WORTH ST STE C-1025Dallas, TX 75246-2006
Mailing AddressPo Box 911230Dallas, TX 75391-1230 · (972) 997-8000 · Fax (972) 234-2987
Phone(214) 865-1020
Fax(214) 823-3270
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateApril 20, 2007
Last NPPES UpdateSeptember 10, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2021
✔ NPI 1629295480 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 TX · AP112028
Also ListedNurse PractitionerTaxonomy 363L00000X · License 583408 (TX)
3535 WORTH ST STE C-1025, Dallas, TX 75246
Open in Google Maps ↗

Other Identifiers 1

Medicaid159902916TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Molina Healthcare and more.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

Mr. Victor Madrigal Aprn 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 ID2163438912
PECOS Enrollment IDI20060302000478
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 4

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
224 services65 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
53 services44 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
25 services25 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
20 services19 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75246 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

89.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.85
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

REVA SCHNEIDER
Internal Medicine (Medical Oncology)
3535 WORTH ST STE C-1025
DALLAS, TX 75246
Dallas County (214) 865-2010
CARRIE FLYNN THOMPSON MS, FNP, RN, BC
Nurse Practitioner (Family)
3535 WORTH ST STE C-1025
DALLAS, TX 75246
Dallas County (214) 865-1020

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 Victor Madrigal's NPI number?

The NPI number for Victor Madrigal is 1629295480. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Where is Victor Madrigal located?

Victor Madrigal practices at 3535 Worth St Ste C-1025, Dallas, TX 75246. The listed phone number is (214) 865-1020.

What is Victor Madrigal's specialty?

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

Is Victor Madrigal enrolled in Medicare?

Yes. Victor Madrigal 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 Victor Madrigal accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Molina Healthcare, Oscar Insurance Company and UnitedHealthcare list Victor Madrigal 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 Victor Madrigal affiliated with any hospitals?

According to CMS data, Victor Madrigal is affiliated with Baylor University Medical Center.

When was this NPI record last updated?

The NPPES record for Victor Madrigal was last updated on September 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.