MR. ROMAN K MADSEN PA-S
NPI 1750784617
Physician Assistant in Apache Junction, AZ
NPI Status: Active since October 06, 2014
Contact Information
625 N PLAZA DR
APACHE JUNCTION, AZ
ZIP 85120
Phone: (480) 278-3374
- Individual
- Male
- Years of Experience 11
- Physician Assistant
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About ROMAN MADSEN
This page provides the complete NPI Profile along with additional information for Roman Madsen, a primary care provider established in Apache Junction, Arizona with a medical specialization in Physician Assistant and more than 11 years of experience. The healthcare provider is registered in the NPI registry with number 1750784617 assigned on October 2014. The practitioner's primary taxonomy code is 363A00000X with license number 6220 (AZ). The provider is registered as an individual and his NPI record was last updated 10 years ago.
- NPI
- 1750784617
- Provider Name
- MR. ROMAN K MADSEN PA-S
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 625 N PLAZA DR APACHE JUNCTION, AZ 85120
- Location Phone
- (480) 278-3374
- Mailing Address
- 1185 W 1140 N PROVO, UT 84604
- Mailing Phone
- (480) 278-3374
- Medical School Name
- OTHER
- Graduation Year
- 2015
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-06-2014
- Last Update Date
- 12-14-2015
- Code Navigator
A primary care provider (PCP) like Roman Madsen sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 6220
- License State
- AZ
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Bronze Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Bronze Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Bronze Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Standard - HMO
- Catastrophic Standard - HMO
- Gold Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Gold Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Gold Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Gold Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Blue AdvanceHealth Bronze - Neighborhood Network - HMO
- Blue AdvanceHealth Gold - Neighborhood Network - HMO
- Blue AdvanceHealth Silver - Neighborhood Network - HMO
- Blue EverydayHealth Gold - Neighborhood Network - HMO
- Blue EverydayHealth Silver - Neighborhood Network - HMO
- Blue Portfolio HSA Bronze - Neighborhood Network - HMO
- Blue Portfolio HSA Gold - Statewide PPO Network - PPO
- Blue PPO PremierHealth Silver - Statewide PPO Network - PPO
- Blue PPO PremierHealth Gold - Statewide PPO Network - PPO
- Blue PPO StandardHealth Gold - Statewide PPO Network - PPO
- Connect Bronze 6800 Indiv Med Deductible - HMO
- Connect Bronze 8900 Indiv Med Deductible - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold 2500 Indiv Med Deductible - HMO
- Connect Gold CMS Standard - HMO
- Connect Silver 4000 Indiv Med Deductible - HMO
- Connect Silver 5000 Indiv Med Deductible - HMO
- Connect Silver CMS Standard - HMO
- Imperial Preferred Gold - HMO
- Imperial Preferred Silver - HMO
- Imperial Standard Bronze - HMO
- Imperial Standard Gold - HMO
- Imperial Standard Silver - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Roman Madsen is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Roman Madsen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 8820397540
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20160502002216
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Injection of drug or substance under skin or into muscle
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 30 times for 14 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 17 times for 11 patientsThis procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
This service was performed 61 times for 12 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $21.47 for a new patient copayment and $17.31 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 85120 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $85.89
- Minimum New Patient Price $55.44
- Maximum New Patient Price $168.6
- Average New Patient Copayment $21.47
- Minimum New Patient Copayment $13.86
- Maximum New Patient Copayment $42.15
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $69.24
- Minimum Established Patient Price $17.72
- Maximum Established Patient Price $137.41
- Average Established Patient Copayment $17.31
