Dr. Michael Wayne Madsen, MD

  • Durham, NC
  • Orthopedic surgeon
NPI1043430911PAC ID6608805643
Medicare services, 2024
1,061
Medicare patients, 2024
365
Part D claims, 2024
1,335
MIPS score, 2024
89
Hospital affiliations
2
Practice address
3916 Ben Franklin Boulevard, Durham, NC 27704
Practice phone
Call (919) 956-9300
Professional email
Get professional email
Personal email
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Mobile number
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Social profiles

Primary practice

North Carolina Specialty Hospital

Hospital · Durham, North Carolina

See all 8 affiliations

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Dr. Michael Wayne Madsen is an orthopedic surgeon in Durham, North Carolina

Dr. Madsen practices at North Carolina Specialty Hospital in Durham, North Carolina, part of North Carolina Specialty Hospital.

Dr. Madsen's NPI, 1043430911, was assigned on April 26, 2007. Dr. Madsen graduated from Columbia University College of Physicians and Surgeons in 2000. Dr. Madsen holds North Carolina license 2021-01570.

NPI and contact details
Medicare PAC ID
6608805643
NPI enumeration date
April 26, 2007
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(919) 956-9300
Professional email
Get email
Personal email
Get email
Mobile number
Get number
Sex
Male
Estimated age
52
Medical school graduation
2000

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Michael Wayne Madsen practices at North Carolina Specialty Hospital in Durham, North Carolina

Dr. Madsen's primary practice is North Carolina Specialty Hospital, at 3916 Ben Franklin Boulevard, Durham, NC 27704 in Durham County. The practice phone is (919) 956-9300.

Source: Dmand AI Affiliation Data

Dr. Michael Wayne Madsen is affiliated with 5 sites of care and 3 medical groups

Dr. Madsen's primary practice is North Carolina Specialty Hospital in Durham, North Carolina, part of North Carolina Specialty Hospital. Dr. Madsen is also affiliated with UNC Health Johnston. The medical group on file is EmergeOrtho. Dmand AI also links Dr. Madsen to 3 more group practices and clinics and 2 medical groups, each named with a free account.

See all 8 affiliations for Dr. Madsen

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Michael Wayne Madsen's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Madsen practices, 5 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
North Carolina Specialty HospitalAvailable with a free account
+4 more sites and 2 medical groupsAvailable with a free account

Source: Dmand AI Technology Install Data

For health IT teams

See the EHR and IT leaders at every hospital where Dr. Madsen practices

Dmand AI maps EHR vendors, IT decision makers and buying committees across North Carolina Specialty Hospital and 6.2K+ hospitals, with verified contacts in the same login.

Dr. Michael Wayne Madsen is one of 809 orthopedic surgeons in North Carolina

Orthopaedic surgery is Dr. Madsen's primary specialty in the NPI Registry, under taxonomy code 207X00000X. Dmand AI has Dr. Madsen's licenses on file in 2 states: North Carolina and Colorado.

Specialties and state licenses

  • Orthopaedic surgery, North CarolinaPrimaryLicense 2021-01570 · taxonomy 207X00000X
  • Orthopaedic surgery of the spine, ColoradoLicense 45364 · taxonomy 207XS0117X

Orthopedic surgeons near Dr. Madsen

Counts of orthopedic surgeons with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Michael Wayne Madsen billed Medicare for 1,061 services in 2024

CMS data shows 1,061 Medicare services from Dr. Madsen across 19 procedure codes in 2024, for 365 Medicare patients. Medicare paid $133,522 for them.

Medicare services, 20241,061
Medicare patients365
Paid by Medicare$133,522
Procedure codes19

Dr. Madsen's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 6372024: 52917%
Imaging
2023: 4582024: 31930%
Surgery
2023: 4212024: 21349%
Drugs given in the office
2023: 762024: 0100%

Where Dr. Madsen's Medicare services took place, 2024

  • In an office81377%
  • In a facility24823%

Dr. Madsen compared with the North Carolina median for orthopedic surgeons, 2024

  • Dr. Madsen
  • North Carolina median
Medicare services
1,061vs 9967% above
Medicare patients
365vs 24151% above
Part D claims
1,271vs 1578.1 times

Medians across 792 orthopedic surgeons in North Carolina with Dmand AI profiles that report each measure.

Dr. Madsen's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Madsen

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Michael Wayne Madsen treated 365 Medicare patients in 2024, average age 74

CMS counts 365 Medicare patients who saw Dr. Madsen in 2024. The largest group is 65 to 74, with 175 patients. 75% of them have arthritis, and 75% have high blood pressure. 8% are also on Medicaid. Their average risk score is 1.11, where 1.00 is the Medicare average.

Across all payers, Dmand AI patient panel data puts Dr. Madsen's median patient age at 67, with 57% women.

Medicare patients, 2024365
Average age74
Average risk score1.11
Also on Medicaid8%

Dr. Madsen's Medicare patients by age, 2024

Dr. Madsen's Medicare patients by sex, 2024

  • Women22161%
  • Men14439%

Chronic conditions among Dr. Madsen's Medicare patients, 2024

  1. Arthritis75%
  2. High blood pressure75%
  3. High cholesterol75%
  4. Diabetes36%
  5. Ischemic heart disease32%
  6. Mood disorders30%
  7. Anxiety29%
  8. Depression27%

Share of Medicare patients with each condition. A patient can have several.

