MADISON EMILY DUGAN
NPI 1164351565
Physical Therapist in Wake Forest, NC

Active since May 14, 2026Accepts Medicare Assignment
1009 STADIUM DR STE 124, WAKE FOREST, NC 27587(919) 453-5910 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Madison Emily Dugan NPPES

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

MADISON EMILY DUGAN (NPI 1164351565) is an individual physical therapist in Wake Forest, North Carolina, licensed in North Carolina (P24874) and active in the NPI registry since May 2026. She is a graduate of Other (2026).

NPPES Registry Identity

NPI1164351565
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMADISON EMILY DUGAN
Location Address1009 STADIUM DR STE 124Wake Forest, NC 27587-4687
Mailing Address2122 York Rd Ste 300Oak Brook, IL 60523-1925
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateMay 14, 2026
Last NPPES UpdateMay 15, 2026
NPPES CertifiedMay 15, 2026
✔ NPI 1164351565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in NC · P24874
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1009 STADIUM DR STE 124, Wake Forest, NC 27587

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Madison Emily Dugan 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 ID1456823194
PECOS Enrollment IDI20260615000988

Medicare Billing Reassignment

Medicare enrollment records show Madison Dugan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic/Center
3708 FORESTVIEW RD STE 101
Raleigh, NC 27612
  • Reassigned Medicare billing, North Carolina enrollment
  • 232 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27587 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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 6

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

Physical Therapist
1009 STADIUM DR STE 124
WAKE FOREST, NC 27587
Physical Therapist
1009 STADIUM DR STE 124
WAKE FOREST, NC 27587
Physical Therapist
1009 STADIUM DR STE 124
WAKE FOREST, NC 27587
Occupational Therapist
1009 STADIUM DR STE 124
WAKE FOREST, NC 27587
Physical Therapist
1009 STADIUM DR STE 124
WAKE FOREST, NC 27587
Physical Therapist
1009 STADIUM DR STE 124
WAKE FOREST, NC 27587

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 Dugan's NPI number?

The NPI number for Madison Dugan is 1164351565. It was assigned to this individual provider in the NPPES registry on May 14, 2026.

Where is Madison Dugan located?

Madison Dugan practices at 1009 Stadium Dr Ste 124, Wake Forest, NC 27587. The listed phone number is (919) 453-5910.

What is Madison Dugan's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Madison Dugan enrolled in Medicare?

Yes. Madison Dugan 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.

Which organization bills Medicare for Madison Dugan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madison Dugan reassigns Medicare benefits to Activcare Physical Therapy, LLC (Raleigh, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Madison Dugan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madison Dugan accept?

Health plans from Blue Cross and Blue Shield of NC list Madison Dugan 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.

When was this NPI record last updated?

The NPPES record for Madison Dugan was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.