MARIA CAROLINE ANTIQUE M.D.
NPI 1245278415
Internal Medicine in Jackson, TN

Q: What is Maria Antique's NPI number?

The NPI number for Maria Antique is 1245278415. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Q: What is Maria Antique's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Maria Antique was last updated on February 26, 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.

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment

560 MCCELLAN ROAD, JACKSON, TN 38305(731) 234-5717(423) 979-6333 Get Directions Write a Review

NPPES record last updated: February 26, 2015. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Maria Caroline Antique M.d. NPPES

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

MARIA CAROLINE ANTIQUE M.D. (NPI 1245278415) is an individual internal medicine provider in Jackson, Tennessee, licensed in Tennessee (35423) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Jackson-madison County General Hospital, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1245278415

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameMARIA CAROLINE ANTIQUECredential: M.D.

Location Address560 MCCELLAN ROADJackson, TN 38305

Mailing Address560 Mccellan RoadJackson, TN 38305-9688 · (731) 234-5717 · Fax (423) 979-6333

Phone(731) 234-5717

Fax(423) 979-6333

Sole ProprietorNo

Medical School CMSOtherGraduated 1988

Enumeration DateJune 2, 2006

Last NPPES UpdateFebruary 26, 2015

✔ NPI 1245278415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TN · 35423

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 35423 (TN)

Also ListedFamily MedicineTaxonomy 207Q00000X · License MD35423 (TN)

560 MCCELLAN ROAD, Jackson, TN 38305

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Other Identifiers 5

Other3893940TN · Medicare

Other4105658Bcbs

Medicaid3893940TN

Medicare UPING38382TN

Medicare PIN103I086585TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health 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

Maria Caroline Antique 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 ID9234115619

PECOS Enrollment IDI20040626000040

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 11

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.

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

417 services101 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

327 services104 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.

120 services63 patients

Removal of tissue from wound, each additional 20.0 sq cm 97598

This procedure involves the careful removal of damaged tissue from a wound, typically beyond an initial 20.0 sq cm. This is done to promote healing, prevent infection, and improve the function and appearance of the area surrounding the wound.

99 services25 patients

Removal of skin and tissue, each additional 20.0 sq cm or less 11045

This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.

97 services33 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.

81 services49 patients

Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less 15271

This procedure involves applying a skin substitute graft to a wound on the trunk, arms, or legs. The graft, a lab-grown skin, is used to cover a wound area of 25.0 sq cm or less, within a total wound area of 100.0 sq cm or less. It aids in healing and regeneration.

66 services25 patients

Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less 15275

This procedure involves applying a skin substitute graft to a wound that's 25.0 sq cm or less, located on areas such as the face, scalp, eyelids, mouth, neck, ears, around eyes, hands, feet, fingers, or toes. The graft aids in wound healing and tissue regeneration.

65 services16 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.

53 services50 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

23 services21 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

14 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jackson-Madison County General Hospital

Acute Care Hospitals · Jackson, TN

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number440002

Location620 Skyline DriveJackson, TN 38301 · Madison County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38305 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

Referred Medical Equipment & Supplies CMS DME claims 10

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

Tape, non-waterproof, per 18 square inches A4450

DME-Medical/Surgical Supplies · category DA000N

2 suppliers23 claims940 services$0.10 avg. paid by Medicare

Tape, waterproof, per 18 square inches A4452

DME-Medical/Surgical Supplies · category DA000N

1 supplier39 claims1,942 services$0.37 avg. paid by Medicare

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196

DME-Medical/Surgical Supplies · category DA023N

2 suppliers40 claims1,661 services$7.12 avg. paid by Medicare

Alginate or other fiber gelling dressing, wound filler, sterile, per 6 inches A6199

DME-Medical/Surgical Supplies · category DA023N

1 supplier11 claims451 services$5.09 avg. paid by Medicare

Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6209

DME-Medical/Surgical Supplies · category DA023N

2 suppliers16 claims274 services$7.22 avg. paid by Medicare

Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6216

DME-Medical/Surgical Supplies · category DA023N

1 supplier15 claims3,000 services$0.04 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Maria Antique's NPI number?

The NPI number for Maria Antique is 1245278415. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Maria Antique located?

Maria Antique practices at 560 Mccellan Road, Jackson, TN 38305. The listed phone number is (731) 234-5717.

What is Maria Antique's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Maria Antique enrolled in Medicare?

Yes. Maria Antique 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 Maria Antique accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Maria Antique 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.

Is Maria Antique affiliated with any hospitals?

According to CMS data, Maria Antique is affiliated with Jackson-Madison County General Hospital.

When was this NPI record last updated?

The NPPES record for Maria Antique was last updated on February 26, 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.