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MAGGIE EVISTON DO
NPI 1104387950
Pediatrics in Wpafb, OH

Active since March 26, 2019PECOS Enrolled
88TH MEDICAL GROUP, 4881 SUGAR MAPLE DR, WPAFB, OH 45433(937) 522-2778 Get Directions Write a Review

NPPES record last updated: June 13, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 13, 2025, Aug 15, 2023, Mar 14, 2023 and 2 more (5 updates tracked since 2022).

About Maggie Eviston Do NPPES

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

MAGGIE EVISTON DO (NPI 1104387950) is an individual pediatrics provider in Wpafb, Ohio, licensed in Utah (13352563-1204) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1104387950
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMAGGIE EVISTONCredential: DO
Location Address88TH MEDICAL GROUP, 4881 SUGAR MAPLE DRWpafb, OH 45433
Mailing Address88th Medical Group, 4881 Sugar Maple DrWpafb, OH 45433
Phone(937) 522-2778
Sole ProprietorNo
Enumeration DateMarch 26, 2019
Last NPPES UpdateJune 13, 20255 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
✔ NPI 1104387950 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in UT · 13352563-1204✔ Licensed in VA · 0102206425
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedMilitary Health Care ProviderTaxonomy 171000000X · License 0102206425 (VA)
88TH MEDICAL GROUP, Wpafb, OH 45433
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11 Childrens PlzDayton, OH 45404-1873 · Phone (937) 641-3433 ext. 1
Location 27321 Balmer St # 570Hill AFB, UT 84056-5012 · Phone (801) 777-4710

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maggie Eviston Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45433 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Other Providers at the Same Location NPPES 20

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

DR. MICHAEL STEPHAN XYDAKIS MD, MSC
Otolaryngology
88TH MEDICAL GROUP, 4881 SUGAR MAPLE DRIVE, BLDG 830
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 656-5434
CHERYL BOUSCHARD PT
Physical Therapist
88TH MEDICAL GROUP, 4881 SUGAR MAPLE DRIVE
WRIGHT-PATTERSON AFB, OH 45433
Greene County (937) 257-8753
DR. MATTHEW SALAH MASRY M.D.
Internal Medicine (Geriatric Medicine)
88TH MEDICAL GROUP, 4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 713-4482
DAVID NAVEL MD
Preventive Medicine (Aerospace Medicine)
88TH MEDICAL GROUP, 4881 SUGAR MAPLE DR
WPAFB, OH 45433
Greene County (937) 257-1942
DR. KRISTIN VOGT MD
Preventive Medicine (Aerospace Medicine)
88TH MEDICAL GROUP, 4881 SUGAR MAPLE DRIVE
WPAFB, OH 45433
Greene County (937) 255-4809
DR. THAD FRANCIS L OCAMPO M.D.
Allergy & Immunology
88TH MEDICAL GROUP, 4881 SUGAR MAPLE DR.
WPAFB, OH 45433
Greene County (937) 257-9130
ARTEM TKACHENKO DO
General Practice
88TH MEDICAL GROUP, 4881 SUGAR MAPLE DR.
WPAFB, OH 45433
Greene County (937) 257-0837
DR. CHRISTIAN EDWARD BANASKY PHARM.D.
Pharmacist
88TH MEDICAL GROUP, 4881 SUGAR MAPLE DR
WPAFB, OH 45433
Greene County (937) 522-3808

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 Maggie Eviston's NPI number?

The NPI number for Maggie Eviston is 1104387950. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Where is Maggie Eviston located?

Maggie Eviston practices at 88th Medical Group 4881 Sugar Maple Dr, Wpafb, OH 45433. The listed phone number is (937) 522-2778.

What is Maggie Eviston's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Maggie Eviston enrolled in Medicare?

Yes. Maggie Eviston is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Maggie Eviston was last updated on June 13, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.