DR. GONZALO MADRIGAL JR. MD
NPI 1821550716
Family Medicine in Oshkosh, WI

Active since April 01, 2019PECOS EnrolledAccepts Medicare Assignment
855 N WESTHAVEN DR, OSHKOSH, WI 54904(920) 303-8700 Get Directions Write a Review

NPPES record last updated: April 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 6, 2023, Nov 16, 2022, Aug 10, 2022 and 1 more (4 updates tracked since 2019).

About Dr. Gonzalo Madrigal Jr. Md NPPES

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

DR. GONZALO MADRIGAL JR. MD (NPI 1821550716) is an individual family medicine provider in Oshkosh, Wisconsin, licensed in Wisconsin (75359) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Aurora Medical Ctr Oshkosh, and maintains a secondary practice location in Appleton.

NPPES Registry Identity

NPI1821550716
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GONZALO MADRIGAL JR.Credential: MD
Location Address855 N WESTHAVEN DROshkosh, WI 54904-7668
Mailing Address3301 W Forest Home AveMilwaukee, WI 53215-2843 · (203) 038-7009
Sole ProprietorNo
Medical School CMSPonce School Of MedicineGraduated 2019
Enumeration DateApril 1, 2019
Last NPPES UpdateApril 6, 20234 updates tracked since enumeration
NPPES CertifiedApril 6, 2023
NPI 1821550716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WI · 75359
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

855 N WESTHAVEN DR, Oshkosh, WI 54904

Secondary Practice Location 1

Location 1229 S Morrison StAppleton, WI 54911-5725 · Phone (920) 997-8415

Other Identifiers 1

Medicaid100171925WI

Accepted 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. Gonzalo Madrigal Jr. 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 ID8628471539
PECOS Enrollment IDI20220728003373
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 3

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
45 services25 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.
40 services30 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Aurora Medical Ctr Oshkosh

Acute Care Hospitals · Oshkosh, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520198
Location855 N Westhaven DriveOshkosh, WI 54904 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54904 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
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 20

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

Audiologist-Hearing Aid Fitter
855 N WESTHAVEN DR, STE 200
OSHKOSH, WI 54904
Nurse Anesthetist, Certified Registered
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Pathology (Anatomic Pathology & Clinical Pathology)
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Nurse Anesthetist, Certified Registered
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Emergency Medicine
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Emergency Medicine
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Surgery (Vascular Surgery)
855 N WESTHAVEN DR
OSHKOSH, WI 54904
Nurse Practitioner
855 N WESTHAVEN DR
OSHKOSH, WI 54904

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 Gonzalo Madrigal's NPI number?

The NPI number for Gonzalo Madrigal is 1821550716. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Gonzalo Madrigal located?

Gonzalo Madrigal practices at 855 N Westhaven Dr, Oshkosh, WI 54904. The listed phone number is (920) 303-8700.

What is Gonzalo Madrigal's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gonzalo Madrigal enrolled in Medicare?

Yes. Gonzalo Madrigal 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 Gonzalo Madrigal accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Quartz and 1 other insurer list Gonzalo Madrigal 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 Gonzalo Madrigal affiliated with any hospitals?

According to CMS data, Gonzalo Madrigal is affiliated with Aurora Medical Ctr Oshkosh.

When was this NPI record last updated?

The NPPES record for Gonzalo Madrigal was last updated on April 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.