MADALYN PARKER PA-C
NPI 1235759796
Physician Assistant in Du Bois, PA

Q: What is Madalyn Parker's NPI number?

The NPI number for Madalyn Parker is 1235759796. It was assigned to this individual provider in the NPPES registry on April 24, 2020.

Q: What is Madalyn Parker'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 Madalyn Parker was last updated on November 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 24, 2020PECOS EnrolledAccepts Medicare Assignment

96.56/100

CMS Quality Rating

100 HOSPITAL AVE, DU BOIS, PA 15801(814) 371-2200 Get Directions Write a Review

NPPES record last updated: November 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 11, 2022, Apr 24, 2020 (2 updates tracked since 2020).

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About Madalyn Parker Pa-c NPPES

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

MADALYN PARKER PA-C (NPI 1235759796) is an individual physician assistant in Du Bois, Pennsylvania, licensed in Pennsylvania (MA061471) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Penn Highlands Dubois, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1235759796

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMADALYN PARKERCredential: PA-C

Location Address100 HOSPITAL AVEDu Bois, PA 15801-1440

Mailing Address1638 Essex DrWarrensburg, MO 64093-8912 · (660) 441-5529

Phone(814) 371-2200

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateApril 24, 2020

Last NPPES UpdateNovember 11, 20222 updates tracked since enumeration

NPPES CertifiedNovember 11, 2022

✔ NPI 1235759796 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 PA · MA061471

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.

100 HOSPITAL AVE, Du Bois, PA 15801

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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

Madalyn Parker 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 ID345662169

PECOS Enrollment IDI20200624002900

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 8

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.

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

87 services46 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

54 services41 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.

50 services45 patients

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.

49 services46 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

38 services31 patients

Injection of trigger points, 1-2 muscles 20552

Trigger point injection is a procedure used to treat painful areas of muscle that contain trigger points, or knots of muscle that form when muscles do not relax. 1-2 muscles are typically treated in one session. The procedure involves injecting medications into these points to alleviate pain.

18 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390086

Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Penn Highlands Elk

Critical Access Hospitals · Saint Marys, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number391315

Location763 Johnsonburg RoadSaint Marys, PA 15857 · Elk County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15801 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

96.56/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

95.96

Improvement Activities

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.

SUSAN M. MITCHELL CRNP

Nurse Practitioner