Clinicians affiliated with Madison County Health Care System

Critical Access Hospitals · Government - Local · 300 West Hutchings Street, Winterset, IA 50273 · Des Moines-West Des Moines, IA · CCN 161326

Affiliation snapshotNovember 2, 2026CMS Doctors and Clinicians Facility Affiliation file, current snapshot (no end-of-2024 archive), applied to 2024
Activity year2024Medicare Part B claims, Original Medicare fee-for-service

46 clinicians affiliated with Madison County Health Care System are in the 2024 Medicare Part B data (61 listed in the affiliation file).

Each clinician's exact figures are in their Physician Report, from their page. View sample report · Already purchased? Open your report (earlier Local report and passes)

Affiliated clinicians by specialty, 2024

All specialties · Nurse Practitioner (12) · Family Practice (6) · Physician Assistant (5) · Internal Medicine (4) · Diagnostic Radiology (3) · Nephrology (2) · Pulmonary Disease (2) · Vascular Surgery (2) · Cardiology (1) · Certified Registered Nurse Anesthetist (CRNA) (1) · Hematology-Oncology (1) · Interventional Cardiology (1) · Interventional Pain Management (1) · Medical Oncology (1) · Orthopedic Surgery (1) · Podiatry (1) · Psychiatry (1) · Urology (1)

Nephrology affiliated with Madison County Health Care System, 2024

Alphabetical by last name; 2.

NameCity
Arsalan A Alvi, MDDes Moines, IA
Robert N Smith, D.O.Des Moines, IA

Affiliation comes from the CMS Doctors and Clinicians Facility Affiliation file, hospital rows only; name, address and type from the CMS Hospital General Information file. CMS does not publish an end-of-year archive of the affiliation file, so the current snapshot is applied to the latest data year. A clinician listed with several hospitals or groups appears on each of their pages. How hospital pages are built