DR. TIMOTHY P MADION MD
NPI 1689628497
Obstetrics & Gynecology in Traverse City, MI

Q: What is Timothy Madion's NPI number?

The NPI number for Timothy Madion is 1689628497. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Q: What is Timothy Madion's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Timothy Madion was last updated on November 24, 2020. 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.

Active since May 19, 2006PECOS Enrolled

1200 6TH ST, STE 400, TRAVERSE CITY, MI 49684(231) 392-0650(231) 392-0665 Get Directions Write a Review

NPPES record last updated: November 24, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Timothy P Madion Md NPPES

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

DR. TIMOTHY P MADION MD (NPI 1689628497) is an individual obstetrics & gynecology provider in Traverse City, Michigan, licensed in Michigan (TM073563) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Munson Medical Center, and is a graduate of University Of Michigan Medical School (1995).

NPPES Registry Identity

NPI1689628497

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. TIMOTHY P MADIONCredential: MD

Location Address1200 6TH ST, STE 400Traverse City, MI 49684-2369

Mailing Address1200 6th St, Ste 400Traverse City, MI 49684-2369 · (231) 392-0650 · Fax (231) 392-0665

Phone(231) 392-0650

Fax(231) 392-0665

Sole ProprietorNo

Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1995

Enumeration DateMay 19, 2006

Last NPPES UpdateNovember 24, 2020

NPPES CertifiedNovember 24, 2020

✔ NPI 1689628497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in MI · TM073563

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1200 6TH ST, Traverse City, MI 49684

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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 (PECOS)

Dr. Timothy P Madion Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496746984

PECOS Enrollment IDI20040609000322

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 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

23 services19 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Munson Medical Center

Acute Care Hospitals · Traverse City, MI

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number230097

Location1105 Sixth StreetTraverse City, MI 49684 · Grand Traverse County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49684 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

$126.15 typical visit price

range $54.34 – $166.68

Typical copayment $31.53 (range $13.58 – $41.67)

Most-billed visit code 99204

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

DR. LAURA J DANZ MD

Obstetrics & Gynecology (Gynecology)