Ruby A Madden , PA-C
Physician Assistant • Lexington, KY
1000 S Limestone
Lexington, KY 405363742
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on October 20, 2006; this date does not establish years in practice.
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Published CMS data list 47 Original Medicare Part B services in 2019.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019. Published rows only; this is not a quality measure.
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Published Part B service records, 2019:
- 99285 — Emergency department visit with high level of medical decision making: 32 service units.
- 99284 — Emergency department visit with moderate level of medical decision making: 15 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2019. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2018 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2019). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Published CMS data list 15 Medicare Part D prescriptions, including refills, in 2021.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2021. Published rows only; this is not a quality measure.
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Published Part D records, 2021:
- Amlodipine Besylate — 15 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2021. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table · Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 92 in 2017 to 47 in 2019.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017–2019.
Practice Location & Contact Primary Location
1000 S Limestone
Lexington, KY 405363742
NPPES lists 1 additional practice-address record in Lexington, KY. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $6,077 in 2019
The total amount Medicare approved for these services in 2019. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
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 – by Provider and Service, 2019.
Paid by Medicare
About $4,786 in 2019
The part of the Medicare-allowed amount that Medicare itself paid in 2019, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
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 – by Provider and Service, 2019.
30-day fills
21 standardized 30-day fills in 2021
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
$136 in 2021
The total cost of these prescriptions in 2021, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
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 – by Provider and Drug, 2021.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021–2025.
NPI first issued
2006
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, “Does your provider accept Medicare as full payment?”
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.
Enrolled in Medicare (PECOS)
Ruby Madden 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.
Can order Medicare-covered services
CMS lists Ruby Madden 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.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
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.
Compared with the same specialty in Lexington and Kentucky
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Ruby Madden are from 2019.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Ruby Madden are from 2021.
585 active clinicians are listed under Physician Assistant with a practice address in Lexington, KY (1,958 in Kentucky).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Lexington
11.5% of these 585 clinicians have the CMS telehealth indicator.
63.1% of these 585 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 49% from 92 in 2017 to 47 in 2019.
- 2017: 92
- 2018: 56
- 2019: 47
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Medicare-allowed amount
Medicare-allowed amount decreased 26% from $8,252 in 2017 to $6,077 in 2019.
- 2017: $8,252
- 2018: $6,249
- 2019: $6,077
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Paid by Medicare
Paid by Medicare decreased 26% from $6,466 in 2017 to $4,786 in 2019.
- 2017: $6,466
- 2018: $4,912
- 2019: $4,786
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Medicare Part D prescriptions
CMS data for Part D prescriptions are available for 2021 only.
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30-day fills
CMS data for 30-day fills are available for 2021 only.
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Part D drug cost
CMS data for Part D drug cost are available for 2021 only.
Sources: CMS Medicare Physician & Other Practitioners (2019), CMS Medicare Part D Prescribers (2021), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2018 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 – by Provider and Service data, 2017–2019; 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 |
|---|---|---|---|---|
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99285
Emergency department visit with high level of medical decision making
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32 | 32 | $409.88 | $144.09 |
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99284
Emergency department visit with moderate level of medical decision making
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15 | 15 | $281.80 | $97.76 |
Source: CMS Part B by Provider and Service, 2019; 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 2021.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Amlodipine Besylate | Amlodipine Besylate | 15 | 630 | $135.90 | — |
Source: CMS Part D by Provider and Drug, 2021; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-08-12NUCC 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.
NUCC Taxonomy Code: 363AM0700X
NUCC Taxonomy Code: 363AS0400X
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20080417000187
KY
2264510155
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Secondary Practice Locations
1 Saint Joseph Dr
Lexington, KY 405043742
Phone: 8593131000
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Physician Assistant (Certified)
Emergency Medicine
Doctor of Osteopathic Medicine (D.O.)
Emergency Medicine
Doctor of Medicine (M.D.)
Emergency Medicine
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Emergency Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1000 S LIMESTONE, LEXINGTON, KY 405363742 (Tel: 8593235901)
Physician Assistant (license number reported to NPPES: KY PA518)
NPI status registered as active in NPPES database
Registered at 1 SAINT JOSEPH DR, LEXINGTON, KY 405043742 (Tel: 8593131000)
Registered at 295 MALABU DR, LEXINGTON, KY 405023232 (Tel: 8599863151)
Recorded as RUBY MADDEN, PA-C
Physician Assistant (license number reported to NPPES: KY PA518)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Lexington
- Pamela Kouns, PA
- Holly Stilz, PA-C
- Amy Antle, PA
- Elizabeth Smith, PA-C
- Alexandrea Orange
- Heather Pile, PA-C
More public profiles in Kentucky
Directory navigation, in NPI number order.
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- Tammy Guffey, NP Nurse Practitioner · Somerset
- Grace Klain, PT, DPT Physical Therapist · La Grange
- Tisa Williams Nurse Practitioner - Gerontology · Louisville
- Love Bratcher, APRN Nurse Practitioner - Family · Louisville
- Michelle Cottingham Nurse Practitioner - Family · Union
- Samuel Calvert Optometrist · Bowling Green
- Henry Spear, MD Family Medicine · Somerset
- Taylor Rich Nurse Practitioner - Family · Louisville
- Yaser Valiuddin Student in an Organized Health Care Education/Training Program · Bowling Green
- Cassidy Pearce, PA Physician Assistant · Lexington
- Ashton Tyler, PT, DPT Physical Therapist · Louisville
Mailing Address
295 Malabu Dr
Lexington, KY 405023232
Phone: 8599863151