NICHOLAS MAXWELL (PA-C) – Physician Assistant, NPI 1194211144
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,854 PHYSICIAN ASSISTANT in MO
Provider Addresses for NICHOLAS MAXWELL (PA-C)
15940 COUNTRY LN W
PLATTE CITY, MO 640799524
Phone:
Type: Mailing
5330 N OAK TRFY STE 201
KANSAS CITY, MO 641184600
Phone: (816) 454-0666
Fax: (816) 559-7118
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 248 Open Payments records for all available years, with a total value of $4,371.
Total Amount is formed as General ($4,371) + Research ($0) + Ownership ($0) = $4,371.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($729).
Total Amount
$4,371
General + Research + Ownership
Payments
248
Total payment records
General Amount
$4,371
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $729 |
| Janssen Biotech, Inc. | $598 |
| Lilly USA, LLC | $513 |
| UCB, Inc. | $317 |
| Novartis Pharmaceuticals Corporation | $250 |
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: 2018-08-22
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180822002419 | I | Physician Assistant | MO | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 955 | 223 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 542 | 360 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 362 | 283 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 306 | 240 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 211 | 172 | $0 |
Insurance plans in this area (ZIP 64079)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | KS | |
| Physician Assistant | MO | |
| Qualified Audiologist | KS | |
| Nurse Practitioner | KS | |
| - | MO | |
| Qualified Audiologist | MO | |
| D E R M A T O L O G Y | MO | |
| O T O L A R Y N G O L O G Y | MO | |
| D E R M A T O L O G Y | KS | |
| Dermatology, Otolaryngology | MO |
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