Madison O'Hara, PA-C
NPI 1952000549 · Physician Assistant · Oak Ridge, TN
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Madison O'Hara, PA-C is a Physician Assistant provider in Oak Ridge, TN (NPI 1952000549).
Provider details
- NPI number
- 1952000549
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 5409 (TN)
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
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
362 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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 118 | $70 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More99203 | 46 | $87 |
| X-Ray of Knee, 3 Views73562 | 38 | $31 |
| X-Ray of Lower and Sacral Spine, 2-3 Views72100 | 23 | $30 |
| X-Ray of Shoulder, Minimum of 2 Views73030 | 23 | $26 |
| X-Ray of Elbow, Minimum of 3 Views73080 | 21 | $25 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Methylprednisolone | 18 | 18 |
| Meloxicam | 15 | 14 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$17 across 1 record (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
Registry dates
- Enumerated
- 2023-03-02
- Last updated
- 2023-10-13
- Certified
- 2023-10-13
Frequently asked questions
- What is Madison O'Hara's NPI number?
- Madison O'Hara's National Provider Identifier (NPI) is 1952000549, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Madison O'Hara's specialty?
- Madison O'Hara is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Madison O'Hara located?
- Madison O'Hara's practice location on file with NPPES is 961 Oak Ridge Tpke, Oak Ridge, TN 37830-8832.
- What is Madison O'Hara's phone number?
- The practice phone number listed in the NPPES registry for Madison O'Hara is (865) 690-4861.
- Does Madison O'Hara accept Medicare?
- Madison O'Hara is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Madison O'Hara's NPI active?
- Yes — Madison O'Hara's NPI (1952000549) is active in the NPPES registry as of the last update on 2023-10-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.