Roger J Madore, PA CC

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA2133 Issued in FL

Practice address

2955 Brownwood Blvd
The Villages, FL 32163-2039

Phone

(352) 674-8714

NPI assigned

Dec 8, 2006

Last updated

Aug 18, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Villages Health System LLCGroup PAC ID 2163667288, 146 clinicians

Centerwell Senior Primary Care Vitality IncGroup PAC ID 4486152899, 144 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

94.62 of 100Reported as group

Quality

91.57

Promoting interoperability

100

Improvement activities

40

Cost

85.85

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: roger.madore.1@18324.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Centerwell Senior Primary Care Vitality Inc

  • Internal Medicine Physician
  • The Villages, FL
  • NPI 1730076621
  Medicare reassignment Care Compare group NPD
• The Villages Health System LLC

  dba The Villages Health

  • General Practice Physician
  • The Villages, FL
  • NPI 1699012922
  Medicare reassignment Care Compare group
• Gastro-Intestinal Consultants of Central Florida, LLC

  • Gastroenterology Physician
  • Tavares, FL
  • NPI 1982642922
  Medicare reassignment
• Centerwell Senior Primary Care Vitality Inc

  • Internal Medicine Physician
  • The Villages, FL
  • NPI 1457223406
  NPD
• Centerwell Senior Primary Care Vitality Inc

  • Internal Medicine Physician
  • The Villages, FL
  • NPI 1801768841
  NPD
• Arun K Singh M.D.,P.a.

  • Specialist
  • Ocala, FL
  • NPI 1245540442
  NPD (past)
• Urology Center of FL Physicians Inc

  • Multi-Specialty Clinic/Center
  • Ocala, FL
  • NPI 1396786521
  NPD (past)
• Urology Health Team PLLC

  • Urology Physician
  • Ocala, FL
  • NPI 1174856272
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1699834358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 LAKE SUMTER LANDING",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "32162",
            "telephone_number": "352-674-1700",
            "fax_number": "352-674-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 BROWNWOOD BLVD",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321632039",
            "telephone_number": "352-674-8714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADORE",
        "first_name": "ROGER",
        "middle_name": "J",
        "credential": "PA CC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA2133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison G Luther, ARNP
• Karalyn Macgillivary, LCSW
• Carolyn Sosing Macuha, RN, MAN
• Faustino Ang Macuha Jr., MD
• Michelle Madonna, ARNP
• Magnolia Pharmacyone LLC
• Maha Sai LLC (Lake Sumter Landing Pharmacy)
• William Barton Mahan, HAS-BC 1808
• Seemab Nazar Malik, M.D.
• Corey Jamian Mallette, LCSW

• Surgical Physician Assistant in The Villages, FL
• Providers in The Villages, FL by specialty
• Surgical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.