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Dr. Benjamin Maddock , MD

Pediatrics β€’ Howell, MI

Active NPI 1679004204 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

3399 E Grand River Ave
Howell, MI 488437555

Call 7345395080 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

3399 E Grand River Ave

Howell, MI 488437555

Telephone 7345395080
Organization at the Same NPPES Address or Phone

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Regents Of The University Of Michigan. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

University Of Rochester School Of Medicine And Dentistry

Graduation Year

2017

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

9 years (graduated 2017)

CMS Doctors and Clinicians data list 2017 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2017

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Maddock has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Maddock as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Howell and Michigan

9 active clinicians are listed under Pediatrics with a practice address in Howell, MI (2,181 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-06-07
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES MI 4301504624

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20210610001671

Enrollment State Jurisdiction

MI

PECOS Control ID

2264832336

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Regents Of The University Of Michigan

8001 Challis Rd, Brighton, MI 481167446

Phone: 8102279510

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Janee Koc , NP

Nurse Practitioner

NPI 1740582204

Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
πŸ“
Updated Practice Location June 07, 2021

Registered at 3399 E GRAND RIVER AVE, HOWELL, MI 488437555 (Tel: 7345395080)

πŸ“
Updated Business Mailing Address June 07, 2021

Registered at 3621 S STATE ST, ANN ARBOR, MI 481081633

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 07, 2021

Pediatrics (license number reported to NPPES: MI 4301504624)

πŸ“
Updated Practice Location June 16, 2020

Registered at 50 N DUNLAP ST, MEMPHIS, TN 381032800 (Tel: 9015725986)

πŸ“
Updated Business Mailing Address June 16, 2020

Registered at 3333 BURNET AVENUE, CINCINNATI, OH 452293039

βœ…
NPI Profile Active March 24, 2017

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 24, 2017

Registered at 3333 BURNET AVENUE, MLC 5018, CINCINNATI, OH 452293039 (Tel: 5136364315)

πŸ“
Business Mailing Address (Initial Record) March 24, 2017

Registered at 3333 BURNET AVENUE, MLC 5018, CINCINNATI, OH 452293039 (Tel: 5136364315)

πŸ‘€
Provider Name / Credentials (Initial Record) March 24, 2017

Recorded as BENJAMIN MADDOCK, M.D.

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2017

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 24, 2017

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1679004204
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 24, 2017
Last Update: June 07, 2021
Sole Proprietor: No

Mailing Address

3621 S State St

Ann Arbor, MI 481081633

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.