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DR. BELINDA MAPLES M.D.
NPI 1245223684
Family Medicine in Athens, AL

Active since August 30, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 01D1018618 · Waiver
101 FITNESS WAY, SUITE 1200, ATHENS, AL 35611(256) 232-0636(256) 232-1058 Get Directions Write a Review

NPPES record last updated: May 7, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Belinda Maples M.d. NPPES

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

DR. BELINDA MAPLES M.D. (NPI 1245223684) is an individual family medicine provider in Athens, Alabama, licensed in Alabama (20182) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through October 26, 2027, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1995).

NPPES Registry Identity

NPI1245223684
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. BELINDA MAPLESCredential: M.D.
Location Address101 FITNESS WAY, SUITE 1200Athens, AL 35611-2492
Mailing Address101 Fitness Way, Suite 1200Athens, AL 35611-2492 · (256) 232-0636 · Fax (256) 232-1058
Phone(256) 232-0636
Fax(256) 232-1058
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1995
Enumeration DateAugust 30, 2005
Last NPPES UpdateMay 7, 2015
✔ NPI 1245223684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · 20182
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
101 FITNESS WAY, Athens, AL 35611
Open in Google Maps ↗

Other Identifiers 6

Other1890887AL · First Health
Medicare PIN05157535AL
Medicare UPING41165AL
Other51517535AL · Blue Cross Blue Shield
Other5080738AL · Aetna
Medicaid009933505AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, 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. Belinda Maples 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 ID9931150497
PECOS Enrollment IDI20050202000642
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 01D1018618

Belinda Maples MD PC · Athens, AL
Active · expires Oct 26, 2027
CLIA Number01D1018618
Laboratory TypePhysician Office
Certificate Effective DateOctober 27, 2025
Certificate Expiration DateOctober 26, 2027
Laboratory DirectorBelinda Maples
Laboratory Phone(256) 232-0636
Laboratory LocationBelinda Maples MD PC101 Fitness Way Ste 1200, Athens, AL 35611
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 15

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.
283 services156 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
147 services60 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.
143 services88 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
88 services88 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
86 services86 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
85 services85 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 35611 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

Referred Medical Equipment & Supplies CMS DME claims 12

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers70 claims167 services$5.60 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers24 claims31 services$0.88 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers17 claims17 services$48.91 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers102 claims105 services$15.75 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
6 suppliers36 claims36 services$5.53 avg. paid by Medicare
Multi-positional patient transfer system, with integrated seat, operated by care giver, patient weight capacity up to and including 300 lbs E1035
DME-Other DME · category DE000N
2 suppliers19 claims19 services$383.11 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 12

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

ANNE TATE WILSON CRNP
Nurse Practitioner (Primary Care)
101 FITNESS WAY, SUITE 1200
ATHENS, AL 35611
Limestone County (256) 232-0636
JOHN L HINSON M.D.
Urology
101 FITNESS WAY, SUITE 2300
ATHENS, AL 35611
Limestone County (256) 262-2170
BELINDA MAPLES M.D., P.C.
Family Medicine
101 FITNESS WAY, SUITE 1200
ATHENS, AL 35611
Limestone County (256) 232-0636
MS. JENIFER GAIL SANDERS BSN RN (NP STUDENT)
Family Medicine
101 FITNESS WAY
ATHENS, AL 35611
Limestone County (256) 232-0636
WESLEY C CROWELL MD
Pediatrics
101 FITNESS WAY, STE 1100
ATHENS, AL 35611
Limestone County (256) 233-0712
MRS. CRYSTAL V. WALKER M.D.
Internal Medicine (Cardiovascular Disease)
101 FITNESS WAY, SUITE 2700
ATHENS, AL 35611
Limestone County (256) 233-9273
CHRISTOPHER E. EDWARDS MD
Family Medicine
101 FITNESS WAY, SUITE 1200
ATHENS, AL 35611
Limestone County (256) 232-0636
MICHELLE HOFFMANN
Nurse Practitioner (Pediatrics)
101 FITNESS WAY, SUITE 2100
ATHENS, AL 35611
Limestone County (256) 216-9730

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 Belinda Maples's NPI number?

The NPI number for Belinda Maples is 1245223684. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Where is Belinda Maples located?

Belinda Maples practices at 101 Fitness Way Suite 1200, Athens, AL 35611. The listed phone number is (256) 232-0636.

What is Belinda Maples's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Belinda Maples enrolled in Medicare?

Yes. Belinda Maples 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.

Does Belinda Maples hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 01D1018618) is associated with this NPI, valid through October 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Belinda Maples accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 2 other insurers list Belinda Maples 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 Belinda Maples was last updated on May 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.