MADISON WHITEHEAD PA-C
NPI 1366123390
Physician Assistant in Farmington, NM

Q: What is Madison Whitehead's NPI number?

The NPI number for Madison Whitehead is 1366123390. It was assigned to this individual provider in the NPPES registry on July 31, 2023.

Q: What is Madison Whitehead'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 Whitehead was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 31, 2023PECOS EnrolledAccepts Medicare Assignment

407 S SCHWARTZ AVE STE 101, FARMINGTON, NM 87401(505) 609-6595 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 4, 2025, Oct 23, 2023 (2 updates tracked since 2023).

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About Madison Whitehead Pa-c NPPES

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

MADISON WHITEHEAD PA-C (NPI 1366123390) is an individual physician assistant in Farmington, New Mexico, licensed in New Mexico (PA2023-0254) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS, is affiliated with San Juan Regional Medical Center Inc, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1366123390

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMADISON WHITEHEADCredential: PA-C

Location Address407 S SCHWARTZ AVE STE 101Farmington, NM 87401-5925

Mailing Address532 Doubletree DrHighland Village, TX 75077-6968 · (214) 208-9757

Phone(505) 609-6595

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 31, 2023

Last NPPES UpdateAugust 4, 20252 updates tracked since enumeration

NPPES CertifiedAugust 4, 2025

✔ NPI 1366123390 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 NM · PA2023-0254

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.

407 S SCHWARTZ AVE STE 101, Farmington, NM 87401

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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 Whitehead 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 ID4688021199

PECOS Enrollment IDI20231106000869

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 5

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

32 services32 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.

30 services26 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.

27 services22 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.

14 services12 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

San Juan Regional Medical Center Inc

Acute Care Hospitals · Farmington, NM

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number320005

Location801 West Maple StreetFarmington, NM 87401 · San Juan County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87401 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

$84.79 typical visit price

range $54.26 – $166.80

Typical copayment $21.19 (range $13.56 – $41.70)

Most-billed visit code 99203

Established Patient

$68.00 typical visit price

range $17.00 – $135.35

Typical copayment $17.00 (range $4.25 – $33.83)

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 7

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

MEGHAN NIPPER P.A.

Physician Assistant