MAXWELL MARTIN HAYDEN – Podiatrist, NPI 1093211955

MAXWELL MARTIN HAYDEN is a healthcare provider. based in Dixon, Illinois. specializing in PODIATRY. They hold a License No. 016005867 (IL). The NPI Number for MAXWELL MARTIN HAYDEN is 1093211955

Main info

Male
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
MAXWELL MARTIN HAYDEN
NPI
1093211955
Phone
(815) 285-5801
Address
215 E 1ST ST STE 310
Enumeration Date
31 March 2018
Last Update Date
18 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6184434138
Graduation Year
2018 (8 years ago)
PAC ID
8527465756
Group Practice PAC ID
6709870462
Professional Enrollment ID
I20210930000827
Address ID
IL622861048SP1300XSTXX400

Contacts

Secure Messaging
nch@spartahospital.hin.us
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

1,038 PODIATRY in IL

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Provider Addresses for MAXWELL MARTIN HAYDEN

  • 310, East 1st Street, Ponca, Dixon County, Nebraska, 68770, United States

    DIXON, IL 610213190

    Phone: (815) 285-5801

    Type: Mailing

  • PO BOX 378

    SPARTA, IL 622860378

    Phone: (618) 443-2177

    Type: Mailing

  • PO BOX 297

    SPARTA, IL 622860297

    Phone: (618) 443-1337

    Fax: (618) 443-1383

    Type: Mailing

  • 1300 N MARKET ST

    SPARTA, IL 622861048

    Phone: (618) 443-4138

    Fax: (618) 443-2956

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 18 Open Payments records for all available years, with a total value of $968.

Total Amount is formed as General ($968) + Research ($0) + Ownership ($0) = $968.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Stryker Corporation ($629).

Total Amount

$968

General + Research + Ownership

Payments

18

Total payment records

General Amount

$968

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

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: 2021-09-30

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
I20210930000827IPodiatryILTBD

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
11042Removal of skin and tissue, 20.0 sq cm or less11412$0
View full utilization report →

Insurance plans in this area (ZIP 61021)

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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: 6709870462View full group profile
NameSpecialtyState
Nurse PractitionerIL
-IL
Family PracticeIL
R H E U M A T O L O G YIL
Nurse PractitionerIL
Family PracticeIL
Pain Management, Physical Medicine And Rehabilitation, Physical Medicine And Rehabilitation, Pain ManagementMO
-MO
Physician AssistantIL
Physician AssistantIL

Reviews

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Frequently asked questions

What unique ID ties claims to MAXWELL MARTIN HAYDEN?
NPI 1093211955 is assigned to MAXWELL MARTIN HAYDEN under the national enumeration system.
Is MAXWELL MARTIN HAYDEN's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does MAXWELL MARTIN HAYDEN list a primary specialty?
If you are matching referrals, note Podiatrist for MAXWELL MARTIN HAYDEN. Clinical services aligned with this taxonomy classification.
What location metadata exists for MAXWELL MARTIN HAYDEN?
The page summarizes Dixon, Illinois for MAXWELL MARTIN HAYDEN; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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