Individual provider Active NPI

Adam Madsen, D.O.

  • Orthopaedic Surgery Physician
  • Vernal, UT
National Provider Identifier
1174843783
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
9608322-1204 Issued in UT
Practice address
175 N 100 W
Suite 204
Vernal, UT 84078-2033
Phone
(435) 789-2060
Fax
(435) 789-2071
NPI assigned
Jun 4, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 9608322-1204 UT Primary

Addresses

Primary practice location

175 N 100 W
Suite 204
Vernal, UT 84078-2033

Mailing address

175 N 100 W
Suite 204
Vernal, UT 84078-2033

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160622002460 UT Practitioner - Orthopedic Surgery 8325286719 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

475 N 500
Suite 200 C
Vernal, UT 84078-1907
Phone (435) 789-2060

Hospital & facility affiliations

  • Canyon Home Care Home health agency, Murray, UT, CCN 467226
  • Rocky Mountain Hospice - Utah Hospice, Woods Cross, UT, CCN 461511
  • Uintah Basin Medical Center Hospital, Roosevelt, UT, CCN 460019
  • Ashley Regional Medical Center Hospital, Vernal, UT, CCN 460030

Merit-based Incentive Payment System (MIPS)

Final score
85.74 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
52.48

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9608322-1204UTMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Adam Madsen Orthopedic Surgery Orthopaedic Surgery CurrentSince Mar 17, 2016 Accepting new patients

Locations

175 N 100 W
Ste 204
Vernal, UT 84078
Phone (435) 789-1522

475 N 500 W
Ste 200C
Vernal, UT 84078
Phone (435) 789-2060

151 W 200 N
Vernal, UT 84078
Phone (435) 781-2650

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IBFFAD/Endpoint/IBFFAD
  • Direct secure messaging: poa7559@yourcarecommunity.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBFFAD

Organizations & group practices 1

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 6

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": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1174843783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 N 100 W",
            "address_2": "SUITE 204",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N 100 W",
            "address_2": "SUITE 204",
            "city": "VERNAL",
            "state": "UT",
            "postal_code": "840782033",
            "telephone_number": "435-789-2060",
            "fax_number": "435-789-2071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADSEN",
        "first_name": "ADAM",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-04",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "UT",
            "license": "9608322-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernal, UT

Sources for this page

Verify at the official NPI Registry.