MADELINE KAUFFMAN (PA-C) – Physician Assistant, NPI 1073294245

MADELINE KAUFFMAN (PA-C) is a healthcare provider. based in Tigard, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA219020 (OR). The NPI Number for MADELINE KAUFFMAN (PA-C) is 1073294245

Main info

Female
3 Years Of Experience
Name
MADELINE KAUFFMAN (PA-C)
NPI
1073294245
Phone
(503) 620-5556
Address
11900 SW GREENBURG RD
Enumeration Date
31 July 2023
Last Update Date
15 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5036205556
Graduation Year
2023 (3 years ago)
PAC ID
6800233446
Group Practice PAC ID
2860487279
Professional Enrollment ID
I20240319002182
Address ID
OR972236453TI11900RDXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

Provider Addresses for MADELINE KAUFFMAN (PA-C)

  • 11900 SW GREENBURG RD

    TIGARD, OR 972236453

    Phone: (503) 620-5556

    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)

CMS reports 12 Open Payments records for all available years, with a total value of $259.

Total Amount is formed as General ($259) + Research ($0) + Ownership ($0) = $259.

Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($139).

Total Amount

$259

General + Research + Ownership

Payments

12

Total payment records

General Amount

$259

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-10

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: 2024-03-19

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
I20240319002182IPhysician AssistantORTBD

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 97223)

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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: 2860487279View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeUT
-OR
Nurse PractitionerOR
Physician AssistantOR
Nurse PractitionerOR
Physician AssistantOR
-OR
Physical Therapist In Private PracticeTX
Nurse PractitionerOR

Reviews

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Frequently asked questions

What is the 10-digit NPI for MADELINE KAUFFMAN (PA-C)?
MADELINE KAUFFMAN (PA-C) — NPI 1073294245 — is the standard way to identify this listing.
Is MADELINE KAUFFMAN (PA-C) still practicing?
MADELINE KAUFFMAN (PA-C) is currently listed as active in the public NPI registry.
What healthcare role does MADELINE KAUFFMAN (PA-C) hold?
Scheduling teams often label MADELINE KAUFFMAN (PA-C) under Physician Assistant. Clinical services aligned with this taxonomy classification.
Does MADELINE KAUFFMAN (PA-C) list a practice location?
Patients near Tigard, Oregon may find MADELINE KAUFFMAN (PA-C) in results; validate coverage separately.
Why does MADELINE KAUFFMAN (PA-C) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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