DR. JACKIE D MAXEY (MD) – Family Medicine Physician, NPI 1073525861
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,720 FAMILY PRACTICE in KY
Loading map...
Provider Addresses for DR. JACKIE D MAXEY (MD)
London Post Office, KY 192, Sublimity City, London, Laurel County, Kentucky, 40741, United States
LONDON, KY 407431676
Phone: (606) 878-9611
Fax: (606) 862-7565
Type: Mailing
The Professional, Brixton Road, Kennington, London Borough of Lambeth, London, Greater London, England, SW9 6AG, United Kingdom
SUITE #2
LONDON, KY 407418857
Phone: (606) 878-9611
Fax: (606) 862-7565
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 199 Open Payments records for all available years, with a total value of $3,370.
Total Amount is formed as General ($3,370) + Research ($0) + Ownership ($0) = $3,370.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Lilly USA, LLC ($468).
Total Amount
$3,370
General + Research + Ownership
Payments
199
Total payment records
General Amount
$3,370
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2009-12-19
PECOS data refreshed: 2026-06-15
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 |
|---|---|---|---|---|
| I20091219000027 | I | Family Practice | KY | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 40743)
Loading plans...
Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | KY | 83036 | Hemoglobin A1C level | 147 | 119 |
| FAMILY MEDICINE | KY | 90670 | Pneumococcal vaccine for injection into muscle | 92 | 92 |
| FAMILY MEDICINE | KY | 94060 | Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration | 22 | 21 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| General Surgery | KY | |
| General Surgery | KY | |
| - | KY | |
| Nurse Practitioner | KY | |
| Nurse Practitioner | KY | |
| Orthopedic Surgery | KY | |
| - | KY | |
| Nurse Practitioner | KY |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.