What is John Madison's specialty?

John Madison (NPI 1821070244) is a Medicare-billing provider whose primary specialty is Pulmonary Disease in Worcester, MA.

Where does John Madison practice?

John Madison practices in Worcester, MA, based on the location reported in the CMS Medicare provider datasets for NPI 1821070244.

How much does Medicare pay John Madison?

John Madison (NPI 1821070244) received approximately $31K in total Medicare Part B payments, serving 924 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1821070244

John MadisonM.D.

Pulmonary DiseaseWorcester, MAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

2,024

Unique beneficiaries

—

Total services

2,106

Distinct HCPCS

Medicare payment

$30K

Peer benchmark

Total Medicare services vs. 402 Pulmonary Disease providers in MA — top quintile (cohort median 573).

PRESCRIBING · PART D · 2024

No data available for this provider in 2024.

QUALITY · MIPS · 2024

Final MIPS score

100.0

Quality

83.0

Cost

0.0

Improvement activities

40.0

Promoting interop.

100.0

Payment adjustment

1.05%

APM Entity

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2025

No data available for this provider in 2025.

REFERRAL NETWORK

Where John Madison's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 36 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
DESAI, CHARU	122	306
Quest Diagnostics Massachusetts Llc Clinical Laboratory · Marlborough, MA	95	192
NPI 1104881671	83	163
Eric Schmidlin Diagnostic Radiology · Worcester, MA	81	156
Scott Kopec Pulmonary Disease · Worcester, MA	54	129
Gerard Aurigemma Cardiology · Worcester, MA	51	85
DAIGNAULT, CORY	50	110
Paulo Oliveira Pulmonary Disease · Worcester, MA	44	110
Ryan Shipe Pulmonary Disease · Hopedale, MA	38	94
RAFATZAND, KHASHAYAR	28	67
KORNFELD, HARDY	22	41
MAKI, DENNIS	22	40

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events