DONALD JAMES MADDACK (DO) – Family Medicine Physician, NPI 1013911031
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
6,722 FAMILY PRACTICE in FL
Provider Addresses for DONALD JAMES MADDACK (DO)
2675 WINKLER AVE FL 2
FORT MYERS, FL 339019342
Phone: (877) 856-3774
Type: Mailing
901 VENETIA BAY BLVD STE 110
VENICE, FL 342858042
Phone: (941) 484-4778
Fax: (941) 485-8063
Type: Location
Kelle Drive, Chesterton, Porter County, Indiana, 46304, United States
CHESTERTON, IN 463048708
Phone: (219) 364-3616
Fax: (219) 364-3610
Type: Mailing
Willowcreek Road, Willow Creek, Portage, Porter County, Indiana, 46368, United States
PORTAGE, IN 463684423
Phone: (219) 762-3175
Fax: (219) 763-3092
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 175 Open Payments records for all available years, with a total value of $3,347.
Total Amount is formed as General ($3,347) + Research ($0) + Ownership ($0) = $3,347.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: PFIZER INC. ($594).
Total Amount
$3,347
General + Research + Ownership
Payments
175
Total payment records
General Amount
$3,347
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $594 |
| Lilly USA, LLC | $575 |
| ABBVIE INC. | $494 |
| GlaxoSmithKline, LLC. | $374 |
| Exact Sciences Corporation | $178 |
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: 2021-08-14
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 |
|---|---|---|---|---|
| I20210814000197 | I | Family Practice | FL | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 380 | 254 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 307 | 185 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 264 | 189 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 209 | 209 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 205 | 181 | $0 |
Insurance plans in this area (ZIP 33901)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | IN | 83036 | Hemoglobin A1C level | 205 | 75 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | FL | |
| Nurse Practitioner | FL | |
| Family Practice | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| - | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| Cardiovascular Disease (Cardiology), Internal Medicine | FL |
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