MAXWELL S III MACCOLLUM (M.D.) – Orthopaedic Surgery Physician, NPI 1922091503
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
663 ORTHOPEDIC SURGERY in AZ
Provider Addresses for MAXWELL S III MACCOLLUM (M.D.)
PO BOX 29870
PHOENIX, AZ 850389870
Phone: (602) 772-3805
Fax: (602) 772-3801
Type: Mailing
6760 W Thunderbird Rd Ste E110
Peoria, AZ 853815027
Phone: (602) 648-5444
Fax: (602) 772-3801
Type: Location
10450, West McDowell Road, Avondale, Maricopa County, Arizona, 85392, United States
STE 102
AVONDALE, AZ 853924802
Phone: (623) 846-1746
Fax: (623) 846-0993
Type: Location
PO BOX 80217
PHOENIX, AZ 850600217
Phone: (602) 385-2115
Fax: (480) 418-3323
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $121.
Total Amount is formed as General ($121) + Research ($0) + Ownership ($0) = $121.
Last reported payment date: 2024-05-10 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($121).
Total Amount
$121
General + Research + Ownership
Payments
4
Total payment records
General Amount
$121
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Zimmer Biomet Holdings, Inc. | $121 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-05-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100510000496 | I | Orthopedic Surgery | AZ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 258 | 162 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 207 | 143 | $0 |
| J1040 | Injection, methylprednisolone acetate, 80 mg | 147 | 102 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 121 | 121 | $0 |
| 73030 | X-ray of shoulder, minimum of 2 views | 116 | 90 | $0 |
Insurance plans in this area (ZIP 85038)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Orthopedic Surgery | AZ | |
| Physician Assistant | AZ | |
| Physical Therapist In Private Practice | AZ | |
| Orthopedic Surgery | UT | |
| Physician Assistant | AZ | |
| Physical Therapist In Private Practice | MT | |
| Physical Therapist In Private Practice | IL | |
| - | AZ | |
| - | AZ | |
| Physical Therapist In Private Practice | UT |
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