DR. JACKIE D MAXEY MD
NPI 1073525861
Family Medicine in London, KY

Active since August 12, 2006PECOS EnrolledAccepts Medicare Assignment
102 PROFESSIONAL DR, SUITE #2, LONDON, KY 40741(606) 878-9611(606) 862-7565 Get Directions Write a Review

NPPES record last updated: August 15, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Jackie D Maxey Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACKIE D MAXEY MD (NPI 1073525861) is an individual family medicine provider in London, Kentucky, licensed in Kentucky (35548) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Joseph London, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1073525861
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JACKIE D MAXEYCredential: MD
Location Address102 PROFESSIONAL DR, SUITE #2London, KY 40741-8857
Mailing AddressPo Box 1676London, KY 40743-1676 · (606) 878-9611 · Fax (606) 862-7565
Fax(606) 862-7565
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateAugust 12, 2006
Last NPPES UpdateAugust 15, 2014
NPI 1073525861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in KY · 35548
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
102 PROFESSIONAL DR, London, KY 40741

Other Identifiers 3

Medicare UPING79552KY
Medicare ID-Type Unspecified0747901KY
Medicaid64009913KY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Jackie D Maxey Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840270708
PECOS Enrollment IDI20091219000027
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Saint Joseph London

Acute Care Hospitals · London, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180011
Location1001 Saint Joseph LaneLondon, KY 40741 · Laurel County
Emergency services Birthing friendly

Manchester Memorial Hospital

Acute Care Hospitals · Manchester, KY
OwnershipVoluntary non-profit - Church
CMS Certification Number180043
Location210 Marie Langdon DriveManchester, KY 40962 · Clay County
Emergency services Birthing friendly

Baptist Health Corbin

Acute Care Hospitals · Corbin, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180080
LocationOne Trillium WayCorbin, KY 40701 · Whitley County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40741 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 25

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
15 suppliers122 claims310 services$6.26 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
1 supplier23 claims23 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers53 claims77 services$1.13 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers16 claims16 services$41.32 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
8 suppliers18 claims18 services$119.68 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers15 claims40 services$42.37 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
102 PROFESSIONAL DR
LONDON, KY 40741
Nurse Practitioner (Family)
102 PROFESSIONAL DR, SUITE 2
LONDON, KY 40741
Family Medicine
102 PROFESSIONAL DR, SUITE 2
LONDON, KY 40741
Surgery
102 PROFESSIONAL DR, SUITE 3
LONDON, KY 40741

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie Maxey's NPI number?

The NPI number for Jackie Maxey is 1073525861. It was assigned to this individual provider in the NPPES registry on August 12, 2006.

Where is Jackie Maxey located?

Jackie Maxey practices at 102 Professional Dr Suite #2, London, KY 40741. The listed phone number is (606) 878-9611.

What is Jackie Maxey's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jackie Maxey enrolled in Medicare?

Yes. Jackie Maxey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Jackie Maxey affiliated with any hospitals?

According to CMS data, Jackie Maxey is affiliated with Saint Joseph London, Manchester Memorial Hospital and Baptist Health Corbin.

When was this NPI record last updated?

The NPPES record for Jackie Maxey was last updated on August 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.