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RAMIRO JOSE MADDEN-FUENTES MD
NPI 1861719528
Urology in Concord, NH

Active since April 21, 2010PECOS EnrolledAccepts Medicare Assignment
55/100
CMS Quality Rating
246 PLEASANT ST, MEMORIAL BUILDING, WEST, FLOOR 1, CONCORD, NH 03301(603) 224-3388(603) 225-3557 Get Directions Write a Review

NPPES record last updated: July 10, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 10, 2020, Aug 2, 2017, Jan 17, 2017 and 2 more (5 updates tracked since 2016).

About Ramiro Jose Madden-fuentes Md NPPES

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

RAMIRO JOSE MADDEN-FUENTES MD (NPI 1861719528) is an individual urology provider in Concord, New Hampshire, licensed in New Hampshire (18003) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Concord Hospital, and is a graduate of Baylor College Of Medicine (2010).

NPPES Registry Identity

NPI1861719528
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameRAMIRO JOSE MADDEN-FUENTESCredential: MD
Location Address246 PLEASANT ST, MEMORIAL BUILDING, WEST, FLOOR 1Concord, NH 03301-2548
Mailing Address246 Pleasant St, Memorial Building, West, Floor 1Concord, NH 03301-2548 · (603) 224-3388 · Fax (603) 225-3557
Phone(603) 224-3388
Fax(603) 225-3557
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2010
Enumeration DateApril 21, 2010
Last NPPES UpdateJuly 10, 20205 updates tracked since enumeration
NPPES CertifiedJuly 10, 2020
✔ NPI 1861719528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in NH · 18003✔ Licensed in NC · 2016-00956
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
246 PLEASANT ST, Concord, NH 03301
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care, WellSense Health Plan.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

Ramiro Jose Madden-fuentes 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 ID8628362944
PECOS Enrollment IDI20170830001315, I20190308000556
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

4

Medicare enrollment records show Ramiro Madden-fuentes reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Concord Hospital, Inc.
3.1 mi
Emergency Medicine
250 PLEASANT ST
Concord, NH 03301
  • Reassigned Medicare billing, New Hampshire enrollment
  • 636 clinicians in this Medicare group
NPI 1194778571 (603) 230-7429
Concord Hospital-Laconia
24 mi
Family Medicine
85 SPRING ST
Laconia, NH 03246
  • Reassigned Medicare billing, New Hampshire enrollment
  • 409 clinicians in this Medicare group
NPI 1053993741 (603) 524-3211
Springfield Hospital
51 mi
Critical Access Hospital
25 RIDGEWOOD ROAD
Springfield, VT 05156
  • Reassigned Medicare billing, Vermont enrollment
  • 56 clinicians in this Medicare group
NPI 1033225875 (802) 885-2151
Rutland Hospital, Inc.
79 mi
Specialist
160 ALLEN ST
Rutland, VT 05701
  • Reassigned Medicare billing, Vermont enrollment
  • 80 clinicians in this Medicare group
NPI 1083678833 (802) 775-7111

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 8

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 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.
187 services154 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.
126 services106 patients
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.
56 services28 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
53 services48 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.
39 services39 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
27 services21 patients

Hospital Affiliations CMS Care Compare 5

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

Concord Hospital

Acute Care Hospitals · Concord, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300001
Location250 Pleasant StConcord, NH 03301 · Merrimack County
Birthing friendly

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300003
Location1 Medical Center DriveLebanon, NH 03756 · Grafton County
Emergency services Birthing friendly

Concord Hospital- Franklin

Critical Access Hospitals · Franklin, NH
OwnershipVoluntary non-profit - Private
CMS Certification Number301306
Location15 Aiken AvenueFranklin, NH 03235 · Merrimack County
Emergency services

Rutland Regional Medical Center

Acute Care Hospitals · Rutland, VT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number470005
Location160 Allen StRutland, VT 05701 · Rutland County
Emergency services Birthing friendly

Springfield Hospital

Critical Access Hospitals · Springfield, VT
OwnershipVoluntary non-profit - Private
CMS Certification Number471306
LocationPO Box 2003Springfield, VT 05156 · Windsor County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03301 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
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
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.

