Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MADALYNNE ANN FEDORUK MD
NPI 1700580933
Family Medicine in Colton, CA

Q: What is Madalynne Fedoruk's NPI number?

The NPI number for Madalynne Fedoruk is 1700580933. It was assigned to this individual provider in the NPPES registry on March 30, 2023.

Q: What is Madalynne Fedoruk's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Madalynne Fedoruk was last updated on July 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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 March 30, 2023PECOS Enrolled

400 N PEPPER AVE, COLTON, CA 92324(909) 580-3366 Get Directions Write a Review

NPPES record last updated: July 22, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 22, 2026, Mar 30, 2023 (2 updates tracked since 2023).

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About Dr. Madalynne Ann Fedoruk Md NPPES

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

DR. MADALYNNE ANN FEDORUK MD (NPI 1700580933) is an individual family medicine provider in Colton, California, licensed in California (A206047) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700580933

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MADALYNNE ANN FEDORUKCredential: MD

Location Address400 N PEPPER AVEColton, CA 92324-1819

Mailing Address400 N Pepper AveColton, CA 92324-1819

Phone(909) 580-3366

Sole ProprietorNo

Enumeration DateMarch 30, 2023

Last NPPES UpdateJuly 22, 20262 updates tracked since enumeration

NPPES CertifiedJuly 22, 2026

✔ NPI 1700580933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A206047

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

400 N PEPPER AVE, Colton, CA 92324

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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 (PECOS)

Dr. Madalynne Ann Fedoruk Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92324 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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.

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.

CATHERINE J CALHOUN

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