MADISON MCCARTY BLAKE
NPI 1144191768
Physician Assistant in West Columbia, SC

Q: What is Madison Blake's NPI number?

The NPI number for Madison Blake is 1144191768. It was assigned to this individual provider in the NPPES registry on September 16, 2025. The provider is also known as Madison Mccarty PA.

Q: What is Madison Blake's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Madison Blake was last updated on June 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 16, 2025PECOS EnrolledAccepts Medicare Assignment

2728 SUNSET BLVD STE 300, WEST COLUMBIA, SC 29169(803) 844-4900(803) 744-4938 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 18, 2026, Sep 16, 2025 (2 updates tracked since 2025).

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About Madison Mccarty Blake NPPES

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

MADISON MCCARTY BLAKE (NPI 1144191768) is an individual physician assistant in West Columbia, South Carolina, licensed in South Carolina (6075) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1144191768

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMADISON MCCARTY BLAKE

Location Address2728 SUNSET BLVD STE 300West Columbia, SC 29169-4815

Mailing AddressPo Box 6069West Columbia, SC 29171-6069 · (803) 744-4900 · Fax (803) 744-4938

Phone(803) 844-4900

Fax(803) 744-4938

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateSeptember 16, 2025

Last NPPES UpdateJune 24, 20262 updates tracked since enumeration

NPPES CertifiedJune 24, 2026

✔ NPI 1144191768 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 SC · 6075

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.

2728 SUNSET BLVD STE 300, West Columbia, SC 29169

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Other Names 1

Former Name (1)Madison Mccarty Pa

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 Mccarty Blake 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 ID9739671314

PECOS Enrollment IDI20251121000177

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29169 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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.

DR. ROBERT ANTHONY LEONARDI M.D.

Internal Medicine (Interventional Cardiology)