ROGER J MADORE (PA CC) – Surgical Physician Assistant, NPI 1699834358

ROGER J MADORE (PA CC) is a healthcare provider. based in The villages, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA CC. They hold a License No. PA2133 (FL). The NPI Number for ROGER J MADORE (PA CC) is 1699834358

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
ROGER J MADORE (PA CC)
NPI
1699834358
Phone
(352) 674-8714
Address
2955 BROWNWOOD BLVD
Enumeration Date
8 December 2006
Last Update Date
18 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3526741790
Graduation Year
1982 (44 years ago)
PAC ID
8729155528
Group Practice PAC ID
2163667288
Professional Enrollment ID
I20080919000542
Address ID
FL321632032TH2910XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

Provider Addresses for ROGER J MADORE (PA CC)

  • 2955 BROWNWOOD BLVD

    THE VILLAGES, FL 321632039

    Phone: (352) 674-8714

    Type: Location

  • US 27;US 441, The Villages District 1, Spanish Springs, The Villages, Lake County, Florida, 32159, United States

    THE VILLAGES, FL 32162

    Phone: (352) 674-8700

    Fax: (352) 674-8714

    Type: Location

  • 1020, Lake Sumter Landing, The Villages, Sumter County, Florida, 32162, United States

    THE VILLAGES, FL 32162

    Phone: (352) 674-1700

    Fax: (352) 674-8919

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 13 Open Payments records for all available years, with a total value of $317.

Total Amount is formed as General ($317) + Research ($0) + Ownership ($0) = $317.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($102).

Total Amount

$317

General + Research + Ownership

Payments

13

Total payment records

General Amount

$317

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2008-09-19

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
I20080919000542IPhysician AssistantFLTBD

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 test345204$0
99214Established patient office or other outpatient visit, 30-39 minutes256184$0
36415Insertion of needle into vein for collection of blood sample6056$0
52000Diagnostic exam of bladder and urethra using an endoscope5548$0
51798Ultrasound measurement of bladder capacity after voiding4034$0
View full utilization report →

Insurance plans in this area (ZIP 32163)

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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: 2163667288View full group profile
NameSpecialtyState
U R O L O G YIL
Family PracticeIL
Internal MedicineIL
-FL
Family PracticeFL
Internal MedicineFL
Nurse PractitionerFL
Family PracticeFL
Qualified AudiologistFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Can I cross-check ROGER J MADORE (PA CC) using NPI 1699834358?
NPI 1699834358 belongs to ROGER J MADORE (PA CC); compare other details if you need extra assurance.
Would ROGER J MADORE (PA CC) appear as active to a payer?
You can treat ROGER J MADORE (PA CC) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is ROGER J MADORE (PA CC)?
ROGER J MADORE (PA CC) is associated with Surgical Physician Assistant in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with ROGER J MADORE (PA CC)?
Directory geography for ROGER J MADORE (PA CC) centers on The Villages, Florida.
When was this NPI issued?
Enumeration for ROGER J MADORE (PA CC) is noted as December 8, 2006 where the registry provides it.

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