MADISON TUTHILL – Physician Assistant, NPI 1164284782

MADISON TUTHILL is a healthcare provider. based in Sellersburg, Indiana. specializing in PHYSICIAN ASSISTANT. The NPI Number for MADISON TUTHILL is 1164284782

Main info

Female
Sole Proprietor
2 Years Of Experience
Accepts Medicare Assignment
Name
MADISON TUTHILL
NPI
1164284782
Phone
(502) 599-2859
Address
4523 BRANDON CIR
Enumeration Date
29 January 2024
Last Update Date
14 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8129447701
Graduation Year
2024 (2 years ago)
PAC ID
1557881679
Group Practice PAC ID
4880041409
Professional Enrollment ID
I20250219003655
Address ID
IN471504990NE1850XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:2State licenses:0Digital endpointsOther names

2,499 PHYSICIAN ASSISTANT in IN

Provider Addresses for MADISON TUTHILL

  • 4523 BRANDON CIR

    SELLERSBURG, IN 471721764

    Phone: (502) 599-2859

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-02-19

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
I20250219003655IPhysician AssistantINTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 47172)

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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: 4880041409View full group profile
NameSpecialtyState
Internal MedicineFL
Internal MedicineKY
Internal Medicine, Hospitalist, Internal MedicineIN
Hospitalist, Internal Medicine, Internal MedicineIN
H O S P I T A L I S TOK
Internal MedicineIA
Physician AssistantKY
Family Practice, HospitalistIL
Internal MedicineFL
Nurse PractitionerIN

Reviews

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Frequently asked questions

Is MADISON TUTHILL listed with a National Provider Identifier?
Yes — MADISON TUTHILL has NPI 1164284782 on file in the registry.
Active or inactive — what applies to MADISON TUTHILL?
You should see MADISON TUTHILL as active in CMS-hosted NPPES data.
What expertise is attributed to MADISON TUTHILL?
MADISON TUTHILL's specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Is MADISON TUTHILL associated with Sellersburg?
Public fields place MADISON TUTHILL around Sellersburg, Indiana. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for MADISON TUTHILL is noted as January 29, 2024 where the registry provides it.

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