DAVID MAYNOLDI (M.D.) – Hospitalist Physician, NPI 1144591249

DAVID MAYNOLDI (M.D.) is a healthcare provider. based in Fleming island, Florida. specializing in FAMILY PRACTICE, HOSPITALIST, INTERNAL MEDICINE. They hold the professional credentials M.D.. They hold a License No. ME130811 (FL). The NPI Number for DAVID MAYNOLDI (M.D.) is 1144591249

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
DAVID MAYNOLDI (M.D.)
NPI
1144591249
Phone
(877) 842-4020
Address
5000-18 US HIGHWAY 17 SOUTH
Enumeration Date
20 January 2012
Last Update Date
23 March 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7062910291
Graduation Year
2007 (19 years ago)
PAC ID
6002136934
Group Practice PAC ID
5597774554
Professional Enrollment ID
I20171027002233
Address ID
GA301651415RO501XXNWXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:14State licenses:1Digital endpointsOther names

6,723 FAMILY PRACTICE in FL

Provider Addresses for DAVID MAYNOLDI (M.D.)

  • 5000-18 US HIGHWAY 17 SOUTH

    241

    FLEMING ISLAND, FL 32003

    Phone: (877) 842-4020

    Fax: (877) 842-4020

    Type: Mailing

  • 1202 KINGSLEY AVE

    ORANGE PARK, FL 320734632

    Phone: (877) 842-4020

    Fax: (877) 842-4020

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 23 Open Payments records for all available years, with a total value of $3,898.

Total Amount is formed as General ($3,898) + Research ($0) + Ownership ($0) = $3,898.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: PhotoniCare Inc ($3,531).

Total Amount

$3,898

General + Research + Ownership

Payments

23

Total payment records

General Amount

$3,898

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2017-10-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20151021002117IFamily PracticeSCTBD
I20170621000707IFamily PracticeFLTBD
I20171027002233IInternal MedicineGATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes547268$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes220171$0
99214Established patient office or other outpatient visit, 30-39 minutes15757$0
99238Hospital discharge day management, 30 minutes or less101100$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes8181$0
View full utilization report →

Insurance plans in this area (ZIP 32003)

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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: 5597774554View full group profile
NameSpecialtyState
-FL
-GA
-GA
Internal MedicineFL
Internal Medicine, HospitalistKY
Internal MedicineGA
Internal MedicineAL
H O S P I T A L I S TCA
-AL
Physician AssistantGA

Reviews

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Frequently asked questions

What is the 10-digit NPI for DAVID MAYNOLDI (M.D.)?
DAVID MAYNOLDI (M.D.) — NPI 1144591249 — is the standard way to identify this listing.
Is DAVID MAYNOLDI (M.D.) still practicing?
DAVID MAYNOLDI (M.D.) is currently listed as active in the public NPI registry.
What taxonomy line describes DAVID MAYNOLDI (M.D.)?
For research purposes, treat DAVID MAYNOLDI (M.D.) as Hospitalist Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DAVID MAYNOLDI (M.D.)?
DAVID MAYNOLDI (M.D.)'s geographic hint is Fleming Island, Florida in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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