Doctor profile · Federal record
Dr. Madison Sample, MD
Anesthesiology Physician · Anesthesiology Physician · Chicago, IL
- NPI 1023122215
- MIPS 53.4 / 100 · 2023
- 20 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
7435 W Talcott Ave
Chicago, IL 606313707
(773) 792-5162
fax (773) 594-8589 - Mailing address
-
444 N Northwest Hwy, Suite # 302
Park Ridge, IL 600683263
Credentials & registration
- NPI registered
- August 2006 — 20 yrs on file
- Profile last updated
- October 31, 2023
- Specialty taxonomy
- 207L00000X — NUCC code
- State licenses (2)
- Illinois #036093157 · Indiana #01076521A
- Medicaid
- IL #0360093157 2
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1023122215. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
13
Distinct HCPCS
1
Medicare allowed
$911
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00811 |
Anesthesia for other procedure on large bowel using an endoscope | 13 | 13 | $70 |
In context: peer comparison
Among 212 peers in Chicago Anesthesiology Physician, average services per provider: 66. This provider delivers 0.2× the peer median.Open Payments
Industry payments received
All-time total
$44
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Hologic Sales and Service, LLC | 1 | $22.97 | |
| Atricure, INC. | 1 | $21.32 |
By nature of payment
Frequently asked questions
What is Dr. Madison Sample's medical specialty?
Dr. Madison Sample practices Anesthesiology Physician in Chicago, IL.
Where does Dr. Madison Sample practice?
Dr. Madison Sample practices at 7435 W Talcott Ave, Chicago, IL 606313707. Office phone: 7737925162.
What is Dr. Madison Sample's NPI?
Dr. Madison Sample's National Provider Identifier (NPI) is 1023122215, issued by NPPES.
What procedures does Dr. Madison Sample commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for other procedure on large bowel using an endoscope (HCPCS 00811). Source: CMS Medicare Physician & Other Practitioners file.