Madison Gonsalves
NPI 1043904899 · Physician Assistant · Lexington, KY
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Madison Gonsalves is a Physician Assistant provider in Lexington, KY (NPI 1043904899).
Provider details
- NPI number
- 1043904899
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
3 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
42 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 16 | $97 |
| Telephone Medical Discussion With Physician, 11-20 Minutes99442 | 15 | $68 |
| Electronic Analysis Reprogramming and Refill of Spinal Canal Drug Infusion Pump By Physician62370 | 11 | $64 |
Typical Medicare-allowed amounts for these services range $64–$97 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$272 across 8 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 4071 Tates Creek Centre DrLexington, KY 40517-3062Phone: (859) 695-2111
Registry dates
- Enumerated
- 2023-06-05
- Last updated
- 2024-08-29
- Certified
- 2024-08-29
Frequently asked questions
- What is Madison Gonsalves's NPI number?
- Madison Gonsalves's National Provider Identifier (NPI) is 1043904899, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Madison Gonsalves's specialty?
- Madison Gonsalves is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Madison Gonsalves located?
- Madison Gonsalves's practice location on file with NPPES is 205 Charles T Wethington Building, Lexington, KY 40536-8515.
- What is Madison Gonsalves's phone number?
- The practice phone number listed in the NPPES registry for Madison Gonsalves is (859) 257-5001.
- Does Madison Gonsalves accept Medicare?
- Madison Gonsalves is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Madison Gonsalves's NPI active?
- Yes — Madison Gonsalves's NPI (1043904899) is active in the NPPES registry as of the last update on 2024-08-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.