Madison Fagerlie
NPI 1639922370ActiveIndividual· Emergency Medicine· Peoria, AZ
Emergency Medicine in Peoria, Arizona, licensed in AZ, with an NPI issued in April 2024. Part D covered 16 prescriptions written in 2024, 81% of them generic.
Overview
| NPI | 1639922370 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Apr 11, 2024 |
| Last updated in NPPES | Sep 9, 2026 |
| Certified by provider | Sep 9, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 012634 | AZ |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (AZ) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 16 · 16 30-day fills |
|---|---|
| Patients | 12 |
| Total drug cost | $1,323 |
| Generic share | 81% of claims |
Education and affiliations
| Graduation year | 2024 |
|---|---|
| Medicare specialty | Emergency Medicine |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other emergency medicine physicians in Peoria
- 1346990397
- 1023542958
- 1275402828
- 1376096024
- 1831188911
- 1073596003