DR. WILLIAM ANDREW MAXWELL M.D.
NPI 1205898681
Ophthalmology in Fresno, CA

Active since April 03, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1360 E HERNDON AVE, SUITE 401, FRESNO, CA 93720(559) 449-5010(559) 449-5014 Get Directions Write a Review

NPPES record last updated: August 27, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. William Andrew Maxwell M.d. NPPES

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

DR. WILLIAM ANDREW MAXWELL M.D. (NPI 1205898681) is an individual ophthalmology provider in Fresno, California, licensed in California (G35175) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of University Of South Carolina School Of Medicine (1976).

NPPES Registry Identity

NPI1205898681
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. WILLIAM ANDREW MAXWELLCredential: M.D.
Location Address1360 E HERNDON AVE, SUITE 401Fresno, CA 93720-3326
Mailing Address1360 E Herndon Ave, Suite 401Fresno, CA 93720-3326 · (559) 449-5010 · Fax (559) 449-5014
Fax(559) 449-5014
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 1976
Enumeration DateApril 3, 2006
Last NPPES UpdateAugust 27, 2008
NPI 1205898681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in CA · G35175
Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

1360 E HERNDON AVE, Fresno, CA 93720

Other Identifiers 23

Other1304310001CA · Cigna Medicare Dmerc
Medicare PINZZZ13844ZCA
Medicare PINZZZ13845ZCA
Medicare PIN00G351755CA
Other1304310003CA · Cigna Medicare Dmerc
Medicare ID-Type Unspecified00G351750CA
MedicaidGR0078921CA
Medicare PINZZZ13883ZCA
Other1304310004CA · Cigna Medicare Dmerc
MedicaidGR0078922CA
Medicare PIN00G351751CA
Medicare PIN00G351752CA
Medicare PIN00G351753CA
Other1304310002CA · Cigna Medicare Dmerc
Other1304310005CA · Cigna Medicare Dmerc
Medicare PINZZZ13463ZCA
Medicare UPINA46242CA
Medicaid00G351750CA
MedicaidGR0078924CA
Medicare PIN00G351754CA
MedicaidGR0078923CA
MedicaidGR0078920CA
Medicare PINZZZ13882ZCA

Accepted 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. William Andrew Maxwell M.d. 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 ID4183710007
PECOS Enrollment IDI20080625000654
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
332 services331 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
165 services126 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
70 services70 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
41 services38 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
39 services39 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
22 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93720 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40

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.

Ophthalmology
1360 E HERNDON AVE, STE 201
FRESNO, CA 93720
Ophthalmology
1360 E HERNDON AVE, SUITE 401
FRESNO, CA 93720
Optometrist
1360 E HERNDON AVE, SUITE 401
FRESNO, CA 93720
Optometrist
1360 E HERNDON AVE, SUITE 201
FRESNO, CA 93720
Ophthalmology
1360 E HERNDON AVE, STE 201
FRESNO, CA 93720
Optometrist
1360 E HERNDON AVE, SUITE 301
FRESNO, CA 93720
Ophthalmology
1360 E HERNDON AVE, SUITE 301
FRESNO, CA 93720
Optometrist
1360 E HERNDON AVE, SUITE 201
FRESNO, CA 93720

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 William Maxwell's NPI number?

The NPI number for William Maxwell is 1205898681. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is William Maxwell located?

William Maxwell practices at 1360 E Herndon Ave Suite 401, Fresno, CA 93720. The listed phone number is (559) 449-5010.

What is William Maxwell's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is William Maxwell enrolled in Medicare?

Yes. William Maxwell 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 William Maxwell accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Providence Health Plan list William Maxwell 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.

When was this NPI record last updated?

The NPPES record for William Maxwell was last updated on August 27, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.