MADISON GONSALVES
NPI 1043904899
Physician Assistant in Lexington, KY

Active since June 05, 2023PECOS EnrolledAccepts Medicare Assignment
205 CHARLES T WETHINGTON BUILDING, LEXINGTON, KY 40536(859) 257-5001 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Madison Gonsalves NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADISON GONSALVES (NPI 1043904899) is an individual physician assistant in Lexington, Kentucky and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, is affiliated with Ephraim Mcdowell Regional Medical Center, and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1043904899
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMADISON GONSALVES
Location Address205 CHARLES T WETHINGTON BUILDINGLexington, KY 40536-8515
Mailing Address205 Charles T Wethington BuildingLexington, KY 40536-8515 · (859) 257-5001
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 5, 2023
Last NPPES UpdateAugust 29, 2024
NPPES CertifiedAugust 29, 2024
NPI 1043904899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

205 CHARLES T WETHINGTON BUILDING, Lexington, KY 40536

Secondary Practice Location 1

Location 14071 Tates Creek Centre DrLexington, KY 40517-3062 · Phone (859) 695-2111

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Madison Gonsalves is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395183719
PECOS Enrollment IDI20240404001967
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
16 services16 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
15 services15 patients
Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician 62370
This procedure involves a physician checking and adjusting your spinal canal drug infusion pump. The pump's programming is updated electronically and the medication reservoir is refilled, ensuring effective pain management and optimal device performance.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ephraim Mcdowell Regional Medical Center

Acute Care Hospitals · Danville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180048
Location217 South Third StreetDanville, KY 40422 · Boyle County
Emergency services Birthing friendly

Harrison Memorial Hospital

Acute Care Hospitals · Cynthiana, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180079
Location1210 Ky Hwy 36 ECynthiana, KY 41031 · Harrison County
Emergency services Birthing friendly

Baptist Health Lexington

Acute Care Hospitals · Lexington, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number180103
Location1740 Nicholasville RoadLexington, KY 40503 · Fayette County
Emergency services Birthing friendly

Ephraim Mcdowell Fort Logan Hospital

Critical Access Hospitals · Stanford, KY
OwnershipVoluntary non-profit - Private
CMS Certification Number181315
Location110 Metker TrailStanford, KY 40484 · Lincoln County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40536 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
205 CHARLES T WETHINGTON BUILDING
LEXINGTON, KY 40536
Student in an Organized Health Care Education/Training Program
205 CHARLES T WETHINGTON BUILDING
LEXINGTON, KY 40536
Student in an Organized Health Care Education/Training Program
205 CHARLES T WETHINGTON BUILDING
LEXINGTON, KY 40536
Student in an Organized Health Care Education/Training Program
205 CHARLES T WETHINGTON BUILDING
LEXINGTON, KY 40536
Student in an Organized Health Care Education/Training Program
205 CHARLES T WETHINGTON BUILDING
LEXINGTON, KY 40536
Student in an Organized Health Care Education/Training Program
205 CHARLES T WETHINGTON BUILDING
LEXINGTON, KY 40536
Student in an Organized Health Care Education/Training Program
205 CHARLES T WETHINGTON BUILDING
LEXINGTON, KY 40536
Physician Assistant
205 CHARLES T WETHINGTON BUILDING
LEXINGTON, KY 40536

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madison Gonsalves's NPI number?

The NPI number for Madison Gonsalves is 1043904899. It was assigned to this individual provider in the NPPES registry on June 5, 2023.

Where is Madison Gonsalves located?

Madison Gonsalves practices at 205 Charles T Wethington Building, Lexington, KY 40536. The listed phone number is (859) 257-5001.

What is Madison Gonsalves's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Madison Gonsalves enrolled in Medicare?

Yes. Madison Gonsalves is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Madison Gonsalves accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Madison Gonsalves as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Madison Gonsalves affiliated with any hospitals?

According to CMS data, Madison Gonsalves is affiliated with Ephraim Mcdowell Regional Medical Center, Harrison Memorial Hospital, Baptist Health Lexington and Ephraim Mcdowell Fort Logan Hospital.

When was this NPI record last updated?

The NPPES record for Madison Gonsalves was last updated on August 29, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.