DOMINIC J MAXWELL (MD) – Psychiatry Physician, NPI 1134178106
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,743 PSYCHIATRY in MA
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Provider Addresses for DOMINIC J MAXWELL (MD)
10, Canterbury Lane, Oklahoma Heights, Vineyard Haven, Tisbury, Dukes County, Massachusetts, 02568, United States
VINEYARD HAVEN, MA 025685658
Phone: (508) 687-9592
Fax: (508) 687-9567
Type: Mailing
15, Church Street, William Street Historic District, Vineyard Haven, Tisbury, Dukes County, Massachusetts, 02568, United States
VINEYARD HAVEN, MA 02568
Phone: (508) 687-9592
Fax: (508) 687-9567
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $118.
Total Amount is formed as General ($118) + Research ($0) + Ownership ($0) = $118.
Last reported payment date: 2023-12-12 • Largest payer in this snapshot: Lundbeck LLC ($66).
Total Amount
$118
General + Research + Ownership
Payments
5
Total payment records
General Amount
$118
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lundbeck LLC | $66 |
| Otsuka America Pharmaceutical, Inc. | $53 |
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: 2020-09-04
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 |
|---|---|---|---|---|
| I20090930000254 | I | Psychiatry | MA | TBD |
| I20200904000021 | I | Psychiatry | MD | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 268 | 38 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 63 | 13 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 22 | 22 | $0 |
Insurance plans in this area (ZIP 02568)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | IL | |
| Nurse Practitioner | TN | |
| Clinical Social Worker | CT | |
| Nurse Practitioner | MA | |
| Clinical Social Worker | MA |
Reviews
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