DR. MAYNARD HOLGADO (MD) – Internal Medicine Physician, NPI 1679526396

DR. MAYNARD HOLGADO (MD) is a healthcare provider. based in Marlton, New Jersey. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 25MA06132400 (NJ). The NPI Number for DR. MAYNARD HOLGADO (MD) is 1679526396

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. MAYNARD HOLGADO (MD)
NPI
1679526396
Phone
(856) 782-3300
Address
402 LIPPINCOTT DR
Enumeration Date
17 May 2006
Last Update Date
26 May 2011

Doctor Profile

Medical School Name
RUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Secondary Phone
8562378100
Graduation Year
1991 (35 years ago)
PAC ID
4486649167
Group Practice PAC ID
4880797570
Professional Enrollment ID
I20050317000663
Address ID
NJ080811777SI485XXRDXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

6,893 INTERNAL MEDICINE in NJ

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Provider Addresses for DR. MAYNARD HOLGADO (MD)

  • 402, Lippincott Drive, Marlton, Evesham Township, Burlington County, New Jersey, 08053-4112, United States

    MARLTON, NJ 080534112

    Phone: (856) 782-3300

    Fax: (856) 504-8029

    Type: Mailing

  • Dr. Thomas J. Gallagher, DO, 485, Williamstown Road, Sicklerville, Winslow Township, Camden County, New Jersey, 08081, United States

    SICKLERVILLE, NJ 080811777

    Phone: (856) 227-6575

    Fax: (856) 237-8042

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 236 Open Payments records for all available years, with a total value of $3,993.

Total Amount is formed as General ($3,993) + Research ($0) + Ownership ($0) = $3,993.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($500).

Total Amount

$3,993

General + Research + Ownership

Payments

236

Total payment records

General Amount

$3,993

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2005-03-17

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
I20050317000663IInternal MedicineNJTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes348226$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit233233$0
99213Established patient office or other outpatient visit, 20-29 minutes115101$0
G0008Administration of influenza virus vaccine4846$0
G0009Administration of pneumococcal vaccine4747$0
View full utilization report →

Insurance plans in this area (ZIP 08053)

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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: 4880797570View full group profile
NameSpecialtyState
Internal MedicineNJ
Vascular SurgeryNJ
Pulmonary Disease, Sleep Medicine, Critical Care (Intensivists)NJ
O B S T E T R I C S/ G Y N E C O L O G YMA
Family PracticeNJ
Physician AssistantNJ
-NJ
Internal Medicine, GastroenterologyNJ
Family PracticeNJ
P S Y C H I A T R YNJ

Reviews

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Frequently asked questions

What identifier follows DR. MAYNARD HOLGADO (MD) across health systems?
The NPI 1679526396 uniquely identifies DR. MAYNARD HOLGADO (MD) in U.S. healthcare data.
Is DR. MAYNARD HOLGADO (MD)'s NPI status active today?
Active status means DR. MAYNARD HOLGADO (MD)'s NPI record is not deactivated in the public file.
What type of care does DR. MAYNARD HOLGADO (MD) provide?
DR. MAYNARD HOLGADO (MD)'s profile centers on Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. MAYNARD HOLGADO (MD)?
DR. MAYNARD HOLGADO (MD) is associated with Marlton, New Jersey in the same public data insurers reference.
Why is information missing for DR. MAYNARD HOLGADO (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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