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MICHAEL J. MADDALENI MD
NPI 1851823017
Family Medicine in Barre, MA

Active since March 28, 2017PECOS EnrolledAccepts Medicare Assignment
151 WORCESTER RD, BARRE, MA 01005(978) 355-6321(978) 355-6549 Get Directions Write a Review

NPPES record last updated: August 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 2, 2021, Jul 27, 2020, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Michael J. Maddaleni Md NPPES

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

MICHAEL J. MADDALENI MD (NPI 1851823017) is an individual family medicine provider in Barre, Massachusetts, licensed in Massachusetts (281392) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Umass Memorial Healthalliance Hospitals, and is a graduate of University Of Massachusetts Medical School (2017).

NPPES Registry Identity

NPI1851823017
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL J. MADDALENICredential: MD
Location Address151 WORCESTER RDBarre, MA 01005-9099
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-8105
Phone(978) 355-6321
Fax(978) 355-6549
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2017
Enumeration DateMarch 28, 2017
Last NPPES UpdateAugust 2, 20215 updates tracked since enumeration
NPPES CertifiedAugust 2, 2021
✔ NPI 1851823017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MA · 281392
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.
Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X · License 281392 (MA)
151 WORCESTER RD, Barre, MA 01005
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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

Michael J. Maddaleni 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 ID8022375716
PECOS Enrollment IDI20210813002959
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 6

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.

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
377 services164 patients
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.
321 services181 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.
241 services183 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.
39 services39 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
33 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
26 services26 patients

Hospital Affiliations CMS Care Compare 2

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

Umass Memorial Healthalliance Hospitals

Acute Care Hospitals · Leominster, MA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220001
Location60 Hospital RoadLeominster, MA 01453 · Worcester County
Emergency services

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01005 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

DR. PAMELA L. GRIMALDI D.O.
Family Medicine
151 WORCESTER RD
BARRE, MA 01005
Worcester County (978) 355-6321
EFROSINI KONOMI PA-C
Physician Assistant
151 WORCESTER RD
BARRE, MA 01005
Worcester County (978) 355-6321
MR. RANDAL WILLIAMS MA
Student in an Organized Health Care Education/Training Program
151 WORCESTER RD
BARRE, MA 01005
Worcester County (978) 355-9222
KRISTIN K. WICKSTROM PA
Physician Assistant
151 WORCESTER RD, BARRE FAMILY HEALTH CENTER
BARRE, MA 01005
Worcester County (978) 355-6321
JULIA FLEET D.O.
Family Medicine
151 WORCESTER RD
BARRE, MA 01005
Worcester County (978) 355-6321
SARAH YODER MD
Student in an Organized Health Care Education/Training Program
151 WORCESTER RD
BARRE, MA 01005
Worcester County (508) 334-1008
BRETT C LEHNER MD
Family Medicine
151 WORCESTER RD
BARRE, MA 01005
Worcester County (978) 355-6321
MATTHEW ALEXANDER MORROW DO
Student in an Organized Health Care Education/Training Program
151 WORCESTER RD
BARRE, MA 01005
Worcester County (508) 334-1000

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 Maddaleni's NPI number?

The NPI number for Michael Maddaleni is 1851823017. It was assigned to this individual provider in the NPPES registry on March 28, 2017.

Where is Michael Maddaleni located?

Michael Maddaleni practices at 151 Worcester Rd, Barre, MA 01005. The listed phone number is (978) 355-6321.

What is Michael Maddaleni's specialty?

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

Is Michael Maddaleni enrolled in Medicare?

Yes. Michael Maddaleni 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.

Is Michael Maddaleni affiliated with any hospitals?

According to CMS data, Michael Maddaleni is affiliated with Umass Memorial Healthalliance Hospitals and Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Michael Maddaleni was last updated on August 2, 2021. 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.