GERALD S MAXWELL (DO) – Family Medicine Physician, NPI 1972508711

GERALD S MAXWELL (DO) is a healthcare provider. based in Palm coast, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. OS9661 (FL). The NPI Number for GERALD S MAXWELL (DO) is 1972508711

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
GERALD S MAXWELL (DO)
NPI
1972508711
Phone
(330) 519-1071
Address
97 HERON DR
Enumeration Date
17 June 2005
Last Update Date
11 January 2021

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
3307932701
Graduation Year
1994 (32 years ago)
PAC ID
7113901695
Group Practice PAC ID
9234318270
Professional Enrollment ID
I20040614000847
Address ID
OH445152366AU5533XAVEX304
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience73
Completeness75
Years active:20State licenses:2Digital endpointsOther names

6,723 FAMILY PRACTICE in FL

Provider Addresses for GERALD S MAXWELL (DO)

  • 97 HERON DR

    PALM COAST, FL 321371313

    Phone: (330) 519-1071

    Type: Mailing

  • 2104 MASSEY AVE

    NS MAYPORT, FL 32228

    Phone: (904) 270-4220

    Fax: (904) 270-4448

    Type: Location

  • 5533 MAHONING AVE

    AUSTINTOWN, OH 445152366

    Phone: (330) 793-2701

    Fax: (330) 793-2366

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-06-14

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040614000847IFamily PracticeOHTBD

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 minutes21492$0
83036Hemoglobin a1c level7041$0
99213Established patient office or other outpatient visit, 20-29 minutes5733$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit3939$0
G0438Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit2323$0
View full utilization report →

Insurance plans in this area (ZIP 32137)

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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: 9234318270View full group profile

Reviews

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Frequently asked questions

What identifier follows GERALD S MAXWELL (DO) across health systems?
The NPI 1972508711 uniquely identifies GERALD S MAXWELL (DO) in U.S. healthcare data.
Is GERALD S MAXWELL (DO) currently accepting referrals based on NPI status?
Registry metadata lists GERALD S MAXWELL (DO) as active.
What does the directory say GERALD S MAXWELL (DO) does?
Insurance directories may phrase it differently, but here GERALD S MAXWELL (DO) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is GERALD S MAXWELL (DO) tied to Palm Coast, Florida?
If you are local to Palm Coast, Florida, GERALD S MAXWELL (DO) may be relevant to your search.
Why is information missing for GERALD S MAXWELL (DO)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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