KATIE DIANE MADDOCK
NPI 1275261059
Physician Assistant in Idaho Falls, ID

Active since August 10, 2022PECOS EnrolledAccepts Medicare Assignment
1550 ELK CREEK DR, IDAHO FALLS, ID 83404(208) 529-5942 Get Directions Write a Review

NPPES record last updated: November 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 23, 2024, Aug 10, 2022 (2 updates tracked since 2022).

About Katie Diane Maddock NPPES

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

KATIE DIANE MADDOCK (NPI 1275261059) is an individual physician assistant in Idaho Falls, Idaho and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Mountain View Hospital, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1275261059
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATIE DIANE MADDOCK
Location Address1550 ELK CREEK DRIdaho Falls, ID 83404-8322
Mailing Address1550 Elk Creek DrIdaho Falls, ID 83404-8322 · (208) 529-5942
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 10, 2022
Last NPPES UpdateNovember 23, 20242 updates tracked since enumeration
NPPES CertifiedNovember 23, 2024
NPI 1275261059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.

1550 ELK CREEK DR, Idaho Falls, ID 83404

Other Identifiers 1

Medicaid0002896036ID

Accepted 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

Katie Diane Maddock 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 ID1759805344
PECOS Enrollment IDI20250404000591
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.

Hospital Affiliations CMS Care Compare

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

Mountain View Hospital

Acute Care Hospitals · Idaho Falls, ID
1/5 CMS rating
OwnershipPhysician
CMS Certification Number130065
Location2325 Coronado StreetIdaho Falls, ID 83404 · Bonneville County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83404 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
$81.13 typical visit price
range $52.44 – $160.17
Typical copayment $20.28 (range $13.11 – $40.04)
Most-billed visit code 99203
Established Patient
$65.77 typical visit price
range $16.68 – $130.93
Typical copayment $16.44 (range $4.17 – $32.73)
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 12

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

Nurse Practitioner (Women's Health)
1550 ELK CREEK DR
IDAHO FALLS, ID 83404
Physician Assistant
1550 ELK CREEK DR
IDAHO FALLS, ID 83404
Physician Assistant (Medical)
1550 ELK CREEK DR
IDAHO FALLS, ID 83404
Obstetrics & Gynecology
1550 ELK CREEK DR
IDAHO FALLS, ID 83404
Nurse Practitioner (Women's Health)
1550 ELK CREEK DR
IDAHO FALLS, ID 83404
Midwife
1550 ELK CREEK DR
IDAHO FALLS, ID 83404
Advanced Practice Midwife
1550 ELK CREEK DR
IDAHO FALLS, ID 83404
Physician Assistant
1550 ELK CREEK DR
IDAHO FALLS, ID 83404

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 Katie Maddock's NPI number?

The NPI number for Katie Maddock is 1275261059. It was assigned to this individual provider in the NPPES registry on August 10, 2022.

Where is Katie Maddock located?

Katie Maddock practices at 1550 Elk Creek Dr, Idaho Falls, ID 83404. The listed phone number is (208) 529-5942.

What is Katie Maddock's specialty?

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

Is Katie Maddock enrolled in Medicare?

Yes. Katie Maddock 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 Katie Maddock accept?

Health plans from University of Utah Health Plans list Katie Maddock 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 Katie Maddock affiliated with any hospitals?

According to CMS data, Katie Maddock is affiliated with Mountain View Hospital.

When was this NPI record last updated?

The NPPES record for Katie Maddock was last updated on November 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.