MAGGIE EVISTON DO
NPI 1104387950
Pediatrics in Wpafb, OH

Q: 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.

Q: What is Maggie Eviston's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Maggie Eviston was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.

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: November 01, 2026.

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

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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

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Maggie Eviston reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihc Health Services Inc

540 mi

Clinic/Center

1300 N 500 E #130, LOGAN REGIONAL ORTHOPEDICS
Logan, UT 84341

Reassigned Medicare billing, Utah enrollment
3,691 clinicians in this Medicare group

NPI 1205963105 (435) 716-2800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

ROSALINDA FITTS M.D.

Preventive Medicine (Occupational Medicine)

88TH MEDICAL GROUP, 4881 SUGAR MAPLE DR.
WPAFB, OH 45433

Greene County (937) 257-1942

DR. JASON JAMES HOFSTEDE DO

Family Medicine

88TH MEDICAL GROUP, 4881 SUGAR MAPLE DR.
WPAFB, OH 45433

Greene County (937) 522-2778

SHANE BRENNA DEVINE DO

Student in an Organized Health Care Education/Training Program

88TH MEDICAL GROUP, 4881 SUGAR MAPLE DR.
WPAFB, OH 45433

Greene County (937) 257-9926

DAVID NAVEL MD

Preventive Medicine (Aerospace Medicine)

88TH MEDICAL GROUP, 4881 SUGAR MAPLE DR
WPAFB, OH 45433

Greene County (937) 257-1942

CHERYL BOUSCHARD PT

Physical Therapist

88TH MEDICAL GROUP, 4881 SUGAR MAPLE DRIVE
WRIGHT-PATTERSON AFB, OH 45433

Greene County (937) 257-8753

ARTEM TKACHENKO DO

General Practice

88TH MEDICAL GROUP, 4881 SUGAR MAPLE DR.
WPAFB, OH 45433

Greene County (937) 257-0837

DR. ALEXANDER VAUN PADALINO DDS

Dentist (Periodontics)

88TH MEDICAL GROUP, 4881 SUGAR MAPLE DR.
WPAFB, OH 45433

Greene County (210) 292-6258

DR. KRISTIN VOGT MD

Preventive Medicine (Aerospace Medicine)

88TH MEDICAL GROUP, 4881 SUGAR MAPLE DRIVE
WPAFB, OH 45433

Greene County (937) 255-4809

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.

Which organization bills Medicare for Maggie Eviston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maggie Eviston reassigns Medicare benefits to Ihc Health Services Inc (Logan, UT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maggie Eviston's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Maggie Eviston was last updated on June 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.