AMANDA MADKOUR (P.A.) – Physician Assistant, NPI 1104898436

AMANDA MADKOUR (P.A.) is a healthcare provider. based in New milford, Connecticut. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. 001399 (CT). The NPI Number for AMANDA MADKOUR (P.A.) is 1104898436

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
AMANDA MADKOUR (P.A.)
NPI
1104898436
Phone
(860) 355-1149
Address
11 OLD PARK LANE RD
Enumeration Date
2 February 2006
Last Update Date
15 January 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2037480330
Graduation Year
2003 (23 years ago)
PAC ID
2062308778
Group Practice PAC ID
3971494782
Professional Enrollment ID
I20040227000305
Address ID
CT068102304DA51XXXAVEX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience78
Completeness75
Years active:20State licenses:2Digital endpointsOther names

3,243 PHYSICIAN ASSISTANT in CT

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Provider Addresses for AMANDA MADKOUR (P.A.)

  • 11, Old Park Lane Road, Park Lane, New Milford, Litchfield County, Connecticut, 06776, United States

    NEW MILFORD, CT 067762507

    Phone: (860) 355-1149

    Fax: (860) 355-5957

    Type: Location

  • 51-53 KENOSIA AVE

    DANBURY, CT 068102304

    Phone: (203) 748-0330

    Fax: (203) 797-0255

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 41 Open Payments records for all available years, with a total value of $973.

Total Amount is formed as General ($973) + Research ($0) + Ownership ($0) = $973.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Tolmar, Inc. ($177).

Total Amount

$973

General + Research + Ownership

Payments

41

Total payment records

General Amount

$973

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-02-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040227000305IPhysician AssistantCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
81003Automated urinalysis test6763$0
99214Established patient office or other outpatient visit, 30-39 minutes5958$0
99213Established patient office or other outpatient visit, 20-29 minutes4946$0
51798Ultrasound measurement of bladder capacity after voiding4038$0
99212Established patient office or other outpatient visit, 10-19 minutes2920$0
View full utilization report →

Insurance plans in this area (ZIP 06776)

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Provider's Procedures

AMANDA MADKOUR (P.A.) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTCT81002Urinalysis, manual test1111

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971494782View full group profile
NameSpecialtyState
Diagnostic Radiology, Interventional RadiologyNY
Physician AssistantCT
U R O L O G YCT
U R O L O G YCT
U R O L O G YCT
U R O L O G YCT
U R O L O G YCT
U R O L O G YCT
U R O L O G YOH
Nurse PractitionerCT

Reviews

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Frequently asked questions

How do I look up AMANDA MADKOUR (P.A.) by NPI?
Use NPI 1104898436 when you need to reference AMANDA MADKOUR (P.A.) in forms, claims, or directories.
Is AMANDA MADKOUR (P.A.) active in the national directory?
AMANDA MADKOUR (P.A.)'s public NPI profile is in an active state.
What kind of provider is AMANDA MADKOUR (P.A.)?
The page reflects Physician Assistant for AMANDA MADKOUR (P.A.). Clinical services aligned with this taxonomy classification.
What location shows for AMANDA MADKOUR (P.A.)?
We surface New Milford, Connecticut for AMANDA MADKOUR (P.A.) based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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