MADISON WIEDEBUSCH
NPI 1962255463
Physician Assistant in Clarksburg, WV

Q: What is Madison Wiedebusch's NPI number?

The NPI number for Madison Wiedebusch is 1962255463. It was assigned to this individual provider in the NPPES registry on April 8, 2024.

Q: What is Madison Wiedebusch's specialty?

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

Active since April 08, 2024PECOS EnrolledAccepts Medicare Assignment

700 OAKMOUND RD, CLARKSBURG, WV 26301(304) 623-6330 Get Directions Write a Review

NPPES record last updated: February 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 9, 2025, Apr 8, 2024 (2 updates tracked since 2024).

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About Madison Wiedebusch NPPES

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

MADISON WIEDEBUSCH (NPI 1962255463) is an individual physician assistant in Clarksburg, West Virginia and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, is affiliated with United Hospital Center, Inc, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1962255463

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMADISON WIEDEBUSCH

Location Address700 OAKMOUND RDClarksburg, WV 26301-9398

Mailing Address700 Oakmound RdClarksburg, WV 26301-9398

Phone(304) 623-6330

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateApril 8, 2024

Last NPPES UpdateFebruary 9, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 9, 2025

✔ NPI 1962255463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

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.

700 OAKMOUND RD, Clarksburg, WV 26301

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Madison Wiedebusch 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 ID648702506

PECOS Enrollment IDI20241016002431

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.

Hospital Affiliations CMS Care Compare 2

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

United Hospital Center, Inc

Acute Care Hospitals · Bridgeport, WV

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number510006

Location327 Medical Park DriveBridgeport, WV 26330 · Harrison County

Emergency services Birthing friendly

St Joseph's Hospital Of Buckhannon, Inc

Critical Access Hospitals · Buckhannon, WV

OwnershipVoluntary non-profit - Private

CMS Certification Number511321

Location1 Amalia DriveBuckhannon, WV 26201 · Upshur County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 26301 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

$83.49 typical visit price

range $53.20 – $164.59

Typical copayment $20.87 (range $13.30 – $41.14)

Most-billed visit code 99203

Established Patient

$66.84 typical visit price

range $16.47 – $133.29

Typical copayment $16.71 (range $4.11 – $33.32)

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.

COMMUNITY CARE OF WEST VIRGINIA, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))