Phillip Madonia, M.D.
NPI 1245440585 · Nephrology Physician · Alabaster, AL
Enrolled with Medicare as Practitioner - Nephrology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Phillip Madonia, M.D. is a Nephrology Physician provider in Alabaster, AL (NPI 1245440585).
Provider details
- NPI number
- 1245440585
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 33856 (AL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,370 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 533 | $72 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 197 | $98 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 196 | $15 |
| Dialysis Services, 2-3 Physician Visits Per Month (20 Years Or Older)90961 | 132 | $268 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 83 | $118 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 21 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Dapagliflozin Propanediolbrand: Farxiga | 156 | 33 |
| Nifedipinebrand: Nifedipine Er | 149 | 39 |
| Tamsulosin Hcl | 106 | 33 |
| Losartan Potassium | 98 | 35 |
| Furosemide | 72 | 31 |
| Buprenorphine Hcl/Naloxone Hclbrand: Buprenorphine-Naloxone | 63 | 15 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$39,140 across 73 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-23
- Last updated
- 2025-02-26
- Certified
- 2025-02-26
Frequently asked questions
- What is Phillip Madonia's NPI number?
- Phillip Madonia's National Provider Identifier (NPI) is 1245440585, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Phillip Madonia's specialty?
- Phillip Madonia is listed in the NPPES registry with a primary specialty of Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Phillip Madonia located?
- Phillip Madonia's practice location on file with NPPES is 644 2nd St Ne Ste 201, Alabaster, AL 35007-8823.
- What is Phillip Madonia's phone number?
- The practice phone number listed in the NPPES registry for Phillip Madonia is (205) 226-5900.
- Does Phillip Madonia accept Medicare?
- Phillip Madonia is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Phillip Madonia's NPI active?
- Yes — Phillip Madonia's NPI (1245440585) is active in the NPPES registry as of the last update on 2025-02-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.