Medicare Enrolled
Dr. Michael Madsen, M.D.
Orthopaedic Surgery of the Spine Physician · Smithfield, NC
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Madsen from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Madsen
Dr. Michael Madsen is an orthopaedic surgery of the spine physician in Smithfield, NC, with 19 years of NPI registration. Based on federal Medicare data, Dr. Madsen performed 1,513 Medicare services across 1,217 unique beneficiaries.
Between the years covered by Open Payments, Dr. Madsen received a total of $2,950 from 21 pharmaceutical and/or device companies across 43 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopaedic surgery of the spine physician. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Madsen is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years in practice
▲ Top 28% volume in NC
$2,950 industry payments
Medicare Practice Summary
Medicare Utilization ↗1,513
Medicare services
Top 28% in NC for orthopaedic surgery of the spine physician
1,217
Unique beneficiaries
$156
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~80 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
356 | $86 | $312 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
225 | $66 | $221 |
| X-ray of lower and sacral spine, 2-3 views An X-ray imaging test that captures 2 to 3 views of the lower back and sacral spine to visualize the bones and joints in this area. |
139 | $29 | $95 |
| MRI of lower spine, without contrast A magnetic resonance imaging scan of the lower spinal canal that does not use contrast dye to create detailed images of the spine. |
99 | $90 | $566 |
| Spine fusion with cage or mesh device insertion A surgical procedure to fuse spine bones by inserting a cage or mesh device into the disc space. |
81 | $194 | $876 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
76 | $1 | $2 |
| X-ray of lower and sacral spine, minimum of 4 views An X-ray imaging test of the lower back and sacrum using at least four different angles to visualize the bones and joints. |
73 | $36 | $123 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
56 | $120 | $407 |
| Aspiration of bone marrow for spine bone graft | 42 | $53 | $236 |
| Computer-assisted spinal procedure A surgical or diagnostic procedure involving the spine that utilizes computer technology to assist with planning, navigation, or execution. |
42 | $175 | $786 |
| Lower back spinal fusion with bone and disc removal A surgical procedure to fuse vertebrae in the lower back. It involves removing part of the spine bone and a disc to stabilize the area. |
39 | $1,379 | $6,303 |
| Partial removal of spine bone with nerve release during fusion This procedure involves removing part of the bone in a single segment of the lower spine to release the spinal cord or nerves, performed during a spinal fusion. |
38 | $196 | $877 |
| Spinal stabilization device placement, 3-6 segments Surgical placement of a device to stabilize three to six vertebrae in the back. |
29 | $578 | $2,589 |
| Spinal fusion with partial bone and disc removal A surgical procedure to join additional segments of the spine. It involves the partial removal of spine bone and disc tissue. |
28 | $367 | $1,684 |
| Partial bone removal of additional lower back spine segment during fusion This procedure involves the partial removal of bone from an additional segment of the lower spine to release the spinal cord or nerves. It is performed as part of a spinal fusion surgery in the lower back. |
26 | $173 | $656 |
| X-ray of upper spine, 2-3 views An X-ray imaging test of the upper spine using two to three different angles to visualize the bones and structures. |
24 | $23 | $96 |
| MRI of upper spine without contrast An MRI scan of the upper spinal canal that does not use contrast dye. This imaging test uses magnetic fields and radio waves to create detailed pictures of the spine. |
23 | $80 | $590 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
22 | $43 | $241 |
| X-ray of upper spine, 4-5 views An X-ray imaging test of the upper spine using 4 to 5 different views to visualize the bones and structures in that area. |
21 | $37 | $129 |
| Partial removal of spine bone with nerve release, 1 segment A surgical procedure involving the partial removal of a bone segment in the spine to relieve pressure on the spinal cord or nerves. This is performed on a single spinal segment. |
19 | $735 | $3,764 |
| Placement of stabilizing device to back of 1 spine bone in neck A procedure involving the placement of a stabilizing device on the back of a single vertebra in the neck. |
17 | $574 | $2,576 |
| Partial removal of spine bone with nerve release, each additional segment This procedure involves the partial removal of spinal bone to relieve pressure on the spinal cord or nerves. It is billed for each additional spinal segment treated beyond the initial segment. |
14 | $159 | $715 |
| Spinal fusion with disc removal and nerve release, 1 disc This surgery connects two or more vertebrae in the upper spine to stabilize the area. It involves removing a damaged disc and relieving pressure on the spinal cord or nerve. |
13 | $1,137 | $5,790 |
| Spinal stabilization device placement, 2-3 segments Surgical placement of a device to stabilize the front of two to three spinal segments. |
11 | $550 | $2,468 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
14.9% high complexity
14.5% medium
70.6% routine
Industry Payment Transparency
Open Payments through 2024 ↗$2,950
Total received (2018-2024)
Avg $421/year across 7 years
Bottom 19% in NC for orthopaedic surgery of the spine physician
21
Companies
43
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$2,950 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$48
2023
$190
2022
$484
2021
$301
2020
$316
2019
$1,108
2018
$503
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Globus Medical, Inc.
$25
COLOPLAST CORP
$23
Top 3 companies account for 100.0% of 2024 payments
All-time payments by company (2018-2024) ›
Globus Medical, Inc.
$1,365
Medtronic USA, Inc.
$323
Spinal Surgical Strategies LLC
$226
Medtronic, Inc.
$223
SI-BONE, INC.
$156
Alphatec Spine, Inc
$134
Arteriocyte Medical Systems, Inc.
$100
Zimmer Biomet Holdings, Inc.
$83
Coloplast Corp
$52
Stryker Corporation
$51
DePuy Synthes Sales Inc.
$33
NuVasive, Inc.
$33
Aesculap Implant Systems, LLC
$28
Ethicon US, LLC
$24
COLOPLAST CORP
$23
SI-BONE, Inc.
$21
Baudax Bio Inc.
$20
BAXTER HEALTHCARE
$17
DJO, LLC
$16
Augmedics Inc.
$12
Biocomposites Inc
$11
Top 3 companies account for 64.9% of all-time payments
Associated products mentioned in payments ›
ACTIVL ARTIFICIAL DISC · ALTERA · ANJESO · Altis · Arsenal · Brigade · CAPRI · CD HORIZON · CMF SPINALOGIC · CONDUIT · Connected Health-MyMobility · ELSA ATP · Excelsius - GPS · FLOSEAL · GRAFTON · INTELLIS · MLX · Mobi-C · OSTEOCOOL RF ABLATION · OsseoScrew · Other - MIS · PASS LP · STRATAFIX · Stimulan · T2 STRATOSPHERE · Trestle Luxe · ViviGen · Xvision · ZEVO ANTERIOR CERVICAL PLATE SYSTEM
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.
Geographic Context
Orthopaedic surgery of the spine physicians within 10 mi
2
Per 100K population
0.9
County median income
$79,838
Nearest hospital
JOHNSTON HEALTH
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Madsen is a clinical cardiology specialist, with above-average Medicare volume (top 28% in NC), with low-engagement industry engagement, with 19 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Madsen experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Madsen performed 356 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Madsen receive payments from pharmaceutical companies?
Yes. Dr. Madsen received a total of $2,950 from 21 companies across 43 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Madsen's costs compare to other orthopaedic surgery of the spine physicians in Smithfield?
Dr. Madsen's average Medicare payment per service is $156. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Madsen) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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