MAXIM A. CHASANOV (M.D.) – Psychiatry Physician, NPI 1124028584

MAXIM A. CHASANOV (M.D.) is a healthcare provider. based in Naples, Florida. specializing in PSYCHIATRY. They hold the professional credentials M.D.. They hold a License No. ME153055 (FL). The NPI Number for MAXIM A. CHASANOV (M.D.) is 1124028584

Main info

Male
Sole Proprietor
36 Years Of Experience
Accepts Medicare Assignment
Name
MAXIM A. CHASANOV (M.D.)
NPI
1124028584
Phone
(239) 455-8500
Address
6075 BATHEY LN
Enumeration Date
28 July 2005
Last Update Date
19 March 2025

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
8333518255
Graduation Year
1990 (36 years ago)
PAC ID
9234199233
Group Practice PAC ID
4880064070
Professional Enrollment ID
I20041014000194
Address ID
IL618203976CH206XXSTXX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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

View all Open Payments →|Open Payments Risk Radar →

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041014000194IPsychiatryILTBD
I20211216002422IPsychiatryFLTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes18639$0
90791Psychiatric diagnostic evaluation6955$0
90792Psychiatric diagnostic evaluation with medical services4439$0
View full utilization report →

Insurance plans in this area (ZIP 34116)

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Provider's Procedures

MAXIM A. CHASANOV (M.D.) performs procedures in PSYCHIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYIL90792Psychiatric diagnostic evaluation with medical services4242
PSYCHIATRYIL90853Group psychotherapy8913

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880064070View full group profile
NameSpecialtyState
P S Y C H I A T R YFL
P S Y C H I A T R YMI
P S Y C H I A T R YNY
Clinical Social WorkerFL
P S Y C H I A T R YFL
P S Y C H I A T R YIN
P S Y C H I A T R YCO
P S Y C H I A T R YNY
Clinical Social WorkerMA
P S Y C H I A T R YNY

Reviews

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Frequently asked questions

Is MAXIM A. CHASANOV (M.D.) listed with a National Provider Identifier?
Yes — MAXIM A. CHASANOV (M.D.) has NPI 1124028584 on file in the registry.
Would MAXIM A. CHASANOV (M.D.) appear as active to a payer?
You can treat MAXIM A. CHASANOV (M.D.) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to MAXIM A. CHASANOV (M.D.)?
MAXIM A. CHASANOV (M.D.)'s specialty line reads Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MAXIM A. CHASANOV (M.D.)?
Travel planning: use Naples, Florida as the reference point for MAXIM A. CHASANOV (M.D.), then confirm.
Does MAXIM A. CHASANOV (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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