ANTHONY JAMES MADISON PA-C
NPI 1811536428
Physician Assistant in Muskegon, MI

Q: What is Anthony Madison's NPI number?

The NPI number for Anthony Madison is 1811536428. It was assigned to this individual provider in the NPPES registry on December 30, 2019.

Q: What is Anthony Madison'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 Anthony Madison was last updated on October 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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 30, 2019PECOS EnrolledAccepts Medicare Assignment

1212 E SHERMAN BLVD, MUSKEGON, MI 49444(231) 672-3500 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 7, 2024, Aug 21, 2024, Dec 30, 2019 (3 updates tracked since 2019).

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About Anthony James Madison Pa-c NPPES

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

ANTHONY JAMES MADISON PA-C (NPI 1811536428) is an individual physician assistant in Muskegon, Michigan, licensed in Michigan (5601009806) and active in the NPI registry since December 2019. He is enrolled in Medicare PECOS, is affiliated with Trinity Health Muskegon Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1811536428

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameANTHONY JAMES MADISONCredential: PA-C

Location Address1212 E SHERMAN BLVDMuskegon, MI 49444-1879

Mailing Address3060 Maple Grove Rd Apt 223Muskegon, MI 49441-4064 · (989) 306-0316

Phone(231) 672-3500

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateDecember 30, 2019

Last NPPES UpdateOctober 7, 20243 updates tracked since enumeration

NPPES CertifiedOctober 7, 2024

✔ NPI 1811536428 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 MI · 5601009806

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.

1212 E SHERMAN BLVD, Muskegon, MI 49444

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company 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

Anthony James Madison 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 ID4082049127

PECOS Enrollment IDI20200116002933

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.

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.

80 services79 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

15 services14 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Trinity Health Muskegon Hospital

Acute Care Hospitals · Muskegon, MI

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number230066

Location1500 E Sherman BlvdMuskegon, MI 49441 · Muskegon County

Emergency services Birthing friendly

Mercy Health Lakeshore Campus

Critical Access Hospitals · Shelby, MI

OwnershipVoluntary non-profit - Private

CMS Certification Number231320

Location72 South State StreetShelby, MI 49455 · Oceana County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49444 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $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 20

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

MS. RITA ANN WINTERINGHAM PA-C

Physician Assistant