Dr. Madsen's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 67

Patient panel by sex, all payers

  • Women57%
  • Men42%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Michael Wayne Madsen wrote 1,335 Medicare Part D claims in 2024

In 2024, Dr. Madsen wrote 1,335 Medicare Part D claims for 374 patients. 100% of them were for generic drugs. CMS names the drug for 1,271 of them, across 13 drugs with 11 or more claims each, at $6,028 in total drug cost. In 2023, CMS named 1,246 claims across 12 drugs.

Part D claims, 20241,335
Drugs named by CMS13
Total drug cost$6,028
Part D patients374

Dr. Madsen's Part D claims by kind of drug, 2024

  • Generic1,334 claims100%
  • Brand-name and other1 claims0%

Dr. Madsen's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Madsen's Part D claims, 2024

  • Opioids15%206 of 1,335 claims
  • Antibiotics1%11 of 1,335 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 1,2462024: 1,2712%

Drugs named by CMS: 13 in 2024, 12 in 2023.

See all prescribing by Dr. Madsen

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Michael Wayne Madsen scored 89 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 89 out of 100 for Dr. Madsen for performance year 2024, reported as part of a group. Dr. Madsen accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS counts 154 procedures of spinal fusion by Dr. Madsen, more than 84% of the clinicians it reports for that procedure.

Accepts Medicare assignment
Yes

Dr. Madsen's MIPS scores, performance year 2024

  • 89of 100Final score
  • 85.9of 100Quality
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities
  • 78of 100Cost

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Where Dr. Madsen ranks in Medicare procedure volume

Spinal fusion
84th percentile154 procedures
Laminectomy or laminotomy (partial removal of spine bones)
79th percentile53 procedures

CMS ranks each clinician against every clinician it reports for the same procedure category.

Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)

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Dr. Michael Wayne Madsen received $4,139 in industry payments from 2016 to 2025

CMS Open Payments shows 62 general payments to Dr. Madsen from 23 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 54% of the total. Globus Medical, Inc. paid the most, $1,365.

General payments to Dr. Madsen by program year, 2016 to 2025

General payments to Dr. Madsen by kind, 2016 to 2025

$4.1Kin total
  • Food and beverage$2,24354%
  • Travel and lodging$1,89746%

Companies that paid Dr. Madsen the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Madsen

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Michael Wayne Madsen graduated from Columbia University College of Physicians and Surgeons

Dr. Madsen graduated from Columbia University College of Physicians and Surgeons in 2000.

  1. Medical schoolColumbia University College of Physicians and Surgeons

Source: Dmand AI Professional Profile Data

Sources for Dr. Michael Wayne Madsen's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Michael Wayne Madsen

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Michael Wayne Madsen's NPI number?

Dr. Michael Wayne Madsen's NPI number is 1043430911. It was assigned on April 26, 2007, and it is active in the NPI Registry.

What kind of doctor is Dr. Michael Wayne Madsen?

Dr. Michael Wayne Madsen is an orthopedic surgeon in Durham, North Carolina. The primary specialty in the NPI Registry is Orthopaedic Surgery Physician (taxonomy code 207X00000X).

Where does Dr. Michael Wayne Madsen practice?

Dr. Madsen practices at 3916 Ben Franklin Boulevard, Durham, NC 27704. Dr. Madsen's primary practice is North Carolina Specialty Hospital in Durham, North Carolina, part of North Carolina Specialty Hospital. Dmand AI also links Dr. Madsen to 3 group practices and clinics and 2 medical groups.

What is Dr. Michael Wayne Madsen's office phone number?

The practice phone on file for Dr. Madsen is (919) 956-9300.

What is Dr. Michael Wayne Madsen's medical license number?

Dr. Madsen holds North Carolina license 2021-01570, one of the licenses on file in 2 states.

Which states has Dr. Michael Wayne Madsen been licensed in?

Dmand AI has state licenses on file for Dr. Madsen in North Carolina and Colorado.

Which hospitals is Dr. Michael Wayne Madsen affiliated with?

Dr. Madsen practices at North Carolina Specialty Hospital in Durham, North Carolina. Dr. Madsen is also affiliated with UNC Health Johnston.

What medical group is Dr. Michael Wayne Madsen part of?

Dr. Madsen is linked to EmergeOrtho. Dmand AI links Dr. Madsen to 2 more medical groups.

Does Dr. Michael Wayne Madsen accept Medicare?

Yes. CMS data shows Dr. Madsen billed Medicare for 1,061 services in 2024, and Dr. Madsen accepts Medicare assignment.

What is Dr. Michael Wayne Madsen's MIPS score?

Dr. Madsen's MIPS final score for performance year 2024 is 89 out of 100, reported as part of a group.

Show 6 more questionsShow fewer questions

How many Medicare patients does Dr. Michael Wayne Madsen see?

CMS counts 365 Medicare patients who saw Dr. Madsen in 2024, with an average age of 74.

What services does Dr. Michael Wayne Madsen bill to Medicare?

In 2024, Dr. Madsen's most billed Medicare services were office visit, established patient (99213), office visit, established patient (99214) and diagnostic imaging (72100).

Where did Dr. Michael Wayne Madsen go to medical school?

Dr. Madsen graduated from Columbia University College of Physicians and Surgeons in 2000.

What drugs does Dr. Michael Wayne Madsen prescribe most?

In 2024 Medicare Part D data, Dr. Madsen's most prescribed drugs by claims were Meloxicam, Cyclobenzaprine HCl and Oxycodone HCl.

Has Dr. Michael Wayne Madsen received payments from drug or device companies?

CMS Open Payments shows $4,139 in general payments to Dr. Madsen from 23 companies from 2016 to 2025. The largest total came from Globus Medical, Inc.

How long has Dr. Michael Wayne Madsen been practicing?

Dr. Madsen graduated from medical school in 2000, 26 years ago.

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