MADISON MURDOCH – Physician Assistant, NPI 1417626706

MADISON MURDOCH is a healthcare provider. based in Idaho falls, Idaho. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA-2098 (ID). The NPI Number for MADISON MURDOCH is 1417626706

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MADISON MURDOCH
NPI
1417626706
Phone
(208) 552-7700
Address
3820 CRESTWOOD LN STE 2
Enumeration Date
9 September 2021
Last Update Date
4 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2085227572
Graduation Year
2021 (5 years ago)
PAC ID
7517359128
Group Practice PAC ID
2163430943
Professional Enrollment ID
I20220111001777
Address ID
ID834044978ID3345XWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness85
Years active:4State licenses:1Digital endpointsOther names

1,534 PHYSICIAN ASSISTANT in ID

Provider Addresses for MADISON MURDOCH

  • 3820 CRESTWOOD LN STE 2

    IDAHO FALLS, ID 834044979

    Phone: (208) 552-7700

    Type: Location

  • PO BOX 12358

    AUGUSTA, GA 309142358

    Phone: (706) 863-9595

    Fax: (706) 868-8375

    Type: Mailing

  • 3100 CHANNING WAY

    IDAHO FALLS, ID 834047533

    Phone: (706) 863-9595

    Fax: (706) 868-8375

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $87.

Total Amount is formed as General ($87) + Research ($0) + Ownership ($0) = $87.

Last reported payment date: 2023-10-09 • Largest payer in this snapshot: KCI USA, Inc. ($73).

Total Amount

$87

General + Research + Ownership

Payments

2

Total payment records

General Amount

$87

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-09

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: 2022-01-11

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
I20220111001777IPhysician AssistantIDTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes2421$0
View full utilization report →

Insurance plans in this area (ZIP 83404)

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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: 2163430943View full group profile
NameSpecialtyState
-ID
Cardiac ElectrophysiologyGA
Cardiac ElectrophysiologyUT
Nurse PractitionerID
N E U R O S U R G E R YID
Vascular SurgeryIA
Physician AssistantGA
N E U R O S U R G E R YGA
Physician AssistantID
Thoracic SurgeryMO

Reviews

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Frequently asked questions

Can I use this page to confirm MADISON MURDOCH's NPI?
Yes. MADISON MURDOCH is listed with NPI 1417626706 in the public NPI dataset.
Does the file indicate MADISON MURDOCH is practicing under active NPI?
Directory data currently reports MADISON MURDOCH as active.
What is MADISON MURDOCH's primary classification?
Physician Assistant is the headline specialty for MADISON MURDOCH here. Clinical services aligned with this taxonomy classification.
What area does MADISON MURDOCH serve?
MADISON MURDOCH's listing highlights Idaho Falls, Idaho; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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