JASWANT MADHAVAN MD
NPI 1790785897
Colon & Rectal Surgery in Columbus, OH
Quality Rating: 77.53 out of 100 score
NPI Status: Active since July 29, 2005
Contact Information
5965 E BROAD ST
#250
COLUMBUS, OH
ZIP 43213
Phone: (614) 759-5060
Fax: (614) 759-5065
- Individual
- Male
- Years of Experience 42
- Colon & Rectal Surgery
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About JASWANT MADHAVAN
This page provides the complete NPI Profile along with additional information for Jaswant Madhavan, a provider established in Columbus, Ohio with a medical specialization in Colon & Rectal Surgery and more than 42 years of experience. The healthcare provider is registered in the NPI registry with number 1790785897 assigned on July 2005. The practitioner's primary taxonomy code is 208C00000X with license number 35080364 (OH). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1790785897
- Provider Name
- JASWANT MADHAVAN MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 5965 E BROAD ST #250 COLUMBUS, OH 43213
- Location Phone
- (614) 759-5060
- Location Fax
- (614) 759-5065
- Mailing Address
- 5965 E BROAD ST #250 COLUMBUS, OH 43213
- Mailing Phone
- (614) 759-5060
- Mailing Fax
- (614) 759-5065
- Medical School Name
- OTHER
- Graduation Year
- 1984
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-29-2005
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Colon & Rectal Surgery
- Taxonomy Code
- 208C00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 35080364
- License State
- OH
- Taxonomy Description
- A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Bronze Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Bronze Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Standard - HMO
- Catastrophic Standard - HMO
- Gold Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Gold Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Gold Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Gold Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Classic 4700 (Select) - HMO
- Bronze Classic PCP Saver (Select) - HMO
- Bronze Classic Standard (Select) - HMO
- Gold Classic (Select) - HMO
- Gold Classic Standard (Select) - HMO
- Gold Elite Saver Plus (Select) - HMO
- Secure (Select) - HMO
- Silver Classic Standard (Select) - HMO
- Silver Elite Saver Plus (Select) - HMO
- Silver Simple Chronic Care CKM (Select) - HMO
- Gold Elite Saver Plus - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Gold Advantage+ ($3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Gold Standard (No Referrals) - HMO
- UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
- UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
- UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
- UHC Silver Standard (No Referrals) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
2297652 | MEDICAID (05) | OH | |
MA4065371 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
H53551 | MEDICARE UPIN (02) |
Medicare Participation & PECOS Enrollment Status
Jaswant Madhavan is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Jaswant Madhavan is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 3779486998
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20040127000835
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Colonoscopy
Colorectal cancer screening; colonoscopy on individual at high risk
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk
Established patient office or other outpatient visit, 20-29 minutes
New patient office or other outpatient visit, 30-44 minutes
New patient office or other outpatient visit, 45-59 minutes
Removal of polyps or growths of large bowel using an endoscope with mechanical snare
A colonoscopy is a medical procedure that allows your doctor to examine your colon (the large intestine). It utilizes a thin, flexible tube with a tiny camera on the end, which is inserted through the rectum. This procedure can help identify issues such as polyps, inflammation, or early signs of cancer. It's usually recommended for people over 50 or those with specific risk factors.
This service was performed for 148 patientsColorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
This service was performed 23 times for 23 patientsColorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
This service was performed 23 times for 23 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 18 times for 17 patientsThis service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
This service was performed 15 times for 15 patientsThis is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
This service was performed 14 times for 14 patientsThis procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
This service was performed 48 times for 48 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $21.18 for a new patient copayment and $17.01 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 43213 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.72
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.65
- Average New Patient Copayment $21.18
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.66
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $68.07
- Minimum Established Patient Price $17.1
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $17.01
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 77.53, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The provider also has detailed performance information the following quality measures: .
