MADELINE ELIZABETH MARKSTROM (PA) – Physician Assistant, NPI 1730709775

MADELINE ELIZABETH MARKSTROM (PA) is a healthcare provider. based in Revere, Massachusetts. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. The NPI Number for MADELINE ELIZABETH MARKSTROM (PA) is 1730709775

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MADELINE ELIZABETH MARKSTROM (PA)
NPI
1730709775
Phone
(916) 704-0167
Address
660 OCEAN AVE APT 110
Enumeration Date
20 April 2020
Last Update Date
25 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
3476976846
Group Practice PAC ID
6002881430
Professional Enrollment ID
I20200702001547
Address ID
CA956086337Ca6620XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience27
Completeness75
Years active:6State licenses:0Digital endpointsOther names

5,093 PHYSICIAN ASSISTANT in MA

Provider Addresses for MADELINE ELIZABETH MARKSTROM (PA)

  • 660 OCEAN AVE APT 110

    REVERE, MA 021511285

    Phone: (916) 704-0167

    Type: Location

  • 6620 COYLE AVE STE 303

    CARMICHAEL, CA 956086337

    Phone: (916) 965-4000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $226.

Total Amount is formed as General ($226) + Research ($0) + Ownership ($0) = $226.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: Smith+Nephew, Inc. ($108).

Total Amount

$226

General + Research + Ownership

Payments

6

Total payment records

General Amount

$226

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

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: 2020-07-02

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
I20200702001547IPhysician AssistantCATBD

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
J7329Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg3,10047$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg716104$0
99213Established patient office or other outpatient visit, 20-29 minutes263193$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance222149$0
99214Established patient office or other outpatient visit, 30-39 minutes8980$0
View full utilization report →

Insurance plans in this area (ZIP 02151)

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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: 6002881430View full group profile
NameSpecialtyState
Physician AssistantCA
Orthopedic SurgeryCA
Physician AssistantCA
-CA
Orthopedic SurgeryCA

Reviews

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Frequently asked questions

What NPI should I save for MADELINE ELIZABETH MARKSTROM (PA)?
Save NPI 1730709775 if you need a stable reference for MADELINE ELIZABETH MARKSTROM (PA).
Is MADELINE ELIZABETH MARKSTROM (PA) currently active in the NPI registry?
CMS-published data lists MADELINE ELIZABETH MARKSTROM (PA) as an active registrant.
What kind of provider is MADELINE ELIZABETH MARKSTROM (PA)?
The page reflects Physician Assistant for MADELINE ELIZABETH MARKSTROM (PA). Clinical services aligned with this taxonomy classification.
What location shows for MADELINE ELIZABETH MARKSTROM (PA)?
We surface Revere, Massachusetts for MADELINE ELIZABETH MARKSTROM (PA) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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