- Minimum Established Patient Copayment $4.43
- Maximum Established Patient Copayment $34.35
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 7 | 5 | 0 | 7 | 8 | 4 | 6 | 1 | 7 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 10 | 0 | 14 | 8 | 8 | 6 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 1 + 0 + 0 + 1 + 4 + 8 + 8 + 6 + 2 + 24 = 63 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 63 = 7 | 7 |
The NPI number 1750784617 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1518940832 | FRED BARNETT LIPOVITCH MD Individual | Psychiatry & Neurology (Child & Adolescent Psychiatry) | 625 N PLAZA DR APACHE JUNCTION, AZ 85120 (480) 983-0065 |
1457385502 | KATHLEEN CASEY NP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 625 N PLAZA DR APACHE JUNCTION, AZ 85120 (480) 983-0065 |
1659398691 | DR. AMRITA DHANJAL-REDDY MD Individual | Family Medicine | 625 N PLAZA DR APACHE JUNCTION, AZ 85120 (480) 983-0065 |
1699815704 | DR. MICHAEL HOWARD STUMPF M.D. Individual | Psychiatry & Neurology (Psychiatry) | 625 N PLAZA DR APACHE JUNCTION, AZ 85120 (480) 983-0065 |
1740424811 | CINDY E MARTIN PMHNP Individual | Nurse Practitioner (Psychiatric/Mental Health) | 625 N PLAZA DR APACHE JUNCTION, AZ 85120 (480) 983-0065 |
1215219977 | SHERRY WELBURN Individual | Counselor (Mental Health) | 625 N PLAZA DR APACHE JUNCTION, AZ 85120 (480) 983-0065 |
1831471671 | TED GREER LASAC Individual | Counselor (Addiction (Substance Use Disorder)) | 625 N PLAZA DR APACHE JUNCTION, AZ 85120 (480) 983-0065 |
1033484381 | MONIQUE A MORT LPC Individual | Counselor | 625 N PLAZA DR APACHE JUNCTION, AZ 85120 (480) 983-0065 |
1992066229 | ALETHEA BESSIRE LPC Individual | Counselor (Professional) | 625 N PLAZA DR APACHE JUNCTION, AZ 85120 (480) 983-0065 |
1619214962 | GUSTAVO MCGREW LISAC Individual | Counselor (Addiction (Substance Use Disorder)) | 625 N PLAZA DR APACHE JUNCTION, AZ 85120 (480) 983-0065 |
1982634697 | HODA E. HANNALLAH M.D. Individual | Psychiatry & Neurology (Psychiatry) | 625 N PLAZA DR APACHE JUNCTION, AZ 85120 (480) 983-0065 |
1710301924 | JEAN-PAUL A. KINGSLEY LCSW Individual | Social Worker (Clinical) | 625 N PLAZA DR APACHE JUNCTION, AZ 85120 (480) 983-0065 |
1235417197 | DEBRA KNOP NP Individual | Clinical Nurse Specialist (Psychiatric/Mental Health, Adult) | 625 N PLAZA DR APACHE JUNCTION, AZ 85120 (480) 983-0065 |
1801298476 | EMILY ILENE CORREA PA Individual | Physician Assistant | 625 N PLAZA DR APACHE JUNCTION, AZ 85120 (480) 983-0065 |
1518266428 | HORIZON HEALTH AND WELLNESS, INC. Organization | Family Medicine | 625 N PLAZA DR APACHE JUNCTION, AZ 85120 (480) 983-0065 |
1871991836 | HORIZON HEALTH AND WELLNESS, INC. Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 625 N PLAZA DR APACHE JUNCTION, AZ 85120 (480) 983-0065 |
1144605171 | MRS. JENNIFER P MCDONALD PA-C Individual | Physician Assistant (Medical) | 625 N PLAZA DR APACHE JUNCTION, AZ 85120 (480) 983-0065 |
1477046902 | KYLE BART DEWEY DNP, PMHNP-BC Individual | Nurse Practitioner (Psychiatric/Mental Health) | 625 N PLAZA DR APACHE JUNCTION, AZ 85120 (480) 983-0065 |
1235560087 | HORIZON HEALTH AND WELLNESS, INC. Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 625 N PLAZA DR APACHE JUNCTION, AZ 85120 (480) 983-0065 |
1891316907 | LORI A SMITH Individual | Counselor (Professional) | 625 N PLAZA DR APACHE JUNCTION, AZ 85120 (480) 474-5542 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750784617, enumerated in the NPI registry as an "individual" on October 06, 2014
The provider is located at 625 N Plaza Dr Apache Junction, Az 85120 and the phone number is (480) 278-3374
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
The provider has more than 11 years of experience.
The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Antidote. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $85.89 with an average copayment of $21.47 for new patient appointments. Established patients should expect a typical charge of $69.24 and an average copayment of 17.31. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes and Injection of drug or substance under skin or into muscle.
This NPI record was last updated on October 06, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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