MADALYNN MARIE RAYNOR PA-C
NPI 1740053222
Physician Assistant - Surgical in South Charleston, WV

Q: What is Madalynn Raynor's NPI number?

The NPI number for Madalynn Raynor is 1740053222. It was assigned to this individual provider in the NPPES registry on November 6, 2023.

Q: What is Madalynn Raynor's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Madalynn Raynor was last updated on December 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 November 06, 2023PECOS EnrolledAccepts Medicare Assignment

610 CHESTNUT ST, SOUTH CHARLESTON, WV 25309(304) 767-7790 Get Directions Write a Review

NPPES record last updated: December 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 14, 2023, Nov 8, 2023 (2 updates tracked since 2023).

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About Madalynn Marie Raynor Pa-c NPPES

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

MADALYNN MARIE RAYNOR PA-C (NPI 1740053222) is an individual surgical provider in South Charleston, West Virginia, licensed in West Virginia (2819) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, is affiliated with Thomas Memorial Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1740053222

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameMADALYNN MARIE RAYNORCredential: PA-C

Location Address610 CHESTNUT STSouth Charleston, WV 25309-1251

Mailing Address4608 Washington Ave SeCharleston, WV 25304-1830 · (336) 460-7545

Phone(304) 767-7790

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateNovember 6, 2023

Last NPPES UpdateDecember 1, 20232 updates tracked since enumeration

NPPES CertifiedDecember 1, 2023

✔ NPI 1740053222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

Licenses✔ Licensed in WV · 2819✔ Licensed in WV · 875

610 CHESTNUT ST, South Charleston, WV 25309

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.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

Madalynn Marie Raynor 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 ID345683546

PECOS Enrollment IDI20240205002218

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 3

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.

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

52 services51 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

20 services20 patients

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.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510029

Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 11

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

BRUCE FREDRIC HAUPT MD

Orthopaedic Surgery