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
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Final Score: 77.53 out of 100
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
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Quality Score: 82.89
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
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Promoting Interoperability Score: 80
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. -
Improvement Activities Score: 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. -
Cost Score: 58.88
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. -
Cost Score: 58.88
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
Quality Measure | Performance | Number of Patients |
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Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jaswant Madhavan is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
MOUNT CARMEL ST ANN'S | 500 SOUTH CLEVELAND AVENUE WESTERVILLE, OH 43081 | (380) 898-4000 | Acute Care Hospitals | |
MOUNT CARMEL EAST & WEST | 6001 EAST BROAD STREET COLUMBUS, OH 43213 | (614) 234-5000 | Acute Care Hospitals |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 7 | 9 | 0 | 7 | 8 | 5 | 8 | 9 | 7 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 18 | 0 | 14 | 8 | 10 | 8 | 18 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 1 + 8 + 0 + 1 + 4 + 8 + 1 + 0 + 8 + 1 + 8 + 24 = 73 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 73 = 7 | 7 |
The NPI number 1790785897 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1194724260 | KEVIN M RADECKI MD Individual | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5965 E BROAD ST SUITE 340 COLUMBUS, OH 43213 (614) 234-7505 |
1861492969 | CHARLES W TAYLOR III MD Individual | Colon & Rectal Surgery | 5965 E BROAD ST #250 COLUMBUS, OH 43213 (614) 759-5060 |
1770583874 | MARK A LINDSEY MD Individual | General Practice | 5965 E BROAD ST #250 COLUMBUS, OH 43213 (614) 759-5060 |
1689674780 | ANANTHA PADMANABHAN MD Individual | Colon & Rectal Surgery | 5965 E BROAD ST #250 COLUMBUS, OH 43213 (614) 759-5060 |
1093707960 | KARAMJIT S KHANDUJA MD Individual | Colon & Rectal Surgery | 5965 E BROAD ST #250 COLUMBUS, OH 43213 (614) 759-5060 |
1578529418 | DR. JAMES MCHALE M.D. Individual | Ophthalmology | 5965 E BROAD ST SUITE 480 COLUMBUS, OH 43213 (614) 766-2006 |
1609832047 | DR. RICHARD ORLANDO M.D. Individual | Ophthalmology | 5965 E BROAD ST SUITE 480 COLUMBUS, OH 43213 (614) 766-2006 |
1871559211 | DR. MARK NOLAN O.D. Individual | Optometrist | 5965 E BROAD ST SUITE 480 COLUMBUS, OH 43213 (614) 766-2006 |
1487610960 | DR. CHARLES HICKEY M.D. Individual | Ophthalmology | 5965 E BROAD ST SUITE 480 COLUMBUS, OH 43213 (614) 766-2006 |
1720097587 | CENTRAL OHIO ENDOCRINOLOGY Organization | Internal Medicine (Endocrinology, Diabetes & Metabolism) | 5965 E BROAD ST SUITE 330 COLUMBUS, OH 43213 (614) 864-9581 |
1104938372 | DR. JORDEN BRENT WEISS JORDEN WEISS D.O. Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 5965 E BROAD ST COLUMBUS, OH 43213 (614) 759-5075 |
1104976299 | CENTRAL OHIO COLON AND RECTAL CTR, INC. Organization | Surgery | 5965 E BROAD ST SUITE 120 COLUMBUS, OH 43213 (614) 864-1000 |
1740406883 | DR. CHARLES WILLIAM LONGWELL III M.D. Individual | Psychiatry & Neurology (Neurology) | 5965 E BROAD ST SUITE 260 COLUMBUS, OH 43213 (614) 866-3703 |
1316153943 | DEBRA JEAN ORELLANA PT Individual | Specialist | 5965 E BROAD ST SUITE 390 COLUMBUS, OH 43213 (614) 234-8000 |
1104012954 | LAURA LYNN MILLER PT Individual | Physical Therapist | 5965 E BROAD ST SUITE 390 COLUMBUS, OH 43213 (614) 234-8009 |
1386812519 | OLGA BOUDOULAS MD Individual | Dermatology | 5965 E BROAD ST SUITE 290 COLUMBUS, OH 43213 (614) 864-8302 |
1003052812 | MOUNT CARMEL HEALTH PROVIDERS TWO, LLC Organization | Psychologist | 5965 E BROAD ST SUITE 370 COLUMBUS, OH 43213 (614) 866-5555 |
1609096718 | DR. REGAN FRANK MILLER M.D. Individual | Psychiatry & Neurology (Neurology) | 5965 E BROAD ST SUITE 260 COLUMBUS, OH 43213 (614) 866-3703 |
1184833436 | DR. PATRICIA CHRISTINE GARCIA D.O. Individual | Psychiatry & Neurology (Neurology) | 5965 E BROAD ST SUITE 260 COLUMBUS, OH 43213 (614) 866-3703 |
1104001189 | TARIQ GILL M.D. Individual | Psychiatry & Neurology (Neurology) | 5965 E BROAD ST SUITE 260 COLUMBUS, OH 43213 (614) 866-3703 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1790785897, enumerated in the NPI registry as an "individual" on July 29, 2005
The provider is located at 5965 E Broad St #250 Columbus, Oh 43213 and the phone number is (614) 759-5060
The provider's speciality is Colon & Rectal Surgery with taxonomy code 208C00000X
The provider has more than 42 years of experience.
The provider might be accepting Accepts: Antidote Health Plan of Ohio, Inc., Oscar Health. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.
Medicare beneficiaries should expect a typical cost of $84.72 with an average copayment of $21.18 for new patient appointments. Established patients should expect a typical charge of $68.07 and an average copayment of 17.01. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Colonoscopy, Colorectal cancer screening; colonoscopy on individual at high risk, Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk, Established patient office or other outpatient visit, 20-29 minutes, New patient office or other outpatient visit, 30-44 minutes, New patient office or other outpatient visit, 45-59 minutes and Removal of polyps or growths of large bowel using an endoscope with mechanical snare.
The practitioner is affiliated to the following hospital(s): MOUNT CARMEL ST ANN'S and MOUNT CARMEL EAST & WEST. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on July 29, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.