MICHAEL T MADISON MD
NPI 1821077876
Radiology - Neuroradiology in Saint Paul, MN

Active since January 10, 2006PECOS EnrolledAccepts Medicare Assignment
88.38/100
CMS Quality Rating
295 PHALEN BLVD, SAINT PAUL, MN 55130(651) 495-6200(952) 883-9677 Get Directions Write a Review

NPPES record last updated: February 4, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 4, 2025, Jul 19, 2021, Jun 30, 2020 and 1 more (4 updates tracked since 2018).

About Michael T Madison Md NPPES

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

MICHAEL T MADISON MD (NPI 1821077876) is an individual neuroradiology provider in Saint Paul, Minnesota, licensed in Minnesota (32412) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1821077876
Entity TypeIndividualMale
Primary Taxonomy2085N0700X
Provider Legal NameMICHAEL T MADISONCredential: MD
Location Address295 PHALEN BLVDSaint Paul, MN 55130-2400
Mailing Address2355 Hwy 36 W., Ste. 100Roseville, MN 55113 · (651) 292-2000
Fax(952) 883-9677
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1987
Enumeration DateJanuary 10, 2006
Last NPPES UpdateFebruary 4, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2025
✔ NPI 1821077876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · NeuroradiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085N0700X
License✔ Licensed in MN · 32412
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License 32412 (MN)
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License 32412 (MN)
295 PHALEN BLVD, Saint Paul, MN 55130

Secondary Practice Locations 2

Location 1250 Thompson St.Saint Paul, MN 55102 · Phone (651) 292-2000
Location 22355 Hwy 36 W., Ste. 100Roseville, MN 55113 · Phone (651) 292-2000

Other Identifiers 1

Medicaid189307600MN

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 T Madison Md 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 ID5890609580
PECOS Enrollment IDI20080130000624
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

12

Medicare enrollment records show Michael Madison reassigns Medicare billing to 12 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinic/Center
580 RICE ST
Saint Paul, MN 55103
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,302 clinicians in this Medicare group
Clinic/Center
45 10TH ST W STE 3000
Saint Paul, MN 55102
  • Reassigned Medicare billing, Minnesota enrollment
  • 3,633 clinicians in this Medicare group
General Practice
225 SMITH AVE N, STE 300
St Paul, MN 55102
  • Reassigned Medicare billing, Minnesota and Wisconsin enrollments
  • Also billed through NPI 1447550702 (Wisconsin), NPI 1407395247 (Wisconsin)
  • 2,609 clinicians in this Medicare group
Pediatric Dentistry
205 WABASHA ST S
Saint Paul, MN 55107
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,274 clinicians in this Medicare group
General Acute Care Hospital
2450 RIVERSIDE AVE, OUTREACH LAB DEPARTMENT
Minneapolis, MN 55454
  • Reassigned Medicare billing, Minnesota enrollment
  • 4,038 clinicians in this Medicare group
Family Medicine
1000 NICOLLET MALL, TPS 260
Minneapolis, MN 55403
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,527 clinicians in this Medicare group
Critical Access
235 STATE ST
Saint Croix Falls, WI 54024
  • Reassigned Medicare billing, Minnesota and Wisconsin enrollments
  • 241 clinicians in this Medicare group
General Acute Care Hospital
1095 HIGHWAY 15 S
Hutchinson, MN 55350
  • Reassigned Medicare billing, Minnesota enrollment
  • 253 clinicians in this Medicare group
Critical Access
100 HEALTHY WAY
Olivia, MN 56277
  • Reassigned Medicare billing, Minnesota enrollment
  • 125 clinicians in this Medicare group
Clinic/Center
1300 S COLUMBIA RD
Grand Forks, ND 58201
  • Reassigned Medicare billing, Minnesota enrollment
  • 228 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.

Areas of Expertise CMS Part B claims 10

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.

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
66 services62 patients
Imaging of blood vessel 75898
Imaging of blood vessels, also known as vascular imaging, is a non-invasive procedure that allows doctors to view the condition of your blood vessels. It employs techniques like ultrasound, CT scan, or MRI to capture images, enabling the detection of blockages or abnormalities.
31 services17 patients
Occlusion of central nervous system or spinal cord artery 61624
This procedure involves blocking a central nervous system or spinal cord artery to prevent blood flow. It's typically done to treat conditions like aneurysms or vascular malformations. It can help prevent strokes, bleeding, or other serious issues.
23 services20 patients
Review by radiologist of image for insertion of material to block blood flow 75894
This procedure involves a radiologist examining an image to plan the placement of a substance that will block blood flow in a specific area. This is usually done to prevent bleeding or to cut off the blood supply to a growth.
23 services20 patients
Insertion of tube into internal neck artery for diagnosis or treatment with review by radiologist 36224
This procedure involves placing a small tube into your neck artery. It helps diagnose or treat certain conditions. A radiologist, a doctor specializing in medical imaging, reviews the process to ensure accuracy and safety.
22 services18 patients
Insertion of tube into external neck artery for diagnosis or treatment with review by radiologist 36227
This procedure involves placing a small tube into an artery in your neck. This is done to diagnose or treat certain conditions. A radiologist, a doctor who specializes in medical imaging, will review the procedure to ensure everything is done correctly.
20 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240053
Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County
Emergency services Birthing friendly

Regions Hospital

Acute Care Hospitals · Saint Paul, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240106
Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County
Emergency services Birthing friendly

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.

88.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality95.55
Improvement Activities40
Cost66.26

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.

Nurse Practitioner
295 PHALEN BLVD
SAINT PAUL, MN 55130
Physical Therapy Assistant
295 PHALEN BLVD
SAINT PAUL, MN 55130
Nurse Practitioner (Family)
295 PHALEN BLVD
SAINT PAUL, MN 55130
Physical Medicine & Rehabilitation
295 PHALEN BLVD
SAINT PAUL, MN 55130
Physical Therapist
295 PHALEN BLVD
SAINT PAUL, MN 55130
Physical Medicine & Rehabilitation
295 PHALEN BLVD
SAINT PAUL, MN 55130
Durable Medical Equipment & Medical Supplies
295 PHALEN BLVD
SAINT PAUL, MN 55130
Physical Medicine & Rehabilitation (Pain Medicine)
295 PHALEN BLVD
SAINT PAUL, MN 55130

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 Madison's NPI number?

The NPI number for Michael Madison is 1821077876. It was assigned to this individual provider in the NPPES registry on January 10, 2006.

Where is Michael Madison located?

Michael Madison practices at 295 Phalen Blvd, Saint Paul, MN 55130. The listed phone number is (651) 495-6200.

What is Michael Madison's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Neuroradiology, with taxonomy code 2085N0700X.

Is Michael Madison enrolled in Medicare?

Yes. Michael Madison 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 Madison's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Madison reassigns Medicare benefits to 12 organizations: Fairview Clinics (Saint Paul, MN), Fairview Express Care (Saint Paul, MN), Allina Health System (St Paul, MN), Group Health, Inc. (Saint Paul, MN), Fairview Health Services (Minneapolis, MN) and 7 more organizations, listed in the Medicare section above. 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 Madison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Michael Madison affiliated with any hospitals?

According to CMS data, Michael Madison is affiliated with Park Nicollet Methodist Hospital and Regions Hospital.

When was this NPI record last updated?

The NPPES record for Michael Madison was last updated on February 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.