MADELINE RODECKER
NPI 1255068458
Nurse Practitioner - Family in New Castle, PA

Active since August 07, 2022PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
1211 WILMINGTON AVE, NEW CASTLE, PA 16105(724) 658-9001 Get Directions Write a Review

NPPES record last updated: August 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 14, 2022, Aug 7, 2022 (2 updates tracked since 2022).

About Madeline Rodecker NPPES

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

MADELINE RODECKER (NPI 1255068458) is an individual family provider in New Castle, Pennsylvania, licensed in Pennsylvania (SP026029) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Upmc Jameson, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1255068458
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMADELINE RODECKER
Location Address1211 WILMINGTON AVENew Castle, PA 16105-2516
Mailing Address1212 Croxall AveAliquippa, PA 15001-4024
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 7, 2022
Last NPPES UpdateAugust 14, 20222 updates tracked since enumeration
NPPES CertifiedAugust 14, 2022
NPI 1255068458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in PA · SP026029
1211 WILMINGTON AVE, New Castle, PA 16105

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

Madeline Rodecker 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 ID3274917596
PECOS Enrollment IDI20220905000111
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 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.
166 services122 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
63 services36 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
18 services18 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Upmc Jameson

Acute Care Hospitals · New Castle, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390016
Location1211 Wilmington AvenueNew Castle, PA 16105 · Lawrence County
Emergency services

Heritage Valley Beaver

Acute Care Hospitals · Beaver, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390036
Location1000 Dutch Ridge RoadBeaver, PA 15009 · Beaver County
Emergency services

Upmc Horizon

Acute Care Hospitals · Greenville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390178
Location110 North Main StreetGreenville, PA 16125 · Mercer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16105 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
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

Internal Medicine (Obesity Medicine)
1211 WILMINGTON AVE
NEW CASTLE, PA 16105
Pharmacy (Community/Retail Pharmacy)
1211 WILMINGTON AVE
NEW CASTLE, PA 16105
Anesthesiology
1211 WILMINGTON AVE
NEW CASTLE, PA 16105
Nurse Practitioner (Family)
1211 WILMINGTON AVE
NEW CASTLE, PA 16105
Pharmacist
1211 WILMINGTON AVE
NEW CASTLE, PA 16105
Physician Assistant (Medical)
1211 WILMINGTON AVE
NEW CASTLE, PA 16105
Internal Medicine (Infectious Disease)
1211 WILMINGTON AVE, JAMESON HOSPITAL
NEW CASTLE, PA 16105
Psychiatric Unit
1211 WILMINGTON AVE
NEW CASTLE, PA 16105

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 Madeline Rodecker's NPI number?

The NPI number for Madeline Rodecker is 1255068458. It was assigned to this individual provider in the NPPES registry on August 7, 2022.

Where is Madeline Rodecker located?

Madeline Rodecker practices at 1211 Wilmington Ave, New Castle, PA 16105. The listed phone number is (724) 658-9001.

What is Madeline Rodecker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Madeline Rodecker enrolled in Medicare?

Yes. Madeline Rodecker 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.

Is Madeline Rodecker affiliated with any hospitals?

According to CMS data, Madeline Rodecker is affiliated with Upmc Jameson, Heritage Valley Beaver and Upmc Horizon.

When was this NPI record last updated?

The NPPES record for Madeline Rodecker was last updated on August 14, 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.