MADISON PETERSON PA-C
NPI 1235781295
Physician Assistant in Castle Rock, CO

Q: What is Madison Peterson's NPI number?

The NPI number for Madison Peterson is 1235781295. It was assigned to this individual provider in the NPPES registry on July 10, 2019.

Q: What is Madison Peterson'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 Peterson was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since July 10, 2019PECOS EnrolledAccepts Medicare Assignment

4350 LIMELIGHT AVE STE 100, CASTLE ROCK, CO 80109(720) 455-3775(720) 455-3776 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 10, 2025, May 28, 2020, Jul 10, 2019 (3 updates tracked since 2019).

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About Madison Peterson Pa-c NPPES

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

MADISON PETERSON PA-C (NPI 1235781295) is an individual physician assistant in Castle Rock, Colorado, licensed in Colorado (PA.5821) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1235781295

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMADISON PETERSONCredential: PA-C

Location Address4350 LIMELIGHT AVE STE 100Castle Rock, CO 80109-8034

Mailing Address4350 Limelight Ave Ste 100Castle Rock, CO 80109-8034 · (720) 455-3775 · Fax (720) 455-3776

Phone(720) 455-3775

Fax(720) 455-3776

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateJuly 10, 2019

Last NPPES UpdateMarch 10, 20253 updates tracked since enumeration

NPPES CertifiedMarch 10, 2025

✔ NPI 1235781295 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 CO · PA.5821

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.

4350 LIMELIGHT AVE STE 100, Castle Rock, CO 80109

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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

Madison Peterson 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 ID8022347699

PECOS Enrollment IDI20190906001200

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 80109 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

$89.43 typical visit price

range $58.06 – $174.82

Typical copayment $22.35 (range $14.51 – $43.70)

Most-billed visit code 99203

Established Patient

$72.20 typical visit price

range $18.88 – $142.79

Typical copayment $18.05 (range $4.72 – $35.69)

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 10

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

PANORAMA ORTHOPEDICS & SPINE CENTER, PC

Clinic/Center (Radiology)