MADISON MEDICAL CENTER
NPI 1669514436
Emergency Medicine in Fredericktown, MO

Active since February 12, 2007
611 W MAIN ST, FREDERICKTOWN, MO 63645(573) 783-3341(573) 783-1096 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Madison Medical Center NPPES

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

MADISON MEDICAL CENTER (NPI 1669514436) is a healthcare organization registered as an emergency medicine in Fredericktown, Missouri and active in the NPI registry since February 2007. The organization lists Rodney D Gross, Administrator, as its authorized official.

NPPES Registry Identity

NPI1669514436
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameMADISON MEDICAL CENTER
Location Address611 W MAIN STFredericktown, MO 63645-1111
Mailing Address611 W Main St, Po Box 431Fredericktown, MO 63645-1111 · (573) 783-3341 · Fax (573) 783-1096
Fax(573) 783-1096
Organization SubpartNo
Authorized OfficialRodney D GrossAdministrator · (573) 783-3341
Enumeration DateFebruary 12, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1669514436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
611 W MAIN ST, Fredericktown, MO 63645

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Madison Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

34

Medicare enrollment records show 34 clinicians reassign Medicare billing to Madison Medical Center, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 10 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 14

Nurse Practitioner10
Family Practice5
Emergency Medicine4
Orthopedic Surgery3
Certified Registered Nurse Anesthetist (CRNA)2
Internal Medicine2
Anesthesiology1
Gastroenterology1
6 other specialties6

Nearest to this location (20)

See all 34
Nurse Practitioner
NPI 1639718984
611 W MAIN ST
Fredericktown, MO 63645
(573) 783-3341
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1932277498
611 W MAIN ST
Fredericktown, MO 63645
(573) 783-4111
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1558545871
611 W MAIN ST
Fredericktown, MO 63645
(573) 783-3341
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1083782395
611 W MAIN ST
Fredericktown, MO 63645
(573) 783-4111
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1306402680
611 W MAIN ST
Fredericktown, MO 63645
(573) 783-3341
✔ PECOS✔ Accepts MedicareSame address
Pediatric Medicine
NPI 1104973858
611 W MAIN ST
Fredericktown, MO 63645
(573) 783-3341
✔ PECOSSame address
Nurse Practitioner
NPI 1619081593
611 W MAIN ST
Fredericktown, MO 63645
(573) 783-4111
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1508972233
611 W MAIN ST
Fredericktown, MO 63645
(573) 783-3341
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1548235419
611 W MAIN ST
Fredericktown, MO 63645
(573) 783-3341
✔ PECOSSame address
Nurse Practitioner
NPI 1043490857
611 WEST MAIN STREET SUITE E
Fredericktown, MO 63645
(573) 783-3341
✔ PECOS✔ Accepts Medicare1.2 mi
Nurse Practitioner
NPI 1225487143
501 W PINE ST
Farmington, MO 63640
(573) 756-8888
✔ PECOS✔ Accepts Medicare17 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1659325942
400 PARKLAND DR
Farmington, MO 63640
(573) 756-8000
17 mi
Orthopedic Surgery
NPI 1598140014
1103 W LIBERTY ST
Farmington, MO 63640
(573) 760-8090
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1467639278
534 MAPLE VALLEY DR
Farmington, MO 63640
(573) 760-8253
✔ PECOS✔ Accepts Medicare18 mi
Orthopedic Surgery
NPI 1295983567
606 MAPLE VALLEY DR
Farmington, MO 63640
(573) 756-7779
✔ PECOS✔ Accepts Medicare18 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1093760688
1212 WEBER RD
Farmington, MO 63640
(573) 756-4581
19 mi
Orthopedic Surgery
NPI 1861685463
206 HOSPITAL LN SUTIE 202
Perryville, MO 63775
(573) 768-3396
✔ PECOS✔ Accepts Medicare26 mi
Family Practice
NPI 1225022718
800 STE GENEVIEVE DR
Ste Genevieve, MO 63670
(573) 883-4438
✔ PECOS✔ Accepts Medicare32 mi
Emergency Medicine
NPI 1891759221
434 N WEST ST
Perryville, MO 63775
(573) 547-2536
✔ PECOS✔ Accepts Medicare36 mi
Gastroenterology
NPI 1336247915
1723 BROADWAY ST SUITE 220
Cape Girardeau, MO 63701
(573) 331-7910
✔ PECOS✔ Accepts Medicare44 mi
See all 34 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Medical Center's NPI number?

The NPI number for Madison Medical Center is 1669514436. It was assigned to this organization in the NPPES registry on February 12, 2007.

Where is Madison Medical Center located?

Madison Medical Center is located at 611 W Main St, Fredericktown, MO 63645. The listed phone number is (573) 783-3341.

What is Madison Medical Center's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Madison Medical Center enrolled in Medicare?

Yes. Madison Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Madison Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 34 clinicians in 14 Medicare specialties reassign their Medicare billing to Madison Medical Center. A 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 the clinician's services. The largest specialties are Nurse Practitioner (10), Family Practice (5) and Emergency Medicine (4). Of these, 9 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Madison Medical Center accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 1 other insurer list Madison Medical Center 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.

When was this NPI record last updated?

The NPPES record for Madison Medical Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.