CAROLINE E MADDEN PA-C
NPI 1275951204
Physician Assistant in Knoxville, TN

Active since April 07, 2014PECOS EnrolledAccepts Medicare Assignment
95.69/100
CMS Quality Rating
1924 ALCOA HWY, 1924 ALCOA HWY, KNOXVILLE, TN 37920(865) 305-9206 Get Directions Write a Review

NPPES record last updated: November 22, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Caroline E Madden Pa-c NPPES

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

CAROLINE E MADDEN PA-C (NPI 1275951204) is an individual physician assistant in Knoxville, Tennessee, licensed in Tennessee (2485) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with University Health System, Inc, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1275951204
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCAROLINE E MADDENCredential: PA-C
Location Address1924 ALCOA HWY, 1924 ALCOA HWYKnoxville, TN 37920-1511
Mailing AddressPo Box 440194Nashville, TN 37244-0194 · (865) 670-6199 · Fax (865) 670-6198
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 7, 2014
Last NPPES UpdateNovember 22, 2017
NPI 1275951204 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 TN · 2485
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.
1924 ALCOA HWY, Knoxville, TN 37920

Other Names 1

Former Name (1)Caroline E Elder

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

Caroline E Madden 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 ID4880906510
PECOS Enrollment IDI20150708002409
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.

University Health System, Inc

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440015
Location1924 Alcoa HighwayKnoxville, TN 37920 · Knox County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37920 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
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.

95.69/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.28
Promoting Interoperability100
Improvement Activities40

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.

Registered Nurse (Obstetric, High-Risk)
1924 ALCOA HWY, 6S
KNOXVILLE, TN 37920
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY, UNIV. OF TENNESSEE MEDICAL CENTER, DEPT. OF PATHOLOGY
KNOXVILLE, TN 37920
Internal Medicine (Pulmonary Disease)
1924 ALCOA HWY, DEPARTMENT OF MEDICINE U-114 GSM, UTMCK
KNOXVILLE, TN 37920
Nurse Practitioner (Gerontology)
1924 ALCOA HWY
KNOXVILLE, TN 37920
Pharmacist
1924 ALCOA HWY
KNOXVILLE, TN 37920
Pathology (Anatomic Pathology & Clinical Pathology)
1924 ALCOA HWY
KNOXVILLE, TN 37920
Internal Medicine
1924 ALCOA HWY, BOX U114
KNOXVILLE, TN 37920
Nurse Anesthetist, Certified Registered
1924 ALCOA HWY
KNOXVILLE, TN 37920

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 Caroline Madden's NPI number?

The NPI number for Caroline Madden is 1275951204. It was assigned to this individual provider in the NPPES registry on April 7, 2014. The provider is also known as Caroline E Elder.

Where is Caroline Madden located?

Caroline Madden practices at 1924 Alcoa Hwy 1924 Alcoa Hwy, Knoxville, TN 37920. The listed phone number is (865) 305-9206.

What is Caroline Madden's specialty?

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

Is Caroline Madden enrolled in Medicare?

Yes. Caroline Madden 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 Caroline Madden affiliated with any hospitals?

According to CMS data, Caroline Madden is affiliated with University Health System, Inc.

When was this NPI record last updated?

The NPPES record for Caroline Madden was last updated on November 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.