MADISON MARIE ROBERTS-HALEY (PA) – Physician Assistant, NPI 1295348860
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for MADISON MARIE ROBERTS-HALEY (PA)
4311 11TH AVE NE STE 200
SEATTLE, WA 981056367
Phone:
Type: Mailing
1327 W SUPERIOR ST STE 101
SANDPOINT, ID 838642742
Phone: (208) 263-9757
Fax: (208) 965-8128
Type: Mailing
1113 E WESTVIEW CT
SPOKANE, WA 992181319
Phone: (208) 263-9757
Fax: (208) 965-8128
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 $124.
Total Amount is formed as General ($124) + Research ($0) + Ownership ($0) = $124.
Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Lilly USA, LLC ($52).
Total Amount
$124
General + Research + Ownership
Payments
6
Total payment records
General Amount
$124
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $52 |
| Nalu Medical, Inc. | $43 |
| Collegium Pharmaceutical, Inc. | $30 |
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: 2021-10-26
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 |
|---|---|---|---|---|
| I20211026003213 | I | Physician Assistant | WA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 515 | 101 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 35 | 35 | $0 |
Insurance plans in this area (ZIP 98105)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WA | |
| Nurse Practitioner | ID | |
| - | GA | |
| - | ID | |
| Physician Assistant | OR | |
| Physician Assistant | WA | |
| Physician Assistant | WA | |
| Nurse Practitioner | ID | |
| Interventional Pain Management, Interventional Pain Management, Anesthesiology, Anesthesiology | ID | |
| Pain Management, Anesthesiology | VA |
Reviews
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