MADDISON SOUZA (PA-C) – Physician Assistant, NPI 1083347389
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,091 PHYSICIAN ASSISTANT in MA
Provider Addresses for MADDISON SOUZA (PA-C)
588 LONGMEADOW ST
LONGMEADOW, MA 011062212
Phone: (413) 565-1000
Type: Location
11782 SW BARNES RD STE 300
PORTLAND, OR 972255933
Phone: (503) 214-5200
Fax: (503) 906-6613
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $14.
Total Amount is formed as General ($14) + Research ($0) + Ownership ($0) = $14.
Last reported payment date: 2024-07-25 • Largest payer in this snapshot: Steelhead Surgical Inc ($14).
Total Amount
$14
General + Research + Ownership
Payments
1
Total payment records
General Amount
$14
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Steelhead Surgical Inc | $14 |
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: 2024-07-24
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 |
|---|---|---|---|---|
| I20240724003015 | I | Physician Assistant | OR | 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 01106)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | AL | |
| Physician Assistant | CA | |
| Physical Therapist In Private Practice | WA | |
| Physical Therapist In Private Practice | OR | |
| Occupational Therapist In Private Practice | OR | |
| Physician Assistant | OR | |
| Occupational Therapist In Private Practice | OR | |
| Physical Medicine And Rehabilitation | OR | |
| Orthopedic Surgery | OR | |
| Hand Surgery, Orthopedic Surgery | OR |
Reviews
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