Madison Taylor Tenkate , PA
Physician Assistant โข Vancouver, WA
6926 Ne Fourth Plain Blvd
Vancouver, WA 986617254
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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Madison Tenkate is listed in NPPES under Physician Assistant.
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NPI assigned on August 10, 2022; this date does not establish years in practice.
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Published CMS data list 156 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 โ Established patient outpatient office visit: 156 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table ยท Guide: How to read Medicare Part B data
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Published CMS data list 2,030 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Clozapine โ 134 prescription fills, including refills.
- Trazodone Hcl โ 117 prescription fills, including refills.
- Buspirone Hcl โ 115 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 44 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 60% of clinicians listed under Physician Assistant in Vancouver, WA (2024, 134 clinicians with data). Median for this group: 211. Middle half: 98 to 368.
Fewer Medicare Part B services than 60% of clinicians listed under Physician Assistant in Washington (2024, 1,713 clinicians with data). Median for this group: 218. Middle half: 77 to 481.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 22 in 2022 to 156 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022โ2024.
Practice Location & Contact Primary Location
6926 Ne Fourth Plain Blvd
Vancouver, WA 986617254
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Columbia River Mental Health Services. See the list
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026
2022
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
34 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $16,954 in 2024
The total amount Medicare approved for these services in 2024. 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 โ by Provider and Service, 2024.
Paid by Medicare
About $11,549 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, 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 โ by Provider and Service, 2024.
30-day fills
2,237 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
$342,350 in 2024
The total cost of these prescriptions in 2024, 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 โ by Provider and Drug, 2024.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021โ2025.
Years since graduation
4 years (graduated 2022)
CMS Doctors and Clinicians data list 2022 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.
NPI first issued
2022
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.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, CMS release of October 2, 2026; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.
Enrolled in Medicare (PECOS)
Madison Tenkate 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 Madison Tenkate 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 Vancouver and Washington
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 60% of clinicians listed under Physician Assistant in Vancouver, WA (2024, 134 clinicians with data). Median for this group: 211. Middle half: 98 to 368.
Fewer Medicare Part B services than 60% of clinicians listed under Physician Assistant in Washington (2024, 1,713 clinicians with data). Median for this group: 218. Middle half: 77 to 481.
Medicare-allowed amount
Close to the middle for clinicians listed under Physician Assistant in Vancouver, WA (2024, 134 clinicians with data). Median for this group: $14,524. Middle half: $7,728 to $24,645.
Close to the middle for clinicians listed under Physician Assistant in Washington (2024, 1,713 clinicians with data). Median for this group: $17,161. Middle half: $6,883 to $34,686.
Paid by Medicare
Close to the middle for clinicians listed under Physician Assistant in Vancouver, WA (2024, 134 clinicians with data). Median for this group: $10,652. Middle half: $5,658 to $18,257.
Close to the middle for clinicians listed under Physician Assistant in Washington (2024, 1,713 clinicians with data). Median for this group: $12,607. Middle half: $4,861 to $25,329.
Medicare Part D prescriptions
More Part D prescriptions than 75% of clinicians listed under Physician Assistant in Vancouver, WA (2024, 145 clinicians with data). Median for this group: 300. Middle half: 109 to 983.
More Part D prescriptions than 85% of clinicians listed under Physician Assistant in Washington (2024, 2,003 clinicians with data). Median for this group: 246. Middle half: 75 to 798.
Part D drug cost
A higher Part D drug cost than 90% of clinicians listed under Physician Assistant in Vancouver, WA (2024, 145 clinicians with data). Median for this group: $5,022. Middle half: $977 to $104,255.
A higher Part D drug cost than 90% of clinicians listed under Physician Assistant in Washington (2024, 2,003 clinicians with data). Median for this group: $4,375. Middle half: $766 to $64,886.
215 active clinicians are listed under Physician Assistant with a practice address in Vancouver, WA (3,812 in Washington).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Vancouver
21.4% of these 215 clinicians have the CMS telehealth indicator.
71.2% of these 215 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 increased 609% from 22 in 2022 to 156 in 2024.
- 2022: 22
- 2023: 164
- 2024: 156
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Medicare-allowed amount
Medicare-allowed amount increased 689% from $2,150 in 2022 to $16,954 in 2024.
- 2022: $2,150
- 2023: $16,072
- 2024: $16,954
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Paid by Medicare
Paid by Medicare increased 601% from $1,646 in 2022 to $11,549 in 2024.
