John Madore, M.D.
NPI 1609262328 · Surgical Critical Care Physician · Worcester, MA
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John Madore, M.D. is a Surgical Critical Care Physician provider in Worcester, MA (NPI 1609262328).
Provider details
- NPI number
- 1609262328
- Entity type
- Individual
- Primary specialty
- Surgical Critical Care PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 263564 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
11 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
889 Medicare services, 2024 (ranked within specialty)
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 methodology.
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 | 503 | $78 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 141 | $116 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 92 | $171 |
| Critical Care, First 30-74 Minutes99291 | 55 | $209 |
| Emergency Department Visit With Straightforward Medical Decision Making99282 | 46 | $41 |
| Emergency Department Visit With High Level of Medical Decision Making99285 | 33 |
Practice location
Mailing address
Additional practice locations (1)
- 1 Barnes Jew Hosp PlzSaint Louis, MO 63110-1003Phone: (314) 362-5000
Registry dates
- Enumerated
- 2015-04-09
- Last updated
- 2021-08-03
- Certified
- 2021-08-03
Frequently asked questions
- What is John Madore's NPI number?
- John Madore's National Provider Identifier (NPI) is 1609262328, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Madore's specialty?
- John Madore is listed in the NPPES registry with a primary specialty of Surgical Critical Care Physician (Allopathic & Osteopathic Physicians).
- Where is John Madore located?
- John Madore's practice location on file with NPPES is 55 Lake Ave N, Worcester, MA 01655-0002.
- What is John Madore's phone number?
- The practice phone number listed in the NPPES registry for John Madore is (508) 856-5288.
- Does John Madore accept Medicare?
- John Madore is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is John Madore's NPI active?
- Yes — John Madore's NPI (1609262328) is active in the NPPES registry as of the last update on 2021-08-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.