MADELINE SMITH P.A.-C
NPI 1942740113
Physician Assistant in Dubuque, IA

Active since March 07, 2017PECOS EnrolledAccepts Medicare Assignment
1000 LANGWORTHY ST, DUBUQUE, IA 52001(563) 584-3226(563) 584-3227 Get Directions Write a Review

NPPES record last updated: November 20, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Madeline Smith P.a.-c NPPES

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

MADELINE SMITH P.A.-C (NPI 1942740113) is an individual physician assistant in Dubuque, Iowa, licensed in Iowa (086227) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Mercyone Dubuque Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1942740113
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMADELINE SMITHCredential: P.A.-C
Location Address1000 LANGWORTHY STDubuque, IA 52001-7313
Mailing Address1000 Langworthy StDubuque, IA 52001-7313 · (563) 584-3226 · Fax (563) 584-3227
Fax(563) 584-3227
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 7, 2017
Last NPPES UpdateNovember 20, 2019
NPI 1942740113 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 IA · 086227
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.
1000 LANGWORTHY ST, Dubuque, IA 52001

Other Names 1

Former Name (1)Madeline Schroeder

Accepted 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

Madeline Smith P.a.-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 ID2860779097
PECOS Enrollment IDI20170426000380, I20230418000498
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.
175 services149 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.
72 services54 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services16 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.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Mercyone Dubuque Medical Center

Acute Care Hospitals · Dubuque, IA
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number160069
Location250 Mercy DriveDubuque, IA 52001 · Dubuque County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52001 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
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

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

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
8 suppliers13 claims13 services$25.91 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 20

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

Physician Assistant
1000 LANGWORTHY ST
DUBUQUE, IA 52001
Nurse Practitioner
1000 LANGWORTHY ST
DUBUQUE, IA 52001
Nurse Practitioner
1000 LANGWORTHY ST
DUBUQUE, IA 52001
Internal Medicine (Cardiovascular Disease)
1000 LANGWORTHY ST
DUBUQUE, IA 52001
Surgery
1000 LANGWORTHY ST
DUBUQUE, IA 52001
Internal Medicine
1000 LANGWORTHY ST
DUBUQUE, IA 52001
Nurse Practitioner
1000 LANGWORTHY ST
DUBUQUE, IA 52001
Otolaryngology
1000 LANGWORTHY ST
DUBUQUE, IA 52001

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 Madeline Smith's NPI number?

The NPI number for Madeline Smith is 1942740113. It was assigned to this individual provider in the NPPES registry on March 7, 2017. The provider is also known as Madeline Schroeder.

Where is Madeline Smith located?

Madeline Smith practices at 1000 Langworthy St, Dubuque, IA 52001. The listed phone number is (563) 584-3226.

What is Madeline Smith's specialty?

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

Is Madeline Smith enrolled in Medicare?

Yes. Madeline Smith 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 Madeline Smith accept?

Health plans from Medica and Oscar Insurance Company list Madeline Smith 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 Madeline Smith affiliated with any hospitals?

According to CMS data, Madeline Smith is affiliated with Mercyone Dubuque Medical Center.

When was this NPI record last updated?

The NPPES record for Madeline Smith was last updated on November 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.