Carol Madia
Surgical Physician Assistant · Pittsburgh, PA
Carol Madia is a surgical physician assistant with a practice address in Pittsburgh, Pennsylvania, and NPI 1912031774, issued on Mar 15, 2007. Check the license (Pennsylvania MA000871L, as entered in NPPES) with the Pennsylvania board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Carol Madia
- Primary taxonomy
- Surgical Physician Assistant 363AS0400X
- License number
- MA000871L PA
Self-reported in NPPES; status is on the state search - Practice location
- 5200 Centre Ave, Pittsburgh, PA 15232
- Phone
- (412) 623-3333
- Enumerated
- Mar 15, 2007
- Record last updated
- Apr 6, 2021 (not updated in 5 years: call before relying on the address or phone)
- Medicare enrollment
- Enrolled (PECOS I20100809000208); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest surgical physician assistant records → All 832 in Pennsylvania → Look up another NPI →
Also registered at 5200 Centre Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Hassan AlhassanStudent in an Organized Health Care Education/Training Program1073136206
- Eric Anish, MDSpecialist1316919707
- George Arnold, M.D.Gastroenterology Physician1316903677
- M Ayasso, M.D.Legal Medicine1295726693
- Miranda BabiakSpeech-Language Pathologist1366882532
- William BarringtonClinical Cardiac Electrophysiology Physician1356313613
Verify Carol Madia in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Pennsylvania board licenses this profession
Search for license MA000871LCheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
48% fewer Medicare Part D claims than the average surgical physician assistant in 2024
159 Medicare Part D claims for 62 beneficiaries, against an average of 304 among the 10,174 providers of this specialty who prescribed in Part D. Brand-name drugs were 19% of claims.
Most prescribed
- Clopidogrel54 claims
- Eliquis24 claims
- Gabapentin15 claims
- Amoxicillin-Clavulanate Potass14 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 77.5 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- University OF Pittsburgh PhysiciansNew Castle, PA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Carol Madia among 832 surgical physician assistant records in Pennsylvania
Carol Madia is one of 832 surgical physician assistant records with a practice address in Pennsylvania. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 26% of them.
- NPI issued2007 · 26% of these records are older, 65% newer
- In a Medicare fileYes · 78% of these records are
- In the CMS Doctors and Clinicians fileYes · 65% of these records are
- Graduated1985 · median 2013 among the 541 with a school on file
- Record last updated2021 · 56% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AS0400X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Surgical Physician Assistant providers in Pennsylvania
There are 832 surgical physician assistant records in Pennsylvania.
All 832 in Pennsylvania → Every provider in Pittsburgh → Surgical Physician Assistant nationwide →
The 8 surgical physician assistant records with the nearest ZIP codes
- Richelle ArliaPittsburgh, PA 152321912968579
- Joseph Baron, PA-CPittsburgh, PA 152321659333904
- Venice Conley, MPH, PA-CPittsburgh, PA 152321619977832
- Karen Destefano, PA-CPittsburgh, PA 152321770544330
- Lisa Hollins, MMSPittsburgh, PA 152321700848066
- Molly JubeckPittsburgh, PA 152321275595712
- Edward Lubarsky, MSBSPittsburgh, PA 152321235191594
- Susan Majernik, PA-CPittsburgh, PA 152321497717755
Common questions
What is Carol Madia's NPI number?
Carol Madia's National Provider Identifier (NPI) is 1912031774, issued on Mar 15, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Carol Madia located?
The NPPES record lists a practice address at 5200 Centre Ave, Pittsburgh, PA, 15232. Phone: (412) 623-3333. Providers update this record themselves, so call before visiting.
How can I verify Carol Madia's license?
NPPES lists Pennsylvania license number MA000871L, as entered by the provider. Search the Pennsylvania board that licenses this profession; the NPPES record confirms identity only.
How much does Carol Madia prescribe under Medicare Part D?
In 2024, Carol Madia had 159 Medicare Part D claims for 62 beneficiaries; the average among surgical physician assistant prescribers was 304. Part D covers Medicare prescriptions only.
What is Carol Madia's MIPS final score?
The 2023 MIPS final score is 77.5 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.