DR. MAXWELL JAMES SELF (M.D.) – Family Medicine Physician, NPI 1497736011
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,421 FAMILY PRACTICE in KS
Provider Addresses for DR. MAXWELL JAMES SELF (M.D.)
401 WOODLAND HILLS BLVD
FORT SCOTT, KS 667018797
Phone: (620) 223-8040
Fax: (620) 223-8002
Type: Location
3011, North Michigan Street, Pittsburg, Crawford County, Kansas, 66762, United States
PITTSBURG, KS 667622546
Phone: (620) 231-9873
Fax: (620) 240-5062
Type: Mailing
PO BOX 1832
PITTSBURG, KS 667621832
Phone: (620) 231-9873
Fax: (620) 240-5062
Type: Mailing
2322 S MAIN ST
FORT SCOTT, KS 667013026
Phone: (620) 223-8040
Fax: (620) 223-8002
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $26.
Total Amount is formed as General ($26) + Research ($0) + Ownership ($0) = $26.
Last reported payment date: 2024-04-04 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($26).
Total Amount
$26
General + Research + Ownership
Payments
1
Total payment records
General Amount
$26
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | $26 |
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: 2021-06-10
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050510001175 | I | Family Practice | KS | TBD |
| I20210610003201 | I | Family Practice | OK | 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 |
|---|---|---|---|---|
| 77063 | Screening 3d breast mammography | 218 | 218 | $0 |
| 77067 | Screening mammography | 218 | 218 | $0 |
| 81003 | Automated urinalysis test | 63 | 53 | $0 |
| 82044 | Urine microalbumin (protein) analysis | 43 | 40 | $0 |
| 71046 | X-ray of chest, 2 views | 28 | 19 | $0 |
Insurance plans in this area (ZIP 66701)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | KS | 17003 | Destruction of 2-14 skin growths | 85 | 29 |
| FAMILY MEDICINE | KS | 96367 | Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour | 47 | 14 |
| FAMILY MEDICINE | KS | 96375 | Injection of different drug or substance into a vein for therapy, diagnosis, or prevention | 131 | 17 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KS | |
| - | KS | |
| Pediatric Medicine, Internal Medicine, Pediatric Medicine | OH | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS | |
| Physician Assistant | KS | |
| Nurse Practitioner | KS | |
| Nurse Practitioner | KS | |
| - | KS | |
| Nurse Practitioner | KS |
Reviews
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