NPIMap

Individual provider Active NPI

Michael Wayne Madsen, M.D.

  • Orthopaedic Surgery Physician
  • Smithfield, NC
National Provider Identifier
1043430911
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2021-01570 Issued in NC
Practice address
100 Kellie Dr
Smithfield, NC 27577-9444
Phone
(919) 934-1094
NPI assigned
Apr 26, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 45364 CO
Orthopaedic Surgery Physician 207X00000X 2021-01570 NC Primary

Addresses

Primary practice location

100 Kellie Dr
Smithfield, NC 27577-9444

Mailing address

120 William Penn PLZ
Durham, NC 27704-2150
Phone (919) 220-5255

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070816000876 CO Practitioner - Orthopedic Surgery 6608805643 Reassigns benefits to 1 organization
I20210803003340 NC Practitioner - Orthopedic Surgery 6608805643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Columbia University College of Physicians and Surgeons, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians
Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians

Practice addresses (Care Compare)

100 Kellie Dr
Smithfield, NC 27577-9444
Phone (919) 934-1094

721 Tilghman Dr
Dunn, NC 28334-6066
Phone (910) 892-5635

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.07 of 100Reported as group
Quality
85.94
Promoting interoperability
100
Improvement activities
40
Cost
77.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion198
Laminectomy or laminotomy (partial removal of spine bones)62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
45364COMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergeortho PA CurrentSince Sep 1, 2021 Accepting new patients
Emergeortho PA Orthopaedic Surgery CurrentSince Sep 1, 2021 Accepting new patients
Triangle Orthopaedics Surgery Center PastSince Jan 1, 2025 Accepting new patients
William Choi MD Neurosurgery Associates Professional LLC PastSince Apr 19, 2020 Accepting new patients
Colorado Orthopaedics PC Orthopaedic Surgery PastSince Jan 1, 2021 Accepting new patients

Locations

2196 Veterans Pkwy
Clayton, NC 27520
Phone (919) 763-1050

120 William Penn Plz
Durham, NC 27704
Phone (919) 281-1836

799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079

100 Kellie Dr
Smithfield, NC 27577
Phone (919) 934-1094

Interoperability endpoints

  • Direct secure messaging: mmadsen729144@direct.unc.nchie.net
  • Direct secure messaging: michael.madsen.1@847.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/16409/brand/1/csg/1/fhir/r4

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1043430911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 WILLIAM PENN PLZ",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277042150",
            "telephone_number": "919-220-5255",
            "fax_number": "919-220-6379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KELLIE DR",
            "city": "SMITHFIELD",
            "state": "NC",
            "postal_code": "275779444",
            "telephone_number": "919-934-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADSEN",
        "first_name": "MICHAEL",
        "middle_name": "WAYNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-26",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "CO",
            "license": "45364",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2021-01570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithfield, NC

Sources for this page

Verify at the official NPI Registry.