Donald J Maddack
PORTER PHYSICIAN SERVICES LLC


Address: 650 Dickinson Rd, Chesterton, IN 46304-3387

Donald J Maddack (NPI# 1013911031, PAC ID# 5092855908) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1013911031
PAC ID by PECOS 5092855908
Professional Enrollment ID I20091224000082
Full Name Donald J Maddack
Organization Legal Name PORTER PHYSICIAN SERVICES LLC
Address 650 Dickinson Rd
Chesterton
IN 46304-3387
Gender M
Medical School KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE
Graduation Year 1989
Primary Specialty FAMILY MEDICINE
Group Practice PAC ID 1850482407
Number of Group Practice Members 93
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
150035 PORTER REGIONAL HOSPITAL
150034 ST MARY MEDICAL CENTER INC

Other Locations

Address Phone Organization
650 Dickinson Rd, Chesterton, IN 46304-3387 PORTER PHYSICIAN SERVICES LLC
3125 Willowcreek Rd, Portage, IN 46368-4423 2197623175 PORTER PHYSICIAN SERVICES LLC

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
ACI_EC_TRANS_EP_1 e-Prescribing 96%
ACI_EC_TRANS_HIE_1 Health Information Exchange 96%
ACI_EC_TRANS_MR_1 Medication Reconciliation 100%
ACI_EC_TRANS_PEA_1 Provide Patient Access 98%
ACI_EC_TRANS_PEA_2 View, Download, or Transmit (VDT) 9%
ACI_EC_TRANS_PHCDRR_1 Immunization Registry Reporting %
ACI_EC_TRANS_PHCDRR_3 Specialized Registry Reporting %
ACI_EC_TRANS_PPHI_1 Security Risk Analysis %
ACI_EC_TRANS_PSE_1 Patient-Specific Education 3%
ACI_EC_TRANS_SM_1 Secure Messaging 3%

Organization Information

Organization Legal Name PORTER PHYSICIAN SERVICES LLC
Physicians 89

Physicians with the same organization

Name Specialty Organization Address
Cristina Lubash Nurse Practitioner Porter Physician Services LLC 401 Wall St, Unit F, Valparaiso, IN 46383-2585
Hector Marchand Jr. Internal Medicine Porter Physician Services LLC 1231 Cumberland Xing, Valparaiso, IN 46383-2192
Geoffrey M Schwartz Otolaryngology Porter Physician Services LLC 3630 Willowcreek Rd, Portage Medical Group, Portage, IN 46368-5075
Geraldine G Feria Internal Medicine Porter Physician Services LLC 306 S Ohio St, Wanatah, IN 46390-9436
Michael Keenan Otolaryngology Porter Physician Services LLC 2802 Leonard Dr, Valparaiso, IN 46383-7136
Douglas A Mazurek Critical Care (intensivists) Porter Physician Services LLC 650 Dickinson Rd, Suite A, Chesterton, IN 46304-3387
Theodore L Stern Family Medicine Porter Physician Services LLC 650 Dickinson Rd, Chesterton, IN 46304-3387
Michael Christopher Hansen Critical Care (intensivists) Porter Physician Services LLC 85 E Us Hwy 6, Valparaiso, IN 46383-8947
Michelle Marie Dicostanzo Family Medicine Porter Physician Services LLC 650 Dickinson Rd, Chesterton, IN 46304-3387
Rebecca Joy Groen Nurse Practitioner Porter Physician Services LLC 650 Dickinson Rd, Chesterton, IN 46304-3387

Office Location

Street Address 650 DICKINSON RD
City CHESTERTON
State IN
Zip 46304-3387

Physicians in the same location

Name Specialty Organization Address
Douglas A Mazurek Critical Care (intensivists) Porter Physician Services LLC 650 Dickinson Rd, Suite A, Chesterton, IN 46304-3387
Theodore L Stern Family Medicine Porter Physician Services LLC 650 Dickinson Rd, Chesterton, IN 46304-3387
Michelle Marie Dicostanzo Family Medicine Porter Physician Services LLC 650 Dickinson Rd, Chesterton, IN 46304-3387
Rebecca Joy Groen Nurse Practitioner Porter Physician Services LLC 650 Dickinson Rd, Chesterton, IN 46304-3387
Akshay R Trivedi Gastroenterology Porter Physician Services LLC 650 Dickinson Rd, Chesterton, IN 46304-3387
Jay D Shah Cardiovascular Disease (cardiology) Porter Physician Services LLC 650 Dickinson Rd, Chesterton, IN 46304-3387
Jac Alan Cooper Colorectal Surgery (proctology) Porter Physician Services LLC 650 Dickinson Rd, Chesterton, IN 46304-3387
Michele Lynne Watts Qualified Audiologist Porter Physician Services LLC 650 Dickinson Rd, Chesterton, IN 46304-3387
Jeannette M Zelhart-smith Nurse Practitioner Porter Physician Services LLC 650 Dickinson Rd, Chesterton, IN 46304-3387
Amy Lorraine Sobas Nurse Practitioner Porter Physician Services LLC 650 Dickinson Rd, Chesterton, IN 46304-3387
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Physicians in the same zip code

Name Specialty Organization Address
Sharmilee Thota Obstetrics/gynecology Franciscan Physician Network 770 Indian Boundary Rd, Chesterton, IN 46304-1519
Rachael E Callaway Nurse Practitioner Franciscan Physician Network 770 Indian Boundary Rd, Chesterton, IN 46304-1519
Brenda E Winski Nurse Practitioner Illinois Dermatology Institute LLC 770 Indian Boundary Rd, Chesterton, IN 46304-1519
Daryl D Wisdom Emergency Medicine Epmg of Indiana PC 770 Indian Boundary Rd, Chesterton, IN 46304-1519
Alexander Molina Family Medicine Franciscan Physician Network 770 Indian Boundary Rd, Suite 200, Chesterton, IN 46304-1519
Jennifer Davison Nurse Practitioner Franciscan Physician Network 770 Indian Boundary Rd, Chesterton, IN 46304-1519
Brittany Marie Carr Physician Assistant Franciscan Physician Network 770 Indian Boundary Rd, Chesterton, IN 46304-1519
Jeffery P Demko Chiropractic Fordem Health LLC 770 Indian Boundary Rd, Chesterton, IN 46304-1519
Ruchik S Desai Dermatology Illinois Dermatology Institute LLC 770 Indian Boundary Rd, Chesterton, IN 46304-1519
Robyn K Mulvihill Nurse Practitioner Fordem Health LLC 770 Indian Boundary Rd, Chesterton, IN 46304-1519
Find all physicians in zip 46304

Competitor

Search similar physicians

City CHESTERTON
Zip Code 46304
Specialty FAMILY MEDICINE
City + Specialty CHESTERTON + FAMILY MEDICINE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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