DR. YEVGENIY MIKHAYLOVICH MAKSIMENKO (MD) – Emergency Medicine Physician, NPI 1336670587

DR. YEVGENIY MIKHAYLOVICH MAKSIMENKO (MD) is a healthcare provider. based in Boston, Massachusetts. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 31031 (NE). The NPI Number for DR. YEVGENIY MIKHAYLOVICH MAKSIMENKO (MD) is 1336670587

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. YEVGENIY MIKHAYLOVICH MAKSIMENKO (MD)
NPI
1336670587
Phone
(617) 414-4929
Address
1 BOSTON MEDICAL CTR PL
Enumeration Date
21 March 2017
Last Update Date
9 September 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2107056300
Graduation Year
2017 (9 years ago)
PAC ID
1658642921
Group Practice PAC ID
4981049129
Professional Enrollment ID
I20230316000281
Address ID
TX782294813SA2827XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

1,682 EMERGENCY MEDICINE in MA

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Provider Addresses for DR. YEVGENIY MIKHAYLOVICH MAKSIMENKO (MD)

  • Boston Medical Center, 1, Massachusetts Avenue, South End, Boston, Suffolk County, Massachusetts, 02118, United States

    DOWLING 1 SOUTH, ROOM 1322

    BOSTON, MA 021182908

    Phone: (617) 414-4929

    Type: Location

  • 1100 WILFORD HALL LOOP

    JBSA LACKLAND, TX 782365638

    Phone: (443) 538-0703

    Type: Location

  • 3551 Roger Brooke Dr

    Jbsa Ft Sam Houston, TX 782344504

    Phone: (210) 916-7111

    Type: Location

  • 1020 APOLLO DR BLDG 225

    JBSA LACKLAND, TX 782365702

    Phone:

    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: 2023-03-16

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
I20230316000281IEmergency MedicineTXTBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only5652$0
99285Emergency department visit with high level of medical decision making5453$0
99291Critical care, first 30-74 minutes3030$0
99284Emergency department visit with moderate level of medical decision making1212$0
View full utilization report →

Insurance plans in this area (ZIP 02118)

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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: 4981049129View full group profile
NameSpecialtyState
Emergency MedicineGA
Nurse PractitionerTX
Emergency MedicineOH
Emergency MedicineVA
Nurse PractitionerTX
Emergency MedicineTX
Emergency MedicineCT
Emergency MedicineTX
Family PracticePR
Emergency MedicineTX

Reviews

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Frequently asked questions

What unique ID ties claims to DR. YEVGENIY MIKHAYLOVICH MAKSIMENKO (MD)?
NPI 1336670587 is assigned to DR. YEVGENIY MIKHAYLOVICH MAKSIMENKO (MD) under the national enumeration system.
Is DR. YEVGENIY MIKHAYLOVICH MAKSIMENKO (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. YEVGENIY MIKHAYLOVICH MAKSIMENKO (MD)'s specialty in plain language?
Clinically, the directory lists DR. YEVGENIY MIKHAYLOVICH MAKSIMENKO (MD) with Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. YEVGENIY MIKHAYLOVICH MAKSIMENKO (MD)?
The page summarizes Boston, Massachusetts for DR. YEVGENIY MIKHAYLOVICH MAKSIMENKO (MD); expand the address list for detail.
What if Boston, Massachusetts seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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