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CAROL MADIA
NPI 1912031774
Physician Assistant - Surgical in Pittsburgh, PA

Active since March 15, 2007PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
5200 CENTRE AVE, SUITE 307 SHADYSIDE MEDICAL BUILDING, PITTSBURGH, PA 15232(412) 623-3333 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Carol Madia NPPES

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

CAROL MADIA (NPI 1912031774) is an individual surgical provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MA000871L) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Upmc Jameson, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1912031774
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameCAROL MADIA
Location Address5200 CENTRE AVE, SUITE 307 SHADYSIDE MEDICAL BUILDINGPittsburgh, PA 15232-1300
Mailing Address3148 Canterbury Dr, Suite 200Allison Park, PA 15101-1527
Phone(412) 623-3333
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateMarch 15, 2007
Last NPPES UpdateApril 6, 2021
✔ NPI 1912031774 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
License✔ Licensed in PA · MA000871L
5200 CENTRE AVE, Pittsburgh, PA 15232
Open in Google Maps ↗

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

Carol Madia 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 ID3678606886
PECOS Enrollment IDI20100809000208
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 4

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.
98 services91 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.
38 services34 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
31 services19 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.
18 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Upmc Jameson

Acute Care Hospitals · New Castle, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390016
Location1211 Wilmington AvenueNew Castle, PA 16105 · Lawrence County
Emergency services

Upmc Passavant

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390107
Location9100 Babcock BoulevardPittsburgh, PA 15237 · Allegheny County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

KRISHNA KANCHARLA
Internal Medicine (Clinical Cardiac Electrophysiology)
5200 CENTRE AVE, SUITE 710
PITTSBURGH, PA 15232
Allegheny County (412) 623-6889
EMILY YEE
Internal Medicine (Pulmonary Disease)
5200 CENTRE AVE, SHADYSIDE MEDICAL BUILDING, SUITE 610
PITTSBURGH, PA 15232
Allegheny County (412) 621-1200
HITENDRA PATEL
Legal Medicine
5200 CENTRE AVE, SUITE 312
PITTSBURGH, PA 15232
Allegheny County (412) 621-7777
STEPHANIE RICHARDS
Specialist
5200 CENTRE AVE, SUITE 405
PITTSBURGH, PA 15232
Allegheny County (412) 623-2700
HARRY RAFKIN
Internal Medicine (Pulmonary Disease)
5200 CENTRE AVE, SUITE 610
PITTSBURGH, PA 15232
Allegheny County (412) 621-1200
DR. MARK RIZKO MD
Student in an Organized Health Care Education/Training Program
5200 CENTRE AVE
PITTSBURGH, PA 15232
Allegheny County (412) 623-2121
TINA MUSAHL
Internal Medicine (Gastroenterology)
5200 CENTRE AVE, SUITE 312
PITTSBURGH, PA 15232
Allegheny County (412) 621-7777
JOEL BIGLEY
Urology
5200 CENTRE AVE, MEDICAL ARTS BUILDING, SUITE 209
PITTSBURGH, PA 15232
Allegheny County (412) 605-3000

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 Carol Madia's NPI number?

The NPI number for Carol Madia is 1912031774. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Where is Carol Madia located?

Carol Madia practices at 5200 Centre Ave Suite 307 Shadyside Medical Building, Pittsburgh, PA 15232. The listed phone number is (412) 623-3333.

What is Carol Madia's specialty?

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

Is Carol Madia enrolled in Medicare?

Yes. Carol Madia 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.

Is Carol Madia affiliated with any hospitals?

According to CMS data, Carol Madia is affiliated with Upmc Jameson, Upmc Passavant and Magee Womens Hospital Of Upmc Health System.

When was this NPI record last updated?

The NPPES record for Carol Madia was last updated on April 6, 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.