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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. MAKSIM VAYSMAN DO
NPI 1093344632
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Lake Grove, NY

Active since April 06, 2020PECOS EnrolledAccepts Medicare Assignment
3070 MIDDLE COUNTRY RD STE 1, LAKE GROVE, NY 11755(631) 247-7463 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 3, 2026, Jun 30, 2025, May 8, 2025 and 3 more (6 updates tracked since 2020).

About Dr. Maksim Vaysman Do NPPES

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

DR. MAKSIM VAYSMAN DO (NPI 1093344632) is an individual orthopaedic surgery of the spine provider in Lake Grove, New York, licensed in New York (341665) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Florida Hospital Carrollwood, and maintains a secondary practice location in Temple Terrace.

NPPES Registry Identity

NPI1093344632
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameDR. MAKSIM VAYSMANCredential: DO
Location Address3070 MIDDLE COUNTRY RD STE 1Lake Grove, NY 11755
Mailing Address601 Portion Rd Ste 204Ronkonkoma, NY 11779-4588 · (631) 247-7463 · Fax (631) 532-4911
Phone(631) 247-7463
Sole ProprietorNo
Medical School CMSTouro Un Col Of Osteopathic Medicine, New YorkGraduated 2020
Enumeration DateApril 6, 2020
Last NPPES UpdateSeptember 3, 20266 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2026
✔ NPI 1093344632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License✔ Licensed in NY · 341665
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License OS21813 (FL)
3070 MIDDLE COUNTRY RD STE 1, Lake Grove, NY 11755
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Secondary Practice Location 1

Location 15901 E Fowler Ave Ste 100Temple Terrace, FL 33617-2305 · Phone (813) 978-9700

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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. Maksim Vaysman Do 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 ID2769994896
PECOS Enrollment IDI20250625000291
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 2

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

Florida Hospital Carrollwood

Acute Care Hospitals · Tampa, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100069
Location7171 N Dale Mabry HwyTampa, FL 33614 · Hillsborough County
Emergency services

Adventhealth Tampa

Acute Care Hospitals · Tampa, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100173
Location3100 E Fletcher AveTampa, FL 33613 · Hillsborough County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES

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

MEDICAL SPINE SPECIALISTS PC
Massage Therapist
3070 MIDDLE COUNTRY RD STE 1
LAKE GROVE, NY 11755
Suffolk County (631) 247-7463

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 Maksim Vaysman's NPI number?

The NPI number for Maksim Vaysman is 1093344632. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Where is Maksim Vaysman located?

Maksim Vaysman practices at 3070 Middle Country Rd Ste 1, Lake Grove, NY 11755. The listed phone number is (631) 247-7463.

What is Maksim Vaysman's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is Maksim Vaysman enrolled in Medicare?

Yes. Maksim Vaysman 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.

What insurance does Maksim Vaysman accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Health First Commercial Plans, Inc. and 1 other insurer list Maksim Vaysman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Maksim Vaysman affiliated with any hospitals?

According to CMS data, Maksim Vaysman is affiliated with Florida Hospital Carrollwood and Adventhealth Tampa.

When was this NPI record last updated?

The NPPES record for Maksim Vaysman was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.