MRS. MADDISON METCALF PA-C
NPI 1609535962
Physician Assistant in Toledo, OH

Q: What is Maddison Metcalf's NPI number?

The NPI number for Maddison Metcalf is 1609535962. It was assigned to this individual provider in the NPPES registry on December 14, 2021.

Q: What is Maddison Metcalf'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 Maddison Metcalf was last updated on March 20, 2023. 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.

Active since December 14, 2021PECOS EnrolledAccepts Medicare Assignment

4126 N HOLLAND SYLVANIA RD STE 105, TOLEDO, OH 43623(419) 479-5605 Get Directions Write a Review

NPPES record last updated: March 20, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 20, 2023, Jan 24, 2023, Dec 14, 2021 (3 updates tracked since 2021).

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About Mrs. Maddison Metcalf Pa-c NPPES

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

MRS. MADDISON METCALF PA-C (NPI 1609535962) is an individual physician assistant in Toledo, Ohio, licensed in Ohio (50.007986RX) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS, is affiliated with Promedica Toledo Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1609535962

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. MADDISON METCALFCredential: PA-C

Location Address4126 N HOLLAND SYLVANIA RD STE 105Toledo, OH 43623-3541

Mailing Address4235 Secor RdToledo, OH 43623-4231 · (419) 479-5327 · Fax (419) 479-5593

Phone(419) 479-5605

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateDecember 14, 2021

Last NPPES UpdateMarch 20, 20233 updates tracked since enumeration

NPPES CertifiedMarch 20, 2023

✔ NPI 1609535962 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 OH · 50.007986RX

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.

4126 N HOLLAND SYLVANIA RD STE 105, Toledo, OH 43623

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, McLaren Health Plan Community and more.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

Mrs. Maddison Metcalf 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 ID5294100855

PECOS Enrollment IDI20230412002252

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 2

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 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.

575 services211 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.

90 services73 patients

Hospital Affiliations CMS Care Compare

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

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360068

Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43623 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

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.

DR. RICHARD CLIFTON PHINNEY M.D.

Internal Medicine (Medical Oncology)