MAXIM A. CHASANOV (M.D.) – Psychiatry Physician, NPI 1124028584
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,953 PSYCHIATRY in FL
Provider Addresses for MAXIM A. CHASANOV (M.D.)
6075 BATHEY LN
NAPLES, FL 341167536
Phone: (239) 455-8500
Fax: (239) 455-6561
Type: Location
Alexian Brothers Medical Plaza, 1786, Moon Lake Boulevard, Hoffman Estates, Schaumburg Township, Cook County, Illinois, 60194, United States
SUITE 104
HOFFMAN ESTATES, IL 601695029
Phone: (847) 755-8090
Fax: (847) 843-7393
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 70 Open Payments records for all available years, with a total value of $1,259.
Total Amount is formed as General ($1,259) + Research ($0) + Ownership ($0) = $1,259.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($293).
Total Amount
$1,259
General + Research + Ownership
Payments
70
Total payment records
General Amount
$1,259
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $293 |
| Teva Pharmaceuticals USA, Inc. | $238 |
| ABBVIE INC. | $195 |
| Janssen Pharmaceuticals, Inc | $119 |
| Indivior Inc. | $115 |
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: 2021-12-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20041014000194 | I | Psychiatry | IL | TBD |
| I20211216002422 | I | Psychiatry | 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 | 186 | 39 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 69 | 55 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 44 | 39 | $0 |
Insurance plans in this area (ZIP 34116)
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Provider's Procedures
Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | FL | |
| P S Y C H I A T R Y | MI | |
| P S Y C H I A T R Y | NY | |
| Clinical Social Worker | FL | |
| P S Y C H I A T R Y | FL | |
| P S Y C H I A T R Y | IN | |
| P S Y C H I A T R Y | CO | |
| P S Y C H I A T R Y | NY | |
| Clinical Social Worker | MA | |
| P S Y C H I A T R Y | NY |
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