MADDISON GRACE MURPHY (PA) – Physician Assistant, NPI 1407699515
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,499 PHYSICIAN ASSISTANT in IN
Provider Addresses for MADDISON GRACE MURPHY (PA)
9001 BROADWAY
MERRILLVILLE, IN 464107041
Phone: (219) 795-3360
Fax: (219) 472-0494
Type: Mailing
1500 S Lake Park Ave Spc 402
Hobart, IN 463426638
Phone: (219) 795-3360
Fax: (219) 756-6500
Type: Location
2213 Main St
Highland, IN 463223514
Phone: (219) 795-3360
Fax: (219) 756-6500
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $887.
Total Amount is formed as General ($887) + Research ($0) + Ownership ($0) = $887.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: SI-BONE, INC. ($887).
Total Amount
$887
General + Research + Ownership
Payments
8
Total payment records
General Amount
$887
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| SI-BONE, INC. | $887 |
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: 2024-11-08
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241108000368 | I | Physician Assistant | IN | TBD |
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.
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 46410)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | IN | |
| - | IN | |
| Physician Assistant | IN | |
| Occupational Therapist In Private Practice | IL | |
| Occupational Therapist In Private Practice | IL | |
| - | IN | |
| Physician Assistant | IN | |
| Physical Therapist In Private Practice | IL | |
| Nurse Practitioner | IN | |
| - | IN |
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