MADISON ROSE PORTER – Audiologist, NPI 1083509558

MADISON ROSE PORTER is a healthcare provider. based in Wexford, Pennsylvania. specializing in QUALIFIED AUDIOLOGIST. They hold a License No. AT007035 (PA). The NPI Number for MADISON ROSE PORTER is 1083509558

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
MADISON ROSE PORTER
NPI
1083509558
Phone
(412) 321-2480
Address
6041 WALLACE ROAD EXT STE 110
Enumeration Date
12 June 2025
Last Update Date
12 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4123212480
Graduation Year
2025 (1 year ago)
PAC ID
9830606995
Group Practice PAC ID
5294708426
Professional Enrollment ID
I20250724003348
Address ID
PA150907471WE6041XEXTX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

478 QUALIFIED AUDIOLOGIST in PA

Provider Addresses for MADISON ROSE PORTER

  • 6041 WALLACE ROAD EXT STE 110

    WEXFORD, PA 150907471

    Phone: (412) 321-2480

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-07-24

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250724003348IQualified AudiologistPATBD

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 15090)

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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: 5294708426View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to MADISON ROSE PORTER?
NPI 1083509558 is assigned to MADISON ROSE PORTER under the national enumeration system.
Is MADISON ROSE PORTER active in the national directory?
MADISON ROSE PORTER's public NPI profile is in an active state.
What kind of provider is MADISON ROSE PORTER?
The page reflects Audiologist for MADISON ROSE PORTER. Clinical services aligned with this taxonomy classification.
What location shows for MADISON ROSE PORTER?
We surface Wexford, Pennsylvania for MADISON ROSE PORTER based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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