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MADELYN PEPE PA-C
NPI 1861117012
Physician Assistant in Somers Point, NJ

Active since October 10, 2022PECOS EnrolledAccepts Medicare Assignment
403 BETHEL RD, SOMERS POINT, NJ 08244(609) 927-8746(609) 653-8807 Get Directions Write a Review

NPPES record last updated: January 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 11, 2023, Oct 10, 2022 (2 updates tracked since 2022).

About Madelyn Pepe Pa-c NPPES

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

MADELYN PEPE PA-C (NPI 1861117012) is an individual physician assistant in Somers Point, New Jersey, licensed in New Jersey (25MP00742300) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with Cape Regional Medical Center Inc, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1861117012
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMADELYN PEPECredential: PA-C
Location Address403 BETHEL RDSomers Point, NJ 08244-2108
Mailing Address403 Bethel RdSomers Point, NJ 08244-2108 · (609) 927-8746 · Fax (609) 601-1406
Phone(609) 927-8746
Fax(609) 653-8807
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 10, 2022
Last NPPES UpdateJanuary 11, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 11, 2023
✔ NPI 1861117012 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 NJ · 25MP00742300
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.
403 BETHEL RD, Somers Point, NJ 08244
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Other Identifiers 1

Other25MP00742300NJ · Physician Assistant License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Madelyn Pepe 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 ID6608247937
PECOS Enrollment IDI20230125001353
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 7

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 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.
665 services462 patients
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.
165 services146 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
72 services60 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
48 services44 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.
27 services27 patients
Simple insertion of temporary bladder tube 51702
This procedure involves placing a temporary tube into your bladder to help with urine flow. It's done when the body can't naturally remove urine. The tube is inserted through a small opening and allows urine to drain into a bag. It's usually a short-term solution.
26 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Cape Regional Medical Center Inc

Acute Care Hospitals · Cape May Court House, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310011
LocationTwo Stone Harbor BlvdCape May Court House, NJ 08210 · Cape May County
Emergency services

Shore Medical Center

Acute Care Hospitals · Somers Point, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310047
Location100 Medical Center WaySomers Point, NJ 08244 · Atlantic County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08244 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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 13

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

MEREDITH P JANKOWSKI D.O.
Urology
403 BETHEL RD
SOMERS POINT, NJ 08244
Atlantic County (609) 927-8746
SOMERS POINT UROLOGY ASSOCIATES,P.A.
Urology
403 BETHEL RD
SOMERS POINT, NJ 08244
Atlantic County (609) 653-8046
MICHAEL J SCHUTZ M.D.
Urology
403 BETHEL RD
SOMERS POINT, NJ 08244
Atlantic County (609) 927-8746
CASSIDY CALIMER PA-C
Urology
403 BETHEL RD
SOMERS POINT, NJ 08244
Atlantic County (609) 927-8746
JERSEY UROLOGY GROUP P. A.
Urology
403 BETHEL RD
SOMERS POINT, NJ 08244
Atlantic County (609) 927-8746
MS. KELLIE ANN KASPER PA-C
Physician Assistant
403 BETHEL RD
SOMERS POINT, NJ 08244
Atlantic County (609) 927-8746
MEGAN L MCKINNEY MS PA-C
Physician Assistant (Medical)
403 BETHEL RD, C/O JERSEY UROLOGY GROUP P. A.
SOMERS POINT, NJ 08244
Atlantic County (609) 927-8746
ANDREW AXILROD MD
Urology
403 BETHEL RD
SOMERS POINT, NJ 08244
Atlantic County (609) 927-8746

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 Madelyn Pepe's NPI number?

The NPI number for Madelyn Pepe is 1861117012. It was assigned to this individual provider in the NPPES registry on October 10, 2022.

Where is Madelyn Pepe located?

Madelyn Pepe practices at 403 Bethel Rd, Somers Point, NJ 08244. The listed phone number is (609) 927-8746.

What is Madelyn Pepe's specialty?

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

Is Madelyn Pepe enrolled in Medicare?

Yes. Madelyn Pepe 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.

What insurance does Madelyn Pepe accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Madelyn Pepe as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Madelyn Pepe affiliated with any hospitals?

According to CMS data, Madelyn Pepe is affiliated with Cape Regional Medical Center Inc and Shore Medical Center.

When was this NPI record last updated?

The NPPES record for Madelyn Pepe was last updated on January 11, 2023. 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.