- 2022: $1,646
- 2023: $10,778
- 2024: $11,549
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 14% from 1,787 in 2023 to 2,030 in 2024.
- 2023: 1,787
- 2024: 2,030
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30-day fills
30-day fills increased 20% from 1,868 in 2023 to 2,237 in 2024.
- 2023: 1,868
- 2024: 2,237
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Part D drug cost
Part D drug cost increased 35% from $253,525 in 2023 to $342,350 in 2024.
- 2023: $253,525
- 2024: $342,350
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021โ2023 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, 2022โ2024; 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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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
156 | 33 | $312.00 | $108.68 |
Source: CMS Part B by Provider and Service, 2024; 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.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Clozapine | Clozapine | 134 | 3,507 | $7,237.92 | 11 |
| Trazodone Hcl | Trazodone Hcl | 117 | 3,767 | $1,171.60 | 22 |
| Buspirone Hcl | Buspirone Hcl | 115 | 3,629 | $1,410.02 | 14 |
| Lamotrigine | Lamotrigine | 110 | 3,269 | $1,028.41 | 12 |
| Quetiapine Fumarate | Quetiapine Fumarate | 101 | 2,999 | $2,264.15 | 19 |
| Sertraline Hcl | Sertraline Hcl | 100 | 3,791 | $614.01 | 13 |
| Fluoxetine Hcl | Fluoxetine Hcl | 92 | 2,686 | $808.60 | 14 |
| Hydroxyzine Pamoate | Hydroxyzine Pamoate | 86 | 2,203 | $1,735.07 | 15 |
| Olanzapine | Olanzapine | 84 | 2,706 | $1,617.83 | 13 |
| Risperidone | Risperidone | 76 | 2,587 | $724.82 | โ |
| Invega Sustenna | Paliperidone Palmitate | 70 | 1,863 | $206,158.88 | โ |
| Duloxetine Hcl | Duloxetine Hcl | 69 | 2,141 | $1,490.60 | 11 |
| Escitalopram Oxalate | Escitalopram Oxalate | 65 | 2,100 | $306.48 | โ |
| Lorazepam | Lorazepam | 64 | 1,612 | $293.04 | 11 |
| Aripiprazole | Aripiprazole | 64 | 2,313 | $1,856.41 | โ |
| Bupropion Xl | Bupropion Hcl | 57 | 2,058 | $1,346.28 | โ |
| Paroxetine Hcl | Paroxetine Hcl | 48 | 1,440 | $405.20 | โ |
| Clonidine Hcl | Clonidine Hcl | 42 | 1,260 | $125.69 | โ |
| Ziprasidone Hcl | Ziprasidone Hcl | 38 | 1,136 | $936.18 | โ |
| Lithium Carbonate Er | Lithium Carbonate | 38 | 1,096 | $657.19 | โ |
| Prazosin Hcl | Prazosin Hcl | 33 | 1,044 | $409.45 | โ |
| Divalproex Sodium Er | Divalproex Sodium | 30 | 1,153 | $1,857.18 | โ |
| Mirtazapine | Mirtazapine | 30 | 1,080 | $182.55 | โ |
| Clonazepam | Clonazepam | 29 | 901 | $155.96 | โ |
| Venlafaxine Hcl Er | Venlafaxine Hcl | 28 | 891 | $498.56 | โ |
(top 25 shown)
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: 2025-05-12NUCC 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.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20221104001331
WA
0446627483
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026
Columbia River Mental Health Services
6926 Ne 4th Plain Blvd, Vancouver, WA 986617254
Columbia River Mental Health Services
6926 Ne 4th Plain Blvd, Vancouver, WA 986617254
Phone: 3609933000
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)
Psychiatry & Neurology - Geriatric Psychiatry
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Physician Assistant (license number reported to NPPES: WA PA61331033)
NPI status registered as active in NPPES database
Registered at 6926 NE FOURTH PLAIN BLVD, VANCOUVER, WA 986617254 (Tel: 3609933000)
Registered at 6926 NE FOURTH PLAIN BLVD, VANCOUVER, WA 986617254 (Tel: 3609933000)
Recorded as MADISON TENKATE, PA
Physician Assistant (license number reported to NPPES: WA PA.PA.61331033)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Vancouver
- Whitney Wriston, PA-C
- Jaime Simpkins, PA
- Rebecca Depalma
- Brianna Evetts, PA-C
- Alison Wan, PA-C
- Ila Champine, PA-C, RD
Mailing Address
6926 Ne Fourth Plain Blvd
Vancouver, WA 986617254
Phone: 3609933000