HERNAN MALDONADO MD
NPI 1306043773
Family Medicine in Midland, MI
About Hernan Maldonado Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HERNAN MALDONADO MD (NPI 1306043773) is an individual family medicine provider in Midland, Michigan, licensed in Michigan (4301090618) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Mymichigan Medical Center Alma, and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Hernan Maldonado Md 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.
Medicare Billing Reassignments
10Medicare enrollment records show Hernan Maldonado reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Midland, MI 48670
- Reassigned Medicare billing, Michigan enrollment
- 197 clinicians in this Medicare group
Bay City, MI 48708
- Reassigned Medicare billing, Michigan enrollment
- 2 clinicians in this Medicare group
Gladwin, MI 48624
- Reassigned Medicare billing, Michigan enrollment
- 47 clinicians in this Medicare group
Gladwin, MI 48624
- Reassigned Medicare billing, Michigan enrollment
- 162 clinicians in this Medicare group
Flint, MI 48532
- Reassigned Medicare billing, Michigan enrollment
- 444 clinicians in this Medicare group
Lansing, MI 48910
- Reassigned Medicare billing, Michigan enrollment
- 295 clinicians in this Medicare group
Cadillac, MI 49601
- Reassigned Medicare billing, Michigan enrollment
- 123 clinicians in this Medicare group
Grayling, MI 49738
- Reassigned Medicare billing, Michigan enrollment
- 596 clinicians in this Medicare group
Traverse City, MI 49684
- Reassigned Medicare billing, Michigan enrollment
- 124 clinicians in this Medicare group
Kincheloe, MI 49788
- Reassigned Medicare billing, Michigan enrollment
- 185 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mymichigan Medical Center Alma
Acute Care Hospitals · Alma, MIMunson Medical Center
Acute Care Hospitals · Traverse City, MIMymichigan Medical Center Midland
Acute Care Hospitals · Midland, MIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48670 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
MIDLAND, MI 48670
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 Hernan Maldonado's NPI number?
The NPI number for Hernan Maldonado is 1306043773. It was assigned to this individual provider in the NPPES registry on June 29, 2007.
Where is Hernan Maldonado located?
Hernan Maldonado practices at 4000 Wellness Dr, Midland, MI 48670. The listed phone number is (989) 839-1644.
What is Hernan Maldonado's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Hernan Maldonado enrolled in Medicare?
Yes. Hernan Maldonado 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.
Which organizations bill Medicare for Hernan Maldonado's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Hernan Maldonado reassigns Medicare benefits to 10 organizations: Mymichigan Medical Group (Midland, MI), Strategic Medical Services PC (Bay City, MI), Michigan Emergency Physicians LLP (Gladwin, MI), Mymichigan Medical Center Gladwin (Gladwin, MI), Mclaren Hospital Group (Flint, MI) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Hernan Maldonado's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Hernan Maldonado accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Hernan Maldonado 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 Hernan Maldonado affiliated with any hospitals?
According to CMS data, Hernan Maldonado is affiliated with Mymichigan Medical Center Alma, Munson Medical Center and Mymichigan Medical Center Midland.
When was this NPI record last updated?
The NPPES record for Hernan Maldonado was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Hernan Maldonado, MD · NPI 1306043773
Family Medicine physician in Midland, Michigan. Individual provider, active in the CMS NPPES registry since June 29, 2007.
## Identity
- **NPI:** 1306043773 (Entity type: Individual)
- **Enumerated:** June 29, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 4301090618 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 4000 WELLNESS DR, Midland, MI 48670-2000
- **Phone:** (989) 839-1644 · **Fax:** (989) 839-3029
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Mymichigan Medical Group (NPI 1629027669, Midland, MI); Strategic Medical Services PC (NPI 1154447035, Bay City, MI); Michigan Emergency Physicians LLP (NPI 1437390754, Gladwin, MI); Mymichigan Medical Center Gladwin (NPI 1073999298, Gladwin, MI); Mclaren Hospital Group (NPI 1942026174, Flint, MI); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** February 19, 2026
- **Other identifiers:** Other 4301090618 (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1306043773) · Data from the CMS NPPES public registry.