LORI E. MADDOX P.A.-C.
NPI 1215900568
Physician Assistant in Prince Frederick, MD

Q: What is Lori Maddox's NPI number?

The NPI number for Lori Maddox is 1215900568. It was assigned to this individual provider in the NPPES registry on February 8, 2006. The provider is also known as Lori E. Hunter P.A.-C..

Q: What is Lori Maddox's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Lori Maddox was last updated on June 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since February 08, 2006PECOS EnrolledAccepts Medicare Assignment

130 HOSPITAL RD STE 101, PRINCE FREDERICK, MD 20678(410) 535-2500 Get Directions Write a Review

NPPES record last updated: June 10, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 10, 2022, Jul 14, 2019, May 16, 2018 and 2 more (5 updates tracked since 2018).

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About Lori E. Maddox P.a.-c. NPPES

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

LORI E. MADDOX P.A.-C. (NPI 1215900568) is an individual physician assistant in Prince Frederick, Maryland, licensed in Maryland (C06664) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1215900568

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameLORI E. MADDOXCredential: P.A.-C.

Location Address130 HOSPITAL RD STE 101Prince Frederick, MD 20678-4029

Mailing Address100 Hospital RdPrince Frederick, MD 20678-4017 · (410) 414-4791

Phone(410) 535-2500

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateFebruary 8, 2006

Last NPPES UpdateJune 10, 20225 updates tracked since enumeration

NPPES CertifiedJune 10, 2022

✔ NPI 1215900568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Licenses✔ Licensed in MD · C06664✔ Licensed in MS · PA00097✔ Licensed in KS · 15-01067

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

130 HOSPITAL RD STE 101, Prince Frederick, MD 20678

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Other Names 1

Former Name (1)Lori E. Hunter P.a.-c.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas, Inc..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

Lori E. Maddox P.a.-c. 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 ID547289696

PECOS Enrollment IDI20051117000377

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

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 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.

192 services165 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20678 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

$89.75 typical visit price

range $57.99 – $175.57

Typical copayment $22.43 (range $14.49 – $43.89)

Most-billed visit code 99203

Established Patient

$72.23 typical visit price

range $18.66 – $143.02

Typical copayment $18.05 (range $4.66 – $35.75)

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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

2 suppliers17 claims17 services$49.07 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

3 suppliers12 claims12 services$14.37 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

2 suppliers12 claims12 services$10.76 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

3 suppliers21 claims118 services$1.78 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

2 suppliers20 claims22 services$8.31 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

3 suppliers90 claims92 services$24.02 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 8

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

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