DR. MAXWELL SU (MD) – Ophthalmology Physician, NPI 1518461722

DR. MAXWELL SU (MD) is a healthcare provider. based in Jacksonville, Texas. specializing in OPHTHALMOLOGY. They hold the professional credentials MD. They hold a License No. BP20068130 (TX). The NPI Number for DR. MAXWELL SU (MD) is 1518461722

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
DR. MAXWELL SU (MD)
NPI
1518461722
Phone
(903) 586-7900
Address
928 S Bolton St
Enumeration Date
21 March 2018
Last Update Date
20 February 2024

Doctor Profile

Medical School Name
TEXAS A & M UNIVERSITY SYSTEM, HSC, COLLEGE OF MEDICINE
Secondary Phone
9037233250
Graduation Year
2018 (8 years ago)
PAC ID
0042567349
Group Practice PAC ID
6608856158
Professional Enrollment ID
I20220613001191
Address ID
TX758012352PA501XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:8State licenses:2Digital endpointsOther names

1,544 OPHTHALMOLOGY in TX

Provider Addresses for DR. MAXWELL SU (MD)

  • 928 S Bolton St

    Jacksonville, TX 757662906

    Phone: (903) 586-7900

    Fax: (903) 586-4373

    Type: Location

  • 208 W Knox St

    Ennis, TX 751194026

    Phone: (469) 456-0059

    Fax: (469) 456-0020

    Type: Location

  • 764 W Commerce St

    Fairfield, TX 758401428

    Phone: (903) 389-9646

    Fax: (903) 389-3690

    Type: Location

  • 800 N Beaton St

    Corsicana, TX 751103149

    Phone: (903) 874-0005

    Fax: (903) 874-0009

    Type: Location

  • Baylor Scott & White Medical Center, 2600, East Pflugerville Parkway, Pflugerville, Travis County, Texas, United States

    2401 SOUTH 31ST STREET, MS-01-161B

    TEMPLE, TX 76508

    Phone:

    Type: Mailing

  • 501 E KOLSTAD ST

    PALESTINE, TX 758012352

    Phone: (903) 723-3250

    Fax: (903) 723-5550

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 88 Open Payments records for all available years, with a total value of $2,642.

Total Amount is formed as General ($2,642) + Research ($0) + Ownership ($0) = $2,642.

Last reported payment date: 2024-12-25 • Largest payer in this snapshot: Alcon Vision LLC ($1,153).

Total Amount

$2,642

General + Research + Ownership

Payments

88

Total payment records

General Amount

$2,642

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-25

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: 2022-06-13

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
I20220613001191IOphthalmologyTXTBD

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
92014Established patient complete exam of visual system349333$0
99213Established patient office or other outpatient visit, 20-29 minutes178157$0
92004New patient complete exam of visual system156156$0
92136Measurement of corneal curvature and depth of eye14295$0
92134Imaging of retina130115$0
View full utilization report →

Insurance plans in this area (ZIP 75766)

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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: 6608856158View full group profile
NameSpecialtyState
O P T O M E T R YTX
O P H T H A L M O L O G YTX
O P T O M E T R YID
O P H T H A L M O L O G YTX
O P T O M E T R YTX
-TX
O P T O M E T R YTX
O P H T H A L M O L O G YOK
O P H T H A L M O L O G YTX
O P T O M E T R YTX

Reviews

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Frequently asked questions

How is DR. MAXWELL SU (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. MAXWELL SU (MD) with NPI 1518461722.
Does the file indicate DR. MAXWELL SU (MD) is practicing under active NPI?
Directory data currently reports DR. MAXWELL SU (MD) as active.
What is DR. MAXWELL SU (MD)'s specialty?
The listing groups DR. MAXWELL SU (MD) with Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Does DR. MAXWELL SU (MD) list a practice location?
Patients near Jacksonville, Texas may find DR. MAXWELL SU (MD) in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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