Madeline Gallegos
NPI 1134829112ActiveIndividual· Physician Assistant· Ogden, UT
Physician Assistant with University of Utah Adult Services, practicing in Ogden, Utah. Enrolled in Medicare as practitioner - physician assistant. Avita Medical Americas, LLC reported $16.99 in payments in 2025, mostly food and beverage. Lists University of Utah Hospital and Clinics as a hospital affiliation.
Overview
| NPI | 1134829112 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Mar 7, 2023 |
| Last updated in NPPES | Mar 9, 2026 |
| Certified by provider | Mar 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 14241765-1206 | UT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (UT) |
|---|
Education and affiliations
| Graduation year | 2025 |
|---|---|
| Medicare specialty | Physician Assistant |
| Telehealth | Offers telehealth |
Medical group
- University of Utah Adult ServicesFarmington, UT · 1,788 clinicians
Hospital affiliation
- University of Utah Hospital and ClinicsSalt Lake City, UT
Industry payments (Open Payments)
- 2025$16.99 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Avita Medical Americas, LLC | $16.99 | 1 |
What the 2025 payments were for
- Food and Beverage$16.99 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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