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MS. AMANDA MADRID PA-C
NPI 1164971560
Physician Assistant in Stansbury Park, UT

Active since September 26, 2016PECOS EnrolledAccepts Medicare Assignment
95.7/100
CMS Quality Rating
220 MILLPOND, STANSBURY PARK, UT 84074(435) 843-3096 Get Directions Write a Review

NPPES record last updated: November 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 18, 2021, Sep 26, 2016 (2 updates tracked since 2016).

About Ms. Amanda Madrid Pa-c NPPES

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

MS. AMANDA MADRID PA-C (NPI 1164971560) is an individual physician assistant in Stansbury Park, Utah, licensed in Utah (10097228-1206) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1164971560
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. AMANDA MADRIDCredential: PA-C
Location Address220 MILLPONDStansbury Park, UT 84074-9745
Mailing Address1603 W Brigadoon Park DrWest Jordan, UT 84088-6598 · (801) 647-9278
Phone(435) 843-3096
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 26, 2016
Last NPPES UpdateNovember 18, 20212 updates tracked since enumeration
NPPES CertifiedNovember 18, 2021
✔ NPI 1164971560 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 · 10097228-1206
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.
220 MILLPOND, Stansbury Park, UT 84074
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.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

Ms. Amanda Madrid Pa-c 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 ID8022396431
PECOS Enrollment IDI20161104001135
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 4

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.
190 services96 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
33 services33 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services13 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Mountain West Medical Center

Acute Care Hospitals · Tooele, UT
OwnershipProprietary
CMS Certification Number460014
Location2055 North Main StreetTooele, UT 84074 · Tooele County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84074 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.19
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$68.39 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers15 claims17 services$14.82 avg. paid by Medicare
Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$831.68 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers13 claims15 services$99.43 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
1 supplier12 claims1,020 services$0.10 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
1 supplier12 claims12 services$26.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

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

MS. JOHANNA E GREENBERG PA-C
Physician Assistant
220 MILLPOND, #100
STANSBURY PARK, UT 84074
Tooele County (435) 843-3000
PINNACLE-MOUNTAIN LAND THERAPY LC
Occupational Therapist
220 MILLPOND, SUITE 109
STANSBURY, UT 84074
Tooele County (435) 882-4144
STANSBURY PEDIATRIC DENTISTRY
Clinic/Center (Dental)
220 MILLPOND, SUITE #107
STANSBURY PARK, UT 84074
Tooele County (435) 843-5437
HILARY S. SEIBERT DO
Family Medicine
220 MILLPOND, 100
STANSBURY PARK, UT 84074
Tooele County (801) 213-9400
BRAD ROBERT NELSON PHARMD
Pharmacist
220 MILLPOND
TOOELE, UT 84074
Tooele County (435) 843-3050
DR. JAMES FARRELL MCCONNELL III DMD
Dentist (General Practice)
220 MILLPOND, #107
STANSBURY PARK, UT 84074
Tooele County (435) 882-2850
BRET MAIERS PT
Physical Therapist
220 MILLPOND, SUITE 109
STANSBURY PARK, UT 84074
Tooele County (435) 882-4144
UNIVERSITY OF UTAH HOSPITALS AND CLINICS
Family Medicine
220 MILLPOND, STE. 100
STANSBURY PARK, UT 84074
Tooele County (435) 843-3000

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 Amanda Madrid's NPI number?

The NPI number for Amanda Madrid is 1164971560. It was assigned to this individual provider in the NPPES registry on September 26, 2016.

Where is Amanda Madrid located?

Amanda Madrid practices at 220 Millpond, Stansbury Park, UT 84074. The listed phone number is (435) 843-3096.

What is Amanda Madrid's specialty?

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

Is Amanda Madrid enrolled in Medicare?

Yes. Amanda Madrid 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 Amanda Madrid accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Amanda Madrid 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 Amanda Madrid affiliated with any hospitals?

According to CMS data, Amanda Madrid is affiliated with University Of Utah Hospitals And Clinics and Mountain West Medical Center.

When was this NPI record last updated?

The NPPES record for Amanda Madrid was last updated on November 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.