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MADELINE ELIZABETH MARKSTROM PA
NPI 1730709775
Physician Assistant in Carmichael, CA

Active since April 20, 2020PECOS EnrolledAccepts Medicare Assignment
87.44/100
CMS Quality Rating
6620 COYLE AVE STE 303, CARMICHAEL, CA 95608(916) 965-4000 Get Directions Write a Review

NPPES record last updated: August 25, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 25, 2022, Apr 20, 2020 (2 updates tracked since 2020).

About Madeline Elizabeth Markstrom Pa NPPES

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

MADELINE ELIZABETH MARKSTROM PA (NPI 1730709775) is an individual physician assistant in Carmichael, California and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1730709775
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMADELINE ELIZABETH MARKSTROMCredential: PA
Location Address6620 COYLE AVE STE 303Carmichael, CA 95608-6337
Mailing Address660 Ocean Ave Apt 110Revere, MA 02151-1285 · (916) 704-0167
Phone(916) 965-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 20, 2020
Last NPPES UpdateAugust 25, 20222 updates tracked since enumeration
NPPES CertifiedAugust 24, 2022
✔ NPI 1730709775 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.
6620 COYLE AVE STE 303, Carmichael, CA 95608
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Other Names 1

Former Name (1)Madeline Elizabeth Lummis

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

Madeline Elizabeth Markstrom Pa 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 ID3476976846
PECOS Enrollment IDI20200702001547
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 6

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.

Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg J7329
Trivisc is a treatment involving injections of a substance called hyaluronan into your joint, typically the knee. This substance is similar to a natural fluid in your joints that helps cushion and lubricate them. Trivisc can help reduce pain and improve joint movement.
500 services12 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
112 services18 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.
39 services37 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
38 services37 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
37 services32 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
27 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95608 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$75.03 typical visit price
range $19.88 – $148.15
Typical copayment $18.75 (range $4.97 – $37.03)
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.

87.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality81.12
Improvement Activities40
Cost83.31

Reported Quality Measures

Breast Cancer Screening
0%144 patients1/55-star benchmark: 93%
Cervical Cancer Screening
0%55 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
32%75 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
72%39 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%529 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%300 patients1/55-star benchmark: 100%
Functional Status Assessment for Total Hip Replacement
0%29 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
22%386 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%335 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
23%345 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 471 patients
0%471 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
82%119 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 307 patients
Patients totalRate: 0% · 308 patients
0%308 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

ESTEFANIA FLORES VELASCO PA-C
Physician Assistant
6620 COYLE AVE STE 303
CARMICHAEL, CA 95608
Sacramento County (916) 965-4000
HAYLEY MARIE WISHNER PA-C
Physician Assistant
6620 COYLE AVE STE 303
CARMICHAEL, CA 95608
Sacramento County (916) 965-4000
BRITTANI A BROTHERS PA-C
Orthopaedic Surgery
6620 COYLE AVE STE 303
CARMICHAEL, CA 95608
Sacramento County (916) 965-4000
NORTHERN CALIFORNIA ORTHOPEDIC CENTERS MEDICAL GROUP
Orthopaedic Surgery
6620 COYLE AVE STE 303
CARMICHAEL, CA 95608
Sacramento County (916) 965-4000

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 Madeline Markstrom's NPI number?

The NPI number for Madeline Markstrom is 1730709775. It was assigned to this individual provider in the NPPES registry on April 20, 2020. The provider is also known as Madeline Elizabeth Lummis.

Where is Madeline Markstrom located?

Madeline Markstrom practices at 6620 Coyle Ave Ste 303, Carmichael, CA 95608. The listed phone number is (916) 965-4000.

What is Madeline Markstrom's specialty?

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

Is Madeline Markstrom enrolled in Medicare?

Yes. Madeline Markstrom 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.

When was this NPI record last updated?

The NPPES record for Madeline Markstrom was last updated on August 25, 2022. 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.