DR. HARVEY LLOYD MADONICK MD
NPI 1871530733
Internal Medicine in Manahawkin, NJ

Active since June 01, 2006PECOS EnrolledAccepts Medicare Assignment
95.5/100
CMS Quality Rating
1140 ROUTE 72 W, MANAHAWKIN, NJ 08050(606) 978-8960 Get Directions Write a Review

NPPES record last updated: March 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Harvey Lloyd Madonick Md NPPES

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

DR. HARVEY LLOYD MADONICK MD (NPI 1871530733) is an individual internal medicine provider in Manahawkin, New Jersey, licensed in Virginia (0101242069) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Central Florida Lake Monroe Hospital, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1871530733
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. HARVEY LLOYD MADONICKCredential: MD
Location Address1140 ROUTE 72 WManahawkin, NJ 08050-2412
Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateJune 1, 2006
Last NPPES UpdateMarch 22, 2021
NPPES CertifiedMarch 22, 2021
NPI 1871530733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in VA · 0101242069
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 25MA73163 (NJ)
1140 ROUTE 72 W, Manahawkin, NJ 08050

Other Identifiers 3

Medicaid1871530733VA
OtherP00417572VA · Railroad Medicare
Other303316VA · Blue Shield

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. Harvey Lloyd Madonick 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 ID9335196575
PECOS Enrollment IDI20070911000556, I20240222004298
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 4

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
420 services367 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
350 services296 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
220 services201 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
147 services134 patients

Hospital Affiliations CMS Care Compare 2

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

Central Florida Lake Monroe Hospital

Acute Care Hospitals · Sanford, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100161
Location1401 W Seminole BlvdSanford, FL 32771 · Seminole County
Emergency services

Lewisgale Hospital Alleghany

Acute Care Hospitals · Low Moor, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490126
LocationOne Arh Lane - PO Box 7Low Moor, VA 24457 · Alleghany County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08050 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

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.

95.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.22
Improvement Activities40

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 Anesthetist, Certified Registered
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Radiology (Radiation Oncology)
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Psychiatric Unit
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Internal Medicine
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Internal Medicine
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Emergency Medicine
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Emergency Medicine
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050
Emergency Medicine
1140 ROUTE 72 W
MANAHAWKIN, NJ 08050

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 Harvey Madonick's NPI number?

The NPI number for Harvey Madonick is 1871530733. It was assigned to this individual provider in the NPPES registry on June 1, 2006.

Where is Harvey Madonick located?

Harvey Madonick practices at 1140 Route 72 W, Manahawkin, NJ 08050. The listed phone number is (606) 978-8960.

What is Harvey Madonick's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Harvey Madonick enrolled in Medicare?

Yes. Harvey Madonick 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 Harvey Madonick accept?

Health plans from Oscar Insurance Company list Harvey Madonick 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 Harvey Madonick affiliated with any hospitals?

According to CMS data, Harvey Madonick is affiliated with Central Florida Lake Monroe Hospital and Lewisgale Hospital Alleghany.

When was this NPI record last updated?

The NPPES record for Harvey Madonick was last updated on March 22, 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.