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DR. JOE MAALOUF M.D.
NPI 1245682640
Internal Medicine in Augusta, ME

Active since July 08, 2016PECOS EnrolledAccepts Medicare Assignment
79.27/100
CMS Quality Rating
35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330(207) 626-1000 Get Directions Write a Review

NPPES record last updated: September 5, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Joe Maalouf M.d. NPPES

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

DR. JOE MAALOUF M.D. (NPI 1245682640) is an individual internal medicine provider in Augusta, Maine, licensed in Maine (MD22739) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Citizens Medical Center, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1245682640
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JOE MAALOUFCredential: M.D.
Location Address35 MEDICAL CENTER PKWYAugusta, ME 04330-8160
Mailing Address3101 Boardwalk, Tower 1 Apt 1407Atlantic City, NJ 08401-5102 · (786) 253-8252
Phone(207) 626-1000
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 8, 2016
Last NPPES UpdateSeptember 5, 2019
✔ NPI 1245682640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in ME · MD22739
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
35 MEDICAL CENTER PKWY, Augusta, ME 04330
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit.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. Joe Maalouf 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 ID5597095455
PECOS Enrollment IDI20221108001907
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 3

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
292 services282 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
14 services14 patients
Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes 99236
This service involves a brief hospital stay for a serious health issue. Patients are admitted and discharged on the same day, typically within 55 minutes. It allows for close monitoring and immediate treatment, ensuring optimal care.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Citizens Medical Center

Acute Care Hospitals · Victoria, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450023
Location2701 Hospital DriveVictoria, TX 77901 · Victoria County
Emergency services Birthing friendly

Columbus Community Hospital

Acute Care Hospitals · Columbus, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number450370
Location110 Shult DrColumbus, TX 78934 · Colorado County
Emergency services Birthing friendly

St David's Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450431
Location919 E 32nd StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Hill Country Memorial Hospital

Acute Care Hospitals · Fredericksburg, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450604
Location1020 South State Highway 16Fredericksburg, TX 78624 · Gillespie County
Emergency services Birthing friendly

St David's South Austin Medical Center

Acute Care Hospitals · Austin, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number450713
Location901 West Ben White BlvdAustin, TX 78704 · Travis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04330 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

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.

79.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.72
Promoting Interoperability76
Improvement Activities40
Cost60.51

Referred Medical Equipment & Supplies CMS DME claims

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$58.83 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 20

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

VALERIE PRANCKUNAS
Occupational Therapist
35 MEDICAL CENTER PKWY
AUGUSTA, ME 04330
Kennebec County (207) 248-0036
CHERYL UNDERHILL-TILTON
Occupational Therapist
35 MEDICAL CENTER PKWY
AUGUSTA, ME 04330
Kennebec County (207) 621-3639
NICOLE LETENDRE NP
Nurse Practitioner
35 MEDICAL CENTER PKWY
AUGUSTA, ME 04330
Kennebec County (207) 626-1360
STACEY C DOSTIE CRNA
Nurse Anesthetist, Certified Registered
35 MEDICAL CENTER PKWY
AUGUSTA, ME 04330
Kennebec County (207) 622-1959
PAMELA SLAUGHTER
Nurse Practitioner (Psychiatric/Mental Health)
35 MEDICAL CENTER PKWY
AUGUSTA, ME 04330
Kennebec County (207) 248-0097
VANESSA RAILTON CRNA
Nurse Anesthetist, Certified Registered
35 MEDICAL CENTER PKWY
AUGUSTA, ME 04330
Kennebec County (207) 622-1959
JAMIE SUE BOUTIN
Nurse Practitioner (Family)
35 MEDICAL CENTER PKWY
AUGUSTA, ME 04330
Kennebec County (207) 626-1000
MISS LORI ANN HILLOCK PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
35 MEDICAL CENTER PKWY
AUGUSTA, ME 04330
Kennebec County (207) 248-0050

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 Joe Maalouf's NPI number?

The NPI number for Joe Maalouf is 1245682640. It was assigned to this individual provider in the NPPES registry on July 8, 2016.

Where is Joe Maalouf located?

Joe Maalouf practices at 35 Medical Center Pkwy, Augusta, ME 04330. The listed phone number is (207) 626-1000.

What is Joe Maalouf's specialty?

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

Is Joe Maalouf enrolled in Medicare?

Yes. Joe Maalouf 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 Joe Maalouf accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Joe Maalouf 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 Joe Maalouf affiliated with any hospitals?

According to CMS data, Joe Maalouf is affiliated with Citizens Medical Center, Columbus Community Hospital, St David's Medical Center, Hill Country Memorial Hospital and St David's South Austin Medical Center.

When was this NPI record last updated?

The NPPES record for Joe Maalouf was last updated on September 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.