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MARK LANE MADENWALD MD
NPI 1932197662
Emergency Medicine in Flower Mound, TX

Active since October 06, 2005PECOS EnrolledAccepts Medicare Assignment
5304 PRINCE LN, FLOWER MOUND, TX 75022(214) 734-4868 Get Directions Write a Review

NPPES record last updated: September 18, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark Lane Madenwald Md NPPES

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

MARK LANE MADENWALD MD (NPI 1932197662) is an individual emergency medicine provider in Flower Mound, Texas, licensed in Texas (J2173) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Texas Health Harris Methodist Hospital Stephenvill, and is a graduate of University Of Texas Medical Branch At Galveston (1991).

NPPES Registry Identity

NPI1932197662
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMARK LANE MADENWALDCredential: MD
Location Address5304 PRINCE LNFlower Mound, TX 75022-8103
Mailing Address5304 Prince LnFlower Mound, TX 75022-8103 · (214) 513-2800
Phone(214) 734-4868
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 1991
Enumeration DateOctober 6, 2005
Last NPPES UpdateSeptember 18, 2015
✔ NPI 1932197662 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TX · J2173
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
5304 PRINCE LN, Flower Mound, TX 75022
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Other Identifiers 6

Medicare UPING68980TX
Medicare PIN8066J3TX
Other042138003TX · Cshcn
Medicare PIN930085568TX
Medicaid042138002TX
Other89532ZTX · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas.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

Mark Lane Madenwald 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 ID7214065879
PECOS Enrollment IDI20100503000547
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.
289 services276 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.
112 services101 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.
102 services98 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
21 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Texas Health Harris Methodist Hospital Stephenvill

Acute Care Hospitals · Stephenville, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450351
Location411 N Belknap StStephenville, TX 76401 · Erath County
Emergency services Birthing friendly

Ut Health East Texas Athens Hospital

Acute Care Hospitals · Athens, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450389
Location2000 South Palestine StAthens, TX 75751 · Henderson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75022 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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 Mark Madenwald's NPI number?

The NPI number for Mark Madenwald is 1932197662. It was assigned to this individual provider in the NPPES registry on October 6, 2005.

Where is Mark Madenwald located?

Mark Madenwald practices at 5304 Prince Ln, Flower Mound, TX 75022. The listed phone number is (214) 734-4868.

What is Mark Madenwald's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Mark Madenwald enrolled in Medicare?

Yes. Mark Madenwald 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 Mark Madenwald accept?

Health plans from Baylor Scott and White Health Plan and Blue Cross and Blue Shield of Texas list Mark Madenwald 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 Mark Madenwald affiliated with any hospitals?

According to CMS data, Mark Madenwald is affiliated with Texas Health Harris Methodist Hospital Stephenvill and Ut Health East Texas Athens Hospital.

When was this NPI record last updated?

The NPPES record for Mark Madenwald was last updated on September 18, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.