Marissa Sue Madison, PA
NPI 1396479903ActiveIndividual· Physician Assistant· Kingman, AZ
Physician Assistant (PA) in Kingman, Arizona, trained at At Still Un of Hlth Sciences, Col of Osteo Med, Mesa (class of 2023). 160 Medicare patients in 2024, $22,824 paid; nearly all of their 693 Part D prescriptions were generic (98%). Merit Medical Systems Inc was the largest of 4 companies reporting payments in 2025, $537.14 in all, mostly food and beverage.
Overview
| NPI | 1396479903 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jul 11, 2022 |
| Last updated in NPPES | Nov 1, 2023 |
| Certified by provider | Nov 1, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 9941 | AZ |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 9941 | AZ |
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 (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 160 |
|---|---|
| Services billed | 298 across 29 procedure codes |
| Paid by Medicare | $22,824 |
Part D prescriptions in 2024
| Prescriptions (claims) | 693 · 1,090 30-day fills |
|---|---|
| Patients | 193 |
| Total drug cost | $13,016 |
| Generic share | 98% of claims |
Education and affiliations
| Medical school | At Still Un of Hlth Sciences, Col of Osteo Med, Mesa |
|---|---|
| Graduation year | 2023 |
| Medicare specialty | Physician Assistant |
Medical group
- Kingman Healthcare IncKingman, AZ · 186 clinicians
Hospital affiliation
- Kingman Regional Medical CenterKingman, AZ
Industry payments (Open Payments)
- 2025$537.14 · 12 payments from 4 companies
- 2024$1,266 · 10 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Merit Medical Systems Inc | $325.50 | 8 |
| Enterra Medical, Inc. | $152.30 | 1 |
| Ethicon US, LLC | $40.66 | 2 |
| Intuitive Surgical, Inc. | $18.68 | 1 |
What the 2025 payments were for
- Food and Beverage$537.14 · 12 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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