CMS-1500 Box 24J / 33a • NPI
1245239045
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
363A00000X (CMS 97)
Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant
Box 32 Service Location & ZIP+4
800 SHARE DR, ALVA, OK, 73717-3618
✓ 9-Digit EDI 837 ZIP+4 (73717-3618)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1245239045 (STEVE M MADRID, PA) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Medicare Part B
✓ Eligible
DMEPOS Ordering
✓ Eligible
Home Health (HHA)
✓ Eligible
Power Mobility
✓ Eligible
Hospice Referring
No
Empirical CMS Medicare Claims, CPT Utilization & Part D Prescribing (NPI #1245239045)
Medicare Beneficiaries
114
Total Billed Services
1,005
Distinct CPT/HCPCS Codes
20
Medicare Allowed Total
$11,045.03
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
96372 | Injection of drug or substance under skin or into muscle | 21 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 73 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 17 |
99283 | Emergency department visit with low level of medical decision making | 13 |
99284 | Emergency department visit with moderate level of medical decision making | 14 |
99285 | Emergency department visit with high level of medical decision making | 11 |
J1010 | Injection, methylprednisolone acetate, 1 mg | 801 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Acetaminophen-Codeine Acetaminophen With Codeine | 30 | <11 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 25 | 15 |
| Alendronate Sodium Alendronate Sodium | 27 | <11 |
| Allopurinol Allopurinol | 36 | <11 |
| Alprazolam Alprazolam | 50 | 12 |
| Amiodarone Hcl Amiodarone Hcl | 11 | <11 |
| Amitriptyline Hcl Amitriptyline Hcl | 18 | <11 |
| Amlodipine Besylate Amlodipine Besylate | 115 | 37 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1245239045 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | STEVE M MADRID, PA |
| Plain-English Specialty | Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant NUCC Code: 363A00000X (Physician Assistant) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 800 SHARE DR, ALVA, OK, 73717-3618 |
| Practice Telephone / Fax | Tel: (580) 430-3366 | Fax: (580) 430-3354 |
| Administrative Mailing Address | PO BOX 727, ALVA, OK, 73717-0727 |
| Enumeration & Last Sync | Enumerated: 2005-07-14 | CMS Record Updated: 2025-07-18 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (363A00000X)
What Does Taxonomy Code 363A00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 363A00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (STEVE M MADRID, PA)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
363A00000X — Physician AssistantPlain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Physician Assistant | State: OK | License: 870 PA | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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