MICHAEL JOHN MADIGAN LISW
NPI 1780728931
Social Worker - Clinical in Cincinnati, OH

Active since February 19, 2007PECOS EnrolledAccepts Medicare Assignment
78.78/100
CMS Quality Rating
2600 VICTORY PKWY, CINCINNATI, OH 45206(513) 751-7747(513) 872-5182 Get Directions Write a Review

NPPES record last updated: December 21, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael John Madigan Lisw NPPES

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

MICHAEL JOHN MADIGAN LISW (NPI 1780728931) is an individual clinical provider in Cincinnati, Ohio, licensed in Ohio (I.0009570-SUPV) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1780728931
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMICHAEL JOHN MADIGANCredential: LISW
Location Address2600 VICTORY PKWYCincinnati, OH 45206-1711
Mailing Address2600 Victory PkwyCincinnati, OH 45206-1711 · (513) 751-7747 · Fax (513) 872-5182
Fax(513) 872-5182
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateFebruary 19, 2007
Last NPPES UpdateDecember 21, 2021
NPPES CertifiedDecember 21, 2021
✔ NPI 1780728931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OH · I.0009570-SUPV
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X · License I9570 (OH)
2600 VICTORY PKWY, Cincinnati, OH 45206

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

Michael John Madigan Lisw 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 ID2860590205
PECOS Enrollment IDI20070607000457
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Michael Madigan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
3188 BELLEVUE AVE
Cincinnati, OH 45219
  • Reassigned Medicare billing, Ohio enrollment
  • 2,038 clinicians in this Medicare group
Mental Health
8000 5 MILE RD, 240
Cincinnati, OH 45230
  • Reassigned Medicare billing, Ohio enrollment
  • 6 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45206 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
$0.00 typical visit price
range $54.34 – $166.65
Typical copayment $0.00 (range $13.58 – $41.66)
Most-billed visit code NA
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.

78.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.42
Promoting Interoperability100
Improvement Activities40
Cost58.86

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.

Case Manager/Care Coordinator
2600 VICTORY PKWY
CINCINNATI, OH 45206
Case Manager/Care Coordinator
2600 VICTORY PKWY
CINCINNATI, OH 45206
Case Manager/Care Coordinator
2600 VICTORY PKWY
CINCINNATI, OH 45206
Community Health Worker
2600 VICTORY PKWY
CINCINNATI, OH 45206
Counselor (Addiction (Substance Use Disorder))
2600 VICTORY PKWY
CINCINNATI, OH 45206
Case Manager/Care Coordinator
2600 VICTORY PKWY
CINCINNATI, OH 45206
Psychiatry & Neurology (Geriatric Psychiatry)
2600 VICTORY PKWY
CINCINNATI, OH 45206
Counselor (Mental Health)
2600 VICTORY PKWY
CINCINNATI, OH 45206

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 Michael Madigan's NPI number?

The NPI number for Michael Madigan is 1780728931. It was assigned to this individual provider in the NPPES registry on February 19, 2007.

Where is Michael Madigan located?

Michael Madigan practices at 2600 Victory Pkwy, Cincinnati, OH 45206. The listed phone number is (513) 751-7747.

What is Michael Madigan's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Michael Madigan enrolled in Medicare?

Yes. Michael Madigan 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 organizations bill Medicare for Michael Madigan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Madigan reassigns Medicare benefits to 2 organizations: University Of Cincinnati Physicians Company, LLC (Cincinnati, OH) and Rodney E. Vivian MD Inc (Cincinnati, OH). Each 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 Michael Madigan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Madigan accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance list Michael Madigan 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 Michael Madigan was last updated on December 21, 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.