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MADELINE GALLEGOS
NPI 1134829112
Physician Assistant in Ogden, UT

Active since March 07, 2023PECOS EnrolledAccepts Medicare Assignment
1438 E VERONA CREEK WAY, OGDEN, UT 84405(801) 644-5061 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 9, 2026, Oct 7, 2025, Mar 7, 2023 (3 updates tracked since 2023).

About Madeline Gallegos NPPES

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

MADELINE GALLEGOS (NPI 1134829112) is an individual physician assistant in Ogden, Utah, licensed in Utah (14241765-1206) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1134829112
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMADELINE GALLEGOS
Location Address1438 E VERONA CREEK WAYOgden, UT 84405-6757
Mailing Address1438 E Verona Creek WayOgden, UT 84405-6757 · (801) 644-5061
Phone(801) 644-5061
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 7, 2023
Last NPPES UpdateMarch 9, 20263 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1134829112 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in UT · 14241765-1206
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.
1438 E VERONA CREEK WAY, Ogden, UT 84405
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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

Madeline Gallegos 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 ID5597253716
PECOS Enrollment IDI20251021001543
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.

Hospital Affiliations CMS Care Compare

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84405 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

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 Madeline Gallegos's NPI number?

The NPI number for Madeline Gallegos is 1134829112. It was assigned to this individual provider in the NPPES registry on March 7, 2023.

Where is Madeline Gallegos located?

Madeline Gallegos practices at 1438 E Verona Creek Way, Ogden, UT 84405. The listed phone number is (801) 644-5061.

What is Madeline Gallegos's specialty?

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

Is Madeline Gallegos enrolled in Medicare?

Yes. Madeline Gallegos 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.

Is Madeline Gallegos affiliated with any hospitals?

According to CMS data, Madeline Gallegos is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Madeline Gallegos was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.