MADELINE BEATTY KOFSKEY (PA-C) – Physician Assistant, NPI 1497328371

MADELINE BEATTY KOFSKEY (PA-C) is a healthcare provider. based in San antonio, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. The NPI Number for MADELINE BEATTY KOFSKEY (PA-C) is 1497328371

Main info

Female
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
MADELINE BEATTY KOFSKEY (PA-C)
NPI
1497328371
Phone
(210) 469-3830
Address
3619 PAESANOS PKWY STE 302
Enumeration Date
20 July 2021
Last Update Date
12 February 2026

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Secondary Phone
2108024662
Graduation Year
2022 (4 years ago)
PAC ID
3173997186
Group Practice PAC ID
4688987266
Professional Enrollment ID
I20231117001354
Address ID
TX782311259SA3619XPKWY301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness85
Years active:4State licenses:0Digital endpointsOther names

8,497 PHYSICIAN ASSISTANT in TX

Provider Addresses for MADELINE BEATTY KOFSKEY (PA-C)

  • 3619 PAESANOS PKWY STE 302

    SAN ANTONIO, TX 782311259

    Phone: (210) 469-3830

    Type: Mailing

  • 1200 SOMERBY DR APT 1936

    MOBILE, AL 366955448

    Phone: (256) 682-4188

    Type: Mailing

  • 5721 USA DRIVE N

    MOBILE, AL 366885448

    Phone: (251) 445-9443

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $154.

Total Amount is formed as General ($154) + Research ($0) + Ownership ($0) = $154.

Last reported payment date: 2024-12-28 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($140).

Total Amount

$154

General + Research + Ownership

Payments

2

Total payment records

General Amount

$154

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-28

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: 2023-11-17

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
I20231117001354IPhysician AssistantTXTBD

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 78231)

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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: 4688987266View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Orthopedic SurgeryTX
Physical Therapist In Private PracticeTX
Orthopedic SurgeryTX
A N E S T H E S I O L O G YTX
Physician AssistantTX
Physician AssistantTX
Physician AssistantTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

What is the 10-digit NPI for MADELINE BEATTY KOFSKEY (PA-C)?
MADELINE BEATTY KOFSKEY (PA-C) — NPI 1497328371 — is the standard way to identify this listing.
Is MADELINE BEATTY KOFSKEY (PA-C) listed as active for patients and plans?
The listing shows MADELINE BEATTY KOFSKEY (PA-C) as active in the NPI system.
What taxonomy line describes MADELINE BEATTY KOFSKEY (PA-C)?
For research purposes, treat MADELINE BEATTY KOFSKEY (PA-C) as Physician Assistant in this dataset. Clinical services aligned with this taxonomy classification.
Where is MADELINE BEATTY KOFSKEY (PA-C) based?
MADELINE BEATTY KOFSKEY (PA-C) is tied to San Antonio, Texas in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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