55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality18.31
Promoting Interoperability100
Improvement Activities20
Cost56.69

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
6 suppliers46 claims6,870 services$1.40 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
7 suppliers34 claims85 services$9.17 avg. paid by Medicare
Lubricant, per ounce A4402
DME-Orthotic Devices · category DF010N
3 suppliers20 claims194 services$1.22 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
3 suppliers17 claims360 services$5.84 avg. paid by Medicare
Ostomy pouch, urinary; for use on barrier with non-locking flange, with faucet-type tap with valve (2 piece), each A4432
DME-Orthotic Devices · category DF010N
4 suppliers23 claims370 services$3.38 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
2 suppliers13 claims582 services$0.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

PATRICK CASSELL MD
Internal Medicine (Cardiovascular Disease)
246 PLEASANT ST, SUITE 103
CONCORD, NH 03301
Merrimack County (603) 224-6070
KATHRYN S LEMMON MD
Anesthesiology
246 PLEASANT ST, SUITE 105 B EYE ANESTHESIA OF CONCORD PLLC
CONCORD, NH 03301
Merrimack County (603) 224-6503
PLEIADES ANESTHESIA LLC
Anesthesiology
246 PLEASANT ST, SUITE 105B
CONCORD, NH 03301
Merrimack County (603) 224-6503
DR. CLAYTON THERON JONES M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
246 PLEASANT ST, SUITE 103
CONCORD, NH 03301
Merrimack County (603) 224-6070
CAPITAL ORTHOTICS & PROSTHETICS, LLC
Prosthetic/Orthotic Supplier
246 PLEASANT ST, SUITE 200
CONCORD, NH 03301
Merrimack County (603) 226-0101
RACHAEL LYNNE SARGENT APRN
Nurse Practitioner (Adult Health)
246 PLEASANT ST, SUITE 205
CONCORD, NH 03301
Merrimack County (603) 224-0584
NICOLE NELSON PA-C
Physician Assistant
246 PLEASANT ST, SUITE 205
CONCORD, NH 03301
Merrimack County (603) 224-0584
TAMMIE SULLIVAN PT
Physical Therapist (Pediatrics)
246 PLEASANT ST, SUITE 200
CONCORD, NH 03301
Merrimack County (603) 224-4540

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 Ramiro Madden-fuentes's NPI number?

The NPI number for Ramiro Madden-fuentes is 1861719528. It was assigned to this individual provider in the NPPES registry on April 21, 2010.

Where is Ramiro Madden-fuentes located?

Ramiro Madden-fuentes practices at 246 Pleasant St Memorial Building, West, Floor 1, Concord, NH 03301. The listed phone number is (603) 224-3388.

What is Ramiro Madden-fuentes's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Ramiro Madden-fuentes enrolled in Medicare?

Yes. Ramiro Madden-fuentes 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 Ramiro Madden-fuentes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ramiro Madden-fuentes reassigns Medicare benefits to 4 organizations: Concord Hospital, Inc. (Concord, NH), Concord Hospital-Laconia (Laconia, NH), Springfield Hospital (Springfield, VT) and Rutland Hospital, Inc. (Rutland, VT). 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 Ramiro Madden-fuentes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ramiro Madden-fuentes accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and WellSense Health Plan list Ramiro Madden-fuentes 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 Ramiro Madden-fuentes affiliated with any hospitals?

According to CMS data, Ramiro Madden-fuentes is affiliated with Concord Hospital, Mary Hitchcock Memorial Hospital, Concord Hospital- Franklin, Rutland Regional Medical Center and Springfield Hospital.

When was this NPI record last updated?

The NPPES record for Ramiro Madden-fuentes was last updated on July 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.