Doctor profile · Federal record
Dr. Nira Madisi, MD
Endocrinology, Diabetes & Metabolism Physician (CMS: Internal Medicine) · Internal Medicine Physician · Student in an Organized Health Care Education/Training Program · Milford, DE
- NPI 1952531899
- Accepts Medicare
- MIPS 85.2 / 100 · 2023
- 20 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
800 N Dupont Blvd, Bayhealth Physicians
Milford, DE 199631019
(302) 422-1251
fax (302) 424-6513 - Mailing address
-
640 S State St, Pob 3Rd Floor
Dover, DE 199013530
Credentials & registration
- NPI registered
- July 2009 — 17 yrs on file
- Profile last updated
- April 26, 2017
- Year of graduation
- 2006 — 20 yrs since
- Specialty taxonomy
- 207RE0101X — NUCC code
- State licenses (2)
- Delaware #C1-0011215 · Maryland #P24017
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1952531899. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
444
Distinct HCPCS
10
Medicare allowed
$39,861
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 173 | 151 | $93 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 47 | 38 | $123 | |
99211 |
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 38 | 24 | $8 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 31 | 31 | $128 | |
95251 |
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | 27 | 22 | $33 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 25 | 23 | $138 | |
83036 |
Hemoglobin a1c level | 24 | 22 | $10 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 24 | 24 | $160 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 23 | 18 | $76 | |
99221 |
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 20 | 20 | $80 |
In context: peer comparison
Among 1 peers in Milford Endocrinology, Diabetes & Metabolism Physician, average services per provider: 40. This provider delivers 11× the peer median.Open Payments
Industry payments received
All-time total
$459
Transactions
7
Manufacturers
7
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medtronic, INC. | 1 | $152.59 | |
| Sanofi-Aventis U.S. LLC | 1 | $115.20 | |
| Amgen INC. | 1 | $113.49 | |
| Mannkind Corporation | 1 | $23.73 | |
| Lilly USA, LLC | 1 | $23.32 | |
| Tolmar, INC. | 1 | $17.12 | |
| Novo Nordisk INC | 1 | $13.41 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
1,216
Patients
360
Total drug cost
$852,873
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Levothyroxine Sodium | Generic | 198 | 70 | $5,027 |
| Ozempic (Semaglutide) | Brand | 149 | 41 | $265,444 |
| Metformin Hcl ER (Metformin Hcl) | Brand | 95 | 26 | $804 |
| Jardiance (Empagliflozin) | Brand | 89 | 23 | $105,484 |
| Synthroid (Levothyroxine Sodium) | Brand | 88 | 24 | $8,893 |
| Mounjaro (Tirzepatide) | Brand | 81 | 20 | $133,294 |
| Alendronate Sodium | Generic | 78 | 19 | $662 |
| Novolog Flexpen (Insulin Aspart) | Brand | 70 | 26 | $96,781 |
| Trulicity (Dulaglutide) | Brand | 69 | 17 | $100,351 |
| Glipizide ER (Glipizide) | Brand | 57 | 14 | $1,027 |
Hospital affiliations
Frequently asked questions
What is Dr. Nira Madisi's medical specialty?
Dr. Nira Madisi practices Endocrinology, Diabetes & Metabolism Physician in Milford, DE.
Where does Dr. Nira Madisi practice?
Dr. Nira Madisi practices at 800 N Dupont Blvd, Milford, DE 199631019. Office phone: 3024221251.
What is Dr. Nira Madisi's NPI?
Dr. Nira Madisi's National Provider Identifier (NPI) is 1952531899, issued by NPPES.
Does Dr. Nira Madisi accept Medicare assignment?
Yes. Dr. Nira Madisi accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Nira Madisi commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Established patient office or other outpatient visit (HCPCS 99214); Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS 99211). Source: CMS Medicare Physician & Other Practitioners file.