Madison Lane Fugate, PA
NPI 1912574823ActiveIndividual· Physician Assistant· Lees Summit, MO
Physician Assistant (PA) with Saint Lukes Physician Group Inc, practicing in Lees Summit, Missouri. Mostly services rather than prescriptions: Medicare paid $33,355 for 141 patients in 2024, with only 44 Part D claims. Lists Saint Luke's East Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1912574823 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Jun 9, 2021 |
| Last updated in NPPES | Feb 2, 2022 |
| Certified by provider | Feb 2, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 2021046816 | MO |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (KS); Practitioner - Physician Assistant (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 141 |
|---|---|
| Services billed | 539 across 21 procedure codes |
| Paid by Medicare | $33,355 |
Part D prescriptions in 2024
| Prescriptions (claims) | 44 · 44 30-day fills |
|---|---|
| Patients | 16 |
| Total drug cost | $1,106 |
| Generic share | 100% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Saint Lukes Physician Group IncOverland Park, KS · 1,237 clinicians
Hospital affiliations
- Saint Luke's East HospitalLees Summit, MO
- Saint Luke's South HospitalOverland Park, KS
- St Lukes Hospital of Kansas CityKansas City, MO
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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