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MADISON HOLCOMB PA-C
NPI 1790293496
Physician Assistant in La Mesa, CA

Active since January 16, 2018PECOS Enrolled
5565 GROSSMONT CENTER DRIVE, BLDG. 3, SUITE 540, LA MESA, CA 91942(619) 460-2700(619) 460-2702 Get Directions Write a Review

NPPES record last updated: March 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 16, 2021, Mar 2, 2021, Jan 16, 2018 (3 updates tracked since 2018).

About Madison Holcomb Pa-c NPPES

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

MADISON HOLCOMB PA-C (NPI 1790293496) is an individual physician assistant in La Mesa, California, licensed in California (59043) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790293496
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMADISON HOLCOMBCredential: PA-C
Location Address5565 GROSSMONT CENTER DRIVE, BLDG. 3, SUITE 540La Mesa, CA 91942-3024
Mailing Address5565 Grossmont Center Drive, Bldg. 3, Suite 540La Mesa, CA 91942-3024 · (619) 460-2700 · Fax (619) 460-2702
Phone(619) 460-2700
Fax(619) 460-2702
Sole ProprietorNo
Enumeration DateJanuary 16, 2018
Last NPPES UpdateMarch 16, 20213 updates tracked since enumeration
NPPES CertifiedMarch 16, 2021
✔ NPI 1790293496 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 59043
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.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X
5565 GROSSMONT CENTER DRIVE, BLDG. 3, La Mesa, CA 91942
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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)

Madison Holcomb Pa-c 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 91942 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
2 suppliers20 claims1,000 services$0.10 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
2 suppliers16 claims540 services$7.21 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
2 suppliers20 claims241 services$8.81 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219
DME-Medical/Surgical Supplies · category DA023N
2 suppliers20 claims630 services$0.88 avg. paid by Medicare
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6222
DME-Medical/Surgical Supplies · category DA023N
2 suppliers13 claims450 services$1.66 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
2 suppliers13 claims2,160 services$0.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

EMILY J CANALE
Nurse Practitioner (Family)
5565 GROSSMONT CENTER DRIVE, BLDG. 3, SUITE 540
LA MESA, CA 91942
San Diego County (619) 460-2700
STEPHANIE MARRE
Nurse Practitioner (Family)
5565 GROSSMONT CENTER DRIVE, BLDG. 3, SUITE 540
LA MESA, CA 91942
San Diego County (619) 460-2700
NAMRATHA PRABHU M.D.
Pain Medicine (Interventional Pain Medicine)
5565 GROSSMONT CENTER DRIVE, BLDG. 3, SUITE 540
LA MESA, CA 91942
San Diego County (619) 460-2700

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 Madison Holcomb's NPI number?

The NPI number for Madison Holcomb is 1790293496. It was assigned to this individual provider in the NPPES registry on January 16, 2018.

Where is Madison Holcomb located?

Madison Holcomb practices at 5565 Grossmont Center Drive, Bldg. 3 Suite 540, La Mesa, CA 91942. The listed phone number is (619) 460-2700.

What is Madison Holcomb's specialty?

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

Is Madison Holcomb enrolled in Medicare?

Yes. Madison Holcomb is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Madison Holcomb was last updated on March 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.