HALEY C MAXWELL (PA) – Physician Assistant, NPI 1639769847
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,232 PHYSICIAN ASSISTANT in FL
Provider Addresses for HALEY C MAXWELL (PA)
2902 59TH ST W STE C
BRADENTON, FL 342097021
Phone: (941) 877-7000
Fax: (941) 242-1440
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 190 Open Payments records for all available years, with a total value of $4,337.
Total Amount is formed as General ($4,337) + Research ($0) + Ownership ($0) = $4,337.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($1,050).
Total Amount
$4,337
General + Research + Ownership
Payments
190
Total payment records
General Amount
$4,337
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $1,050 |
| AstraZeneca Pharmaceuticals LP | $570 |
| Lilly USA, LLC | $438 |
| PFIZER INC. | $222 |
| GlaxoSmithKline, LLC. | $213 |
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: 2021-08-26
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 |
|---|---|---|---|---|
| I20210826001313 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 203 | 162 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 122 | 105 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 87 | 87 | $0 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 42 | 42 | $0 |
| G0009 | Administration of pneumococcal vaccine | 40 | 40 | $0 |
Insurance plans in this area (ZIP 34209)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Cardiovascular Disease (Cardiology) | FL | |
| Nurse Practitioner | IN | |
| Physician Assistant | FL | |
| Physician Assistant | VA | |
| Physician Assistant | FL | |
| Family Practice | OK |
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