CMS-1500 Box 24J / 33a • NPI
1992480909
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
151 WORCESTER RD, BARRE, MA, 01005-9099
✓ 9-Digit EDI 837 ZIP+4 (01005-9099)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1992480909 (MADISON RILEY JEBB, PA-C) 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 #1992480909)
Medicare Beneficiaries
137
Total Billed Services
363
Distinct CPT/HCPCS Codes
16
Medicare Allowed Total
$18,251.99
Actual Top Billed CPT / HCPCS Procedures (CMS Part B)
| CPT / HCPCS | Clinical Procedure Description | Services |
|---|---|---|
99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 62 |
99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 53 |
99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 48 |
99215 | Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | 52 |
G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 11 |
G2211 | Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's | 118 |
Actual Top Prescribed Medications (CMS Part D)
| Brand / Generic Medication | Total Claims | Patients |
|---|---|---|
| Albuterol Sulfate Hfa Albuterol Sulfate | 29 | 15 |
| Amlodipine Besylate Amlodipine Besylate | 42 | 20 |
| Atenolol Atenolol | 24 | <11 |
| Atorvastatin Calcium Atorvastatin Calcium | 74 | 34 |
| Bupropion Xl Bupropion Hcl | 11 | <11 |
| Cefpodoxime Proxetil Cefpodoxime Proxetil | 12 | 11 |
| Donepezil Hcl Donepezil Hcl | 13 | <11 |
| Duloxetine Hcl Duloxetine Hcl | 14 | <11 |
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1992480909 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MADISON RILEY JEBB, PA-C |
| 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 | 151 WORCESTER RD, BARRE, MA, 01005-9099 |
| Practice Telephone / Fax | Tel: (978) 355-6321 |
| Administrative Mailing Address | PO BOX 415348, BOSTON, MA, 02241-5348 |
| Enumeration & Last Sync | Enumerated: 2023-06-19 | CMS Record Updated: 2026-04-22 |
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 (MADISON RILEY JEBB, PA-C)
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: MA | License: PA9529 | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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