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DR. RICARDO ANDAYA MADDELA III D.O.
NPI 1750543088
Surgery in Oxford, OH

Active since June 27, 2008PECOS EnrolledAccepts Medicare Assignment
82.82/100
CMS Quality Rating
10 N LOCUST ST, OXFORD, OH 45056(513) 853-9000(513) 896-3727 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 10, 2023, Dec 5, 2018 (2 updates tracked since 2018).

About Dr. Ricardo Andaya Maddela Iii D.o. NPPES

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

DR. RICARDO ANDAYA MADDELA III D.O. (NPI 1750543088) is an individual surgery provider in Oxford, Ohio, licensed in Ohio (34.016302) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Mccullough-hyde Memorial Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1750543088
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. RICARDO ANDAYA MADDELA IIICredential: D.O.
Location Address10 N LOCUST STOxford, OH 45056-1192
Mailing Address10 N Locust StOxford, OH 45056-1192 · (513) 853-9000 · Fax (513) 896-3727
Phone(513) 853-9000
Fax(513) 896-3727
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJune 27, 2008
Last NPPES UpdateMay 10, 20232 updates tracked since enumeration
NPPES CertifiedMay 10, 2023
✔ NPI 1750543088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in OH · 34.016302✔ Licensed in KY · 03288
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
10 N LOCUST ST, Oxford, OH 45056
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Other Identifiers 2

Other000000700445KY · Anthem
Medicaid7100152020KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Oscar Health Insurance.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

Dr. Ricardo Andaya Maddela Iii D.o. 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 ID1759570898
PECOS Enrollment IDI20230522000347
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 hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
40 services20 patients
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.
35 services24 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.
26 services25 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
22 services22 patients

Hospital Affiliations CMS Care Compare 3

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

Mccullough-Hyde Memorial Hospital

Acute Care Hospitals · Oxford, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360046
Location110 North Poplar StreetOxford, OH 45056 · Butler County
Emergency services Birthing friendly

Good Samaritan Hospital

Acute Care Hospitals · Cincinnati, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360134
Location375 Dixmyth AvenueCincinnati, OH 45220 · Hamilton County
Emergency services Birthing friendly

Bethesda North

Acute Care Hospitals · Cincinnati, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360179
Location10500 Montgomery RoadCincinnati, OH 45242 · Hamilton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45056 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $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.

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.

82.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.28
Promoting Interoperability100
Improvement Activities40
Cost45.24

Other Providers at the Same Location NPPES 19

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

MS. SUSAN L FORTNEY-HARLAN MSW LISW
Social Worker (Clinical)
10 N LOCUST ST, SUITE B3
OXFORD, OH 45056
Butler County (513) 523-1706
BARBARA E GREEN LISW
Social Worker (Clinical)
10 N LOCUST ST, SUITE B-3
OXFORD, OH 45056
Butler County (513) 524-9727
INDIAN CREEK FAMILY HEA
Family Medicine
10 N LOCUST ST, SUITE D
OXFORD, OH 45056
Butler County (513) 523-2340
MS. ELIZABETH P POLANKA LPCC IMFT
Marriage & Family Therapist
10 N LOCUST ST, SUITE B 3
OXFORD, OH 45056
Butler County (513) 523-8991
BUTLER COUNTY COMMUNITY HEALTH CONSORTIUM, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
10 N LOCUST ST, SUITE A
OXFORD, OH 45056
Butler County (513) 454-1460
BUTLER COUNTY COMMUNITY HEALTH CONSORTIUM, INC.
Clinic/Center (Primary Care)
10 N LOCUST ST
OXFORD, OH 45056
Butler County (513) 454-1111
DR. SANFORD RICHARD KIMMEL M.D.
Family Medicine
10 N LOCUST ST, SUITE D
OXFORD, OH 45056
Butler County (513) 523-2340
HAMILTON ORTHOPAEDIC CLINIC, INC
Orthopaedic Surgery
10 N LOCUST ST, SUITE B 1
OXFORD, OH 45056
Butler County (513) 524-1100

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 Ricardo Maddela's NPI number?

The NPI number for Ricardo Maddela is 1750543088. It was assigned to this individual provider in the NPPES registry on June 27, 2008.

Where is Ricardo Maddela located?

Ricardo Maddela practices at 10 N Locust St, Oxford, OH 45056. The listed phone number is (513) 853-9000.

What is Ricardo Maddela's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Ricardo Maddela enrolled in Medicare?

Yes. Ricardo Maddela 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 Ricardo Maddela accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource and Oscar Health Insurance list Ricardo Maddela 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 Ricardo Maddela affiliated with any hospitals?

According to CMS data, Ricardo Maddela is affiliated with Mccullough-Hyde Memorial Hospital, Good Samaritan Hospital and Bethesda North.

When was this NPI record last updated?

The NPPES record for Ricardo Maddela was last updated on May 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.