MADISON KATE WAGNER – Physician Assistant, NPI 1578256103
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,728 PHYSICIAN ASSISTANT in KY
Provider Addresses for MADISON KATE WAGNER
409 CASTLETON PIKE
PADUCAH, KY 420031246
Phone: (270) 994-4018
Type: Mailing
3101 PARISA DR
PADUCAH, KY 420034584
Phone: (270) 444-8477
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 98 Open Payments records for all available years, with a total value of $2,285.
Total Amount is formed as General ($2,285) + Research ($0) + Ownership ($0) = $2,285.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($361).
Total Amount
$2,285
General + Research + Ownership
Payments
98
Total payment records
General Amount
$2,285
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $361 |
| Janssen Biotech, Inc. | $333 |
| GENZYME CORPORATION | $312 |
| Novartis Pharmaceuticals Corporation | $146 |
| SUN PHARMACEUTICAL INDUSTRIES INC. | $135 |
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: 2023-10-12
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 |
|---|---|---|---|---|
| I20231012003618 | I | Physician Assistant | KY | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 72 | 21 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 36 | 35 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 30 | 29 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 15 | 15 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 15 | 15 | $0 |
Insurance plans in this area (ZIP 42003)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | KY | |
| - | KY | |
| Physician Assistant | KY | |
| Physician Assistant | KY | |
| D E R M A T O L O G Y | KY | |
| Nurse Practitioner | KY | |
| Physician Assistant | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY |
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