Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Madison O'brien

Physician Assistant โ€ข Canton, GA

Active NPI 1851973267 Individual Practitioner Female Practitioner
Practice location in NPPES

1495 Hickory Flat Hwy Ste 100
Canton, GA 301154266

Call 7704421911 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1495 Hickory Flat Hwy Ste 100

Canton, GA 301154266

Telephone 7704421911
Fax 6786267900
Organization at the Same NPPES Address or Phone
Southeast Medical Group, P.c. Facility NPI 1235296054

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare-allowed amount

About $40,903 in 2023

The total amount Medicare approved for these services in 2023. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2023.

Paid by Medicare

About $29,131 in 2023

The part of the Medicare-allowed amount that Medicare itself paid in 2023, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2023.

30-day fills

791 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$19,869 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2024.

Open Payments general payments, program year 2025

All general payments: $700.36 across 34 records.

By nature of payment

  • Food and Beverage: $616.36 across 33 records.
  • Education: $84.00 across 1 record.

Reporting-company totals (3 largest of 11)

  • Janssen Pharmaceuticals, Inc: $183.98 across 7 records.
  • Madrigal Pharmaceuticals: $144.13 across 8 records.
  • Takeda Pharmaceuticals U.S.A., Inc.: $85.11 across 4 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Madison O'Brien has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Madison O'Brien as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Canton and Georgia

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

More Part D prescriptions than 65% of clinicians listed under Physician Assistant in Canton, GA (2024, 24 clinicians with data). Median for this group: 234. Middle half: 71 to 477.

More Part D prescriptions than 60% of clinicians listed under Physician Assistant in Georgia (2024, 2,084 clinicians with data). Median for this group: 227. Middle half: 71 to 699.

Part D drug cost

A higher Part D drug cost than 65% of clinicians listed under Physician Assistant in Canton, GA (2024, 24 clinicians with data). Median for this group: $2,443. Middle half: $456 to $28,296.

A higher Part D drug cost than 60% of clinicians listed under Physician Assistant in Georgia (2024, 2,084 clinicians with data). Median for this group: $4,172. Middle half: $609 to $75,033.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Madison O'Brien are from 2023.

50 active clinicians are listed under Physician Assistant with a practice address in Canton, GA (4,665 in Georgia).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Canton

8% of these 50 clinicians have the CMS telehealth indicator.

60% of these 50 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2023), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 โ€“ December 31, 2025): 34 records totaling $700.36.

Manufacturer Payment Nature Product Type Amount ($)
Janssen Pharmaceuticals, Inc
Education
In-kind items and services
TREMFYA General $84.00
Regeneron Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
DUPIXENT General $30.35
Sanofi and Genzyme US Companies
Food and Beverage
In-kind items and services
DUPIXENT General $28.29
Takeda Pharmaceuticals U.S.A., Inc.
Food and Beverage
In-kind items and services
ENTYVIO General $25.82
Sanofi and Genzyme US Companies
Food and Beverage
In-kind items and services
DUPIXENT General $23.41
Madrigal Pharmaceuticals
Food and Beverage
In-kind items and services
REZDIFFRA General $22.48
Madrigal Pharmaceuticals
Food and Beverage
In-kind items and services
REZDIFFRA General $22.14
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
TREMFYA General $20.98
Madrigal Pharmaceuticals
Food and Beverage
In-kind items and services
REZDIFFRA General $20.65
Takeda Pharmaceuticals U.S.A., Inc.
Food and Beverage
In-kind items and services
ENTYVIO General $20.16
Eli Lilly and Company
Food and Beverage
In-kind items and services
OMVOH General $20.07
Ardelyx, Inc.
Food and Beverage
In-kind items and services
IBSRELA General $19.72
Takeda Pharmaceuticals U.S.A., Inc.
Food and Beverage
In-kind items and services
ENTYVIO General $19.68
Eli Lilly and Company
Food and Beverage
In-kind items and services
OMVOH General $19.58
Madrigal Pharmaceuticals
Food and Beverage
In-kind items and services
REZDIFFRA General $19.45
Takeda Pharmaceuticals U.S.A., Inc.
Food and Beverage
In-kind items and services
ENTYVIO General $19.45
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
TREMFYA General $18.94
Janssen Pharmaceuticals, Inc
Food and Beverage
In-kind items and services
TREMFYA General $18.86
Salix Pharmaceuticals, a division of Bausch Health US, LLC
Food and Beverage
In-kind items and services
XIFAXAN General $18.71
Regeneron Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
DUPIXENT General $18.65
ABBVIE INC.
Food and Beverage
In-kind items and services
RINVOQ General $17.54
Pfizer Inc.
Food and Beverage
In-kind items and services
XELJANZ General $16.87
Madrigal Pharmaceuticals
Food and Beverage
In-kind items and services
REZDIFFRA General $16.69
Salix Pharmaceuticals, a division of Bausch Health US, LLC
Food and Beverage
In-kind items and services
XIFAXAN General $16.39
Madrigal Pharmaceuticals
Food and Beverage
In-kind items and services
REZDIFFRA General $16.08

(top 25 shown)

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2023.

CMS Part B ยท Data Year 2023
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021โ€“2022 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2022โ€“2023; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
178 152 $276.00 $73.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
152 132 $392.00 $105.81
99442 Telephone medical discussion with physician, 11-20 minutes
40 36 $228.00 $57.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
36 36 $507.00 $140.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
31 31 $339.00 $93.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
20 20 $170.00 $43.23
99202 New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more
11 11 $221.00 $61.09

Source: CMS Part B by Provider and Service, 2023; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Pantoprazole Sodium Pantoprazole Sodium 169 11,042 $2,194.05 78
Famotidine Famotidine 89 5,471 $862.36 46
Omeprazole Omeprazole 75 4,690 $852.99 32
Linzess Linaclotide 17 720 $12,770.01 โ€”
Esomeprazole Magnesium Esomeprazole Magnesium 17 1,170 $643.21 โ€”
Dexlansoprazole Dr Dexlansoprazole 14 540 $2,545.88 โ€”

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-04-25
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Georgia Composite Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20211026000422

Enrollment State Jurisdiction

GA

PECOS Control ID

7113315060

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Mahboob Aamer , MD

Internal Medicine - Nephrology

NPI 1437266202

Doctor of Medicine (M.D.)

Dr. Pooja Agarwal , MD

Family Medicine

NPI 1891041125

Doctor of Medicine (M.D.)

Dr. Ahmad Al-Dabagh , MD

Internal Medicine

NPI 1104858794

Doctor of Medicine (M.D.)

Dr. Kezia Alex , MD

Family Medicine

NPI 1942797949

Doctor of Medicine (M.D.)

Dr. Ansa Anderson , MD

Family Medicine

NPI 1376073015

Doctor of Medicine (M.D.)

Sarah Balkcom , PA

Physician Assistant - Medical

NPI 1023572849

Physician Assistant

Career & Practice History

NPI enumerated April 25, 2021.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from May 2021 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1851973267
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 25, 2021
Last Update: April 25, 2021
Sole Proprietor: No

Other Physician Assistants in Canton

All Physician Assistants in Canton

Mailing Address

611 Lovinggood Trl

Woodstock, GA 301897413

Phone: 4048893189

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.