CRYSTAL MAKSIMIK DO
NPI 1306900865
Internal Medicine - Cardiovascular Disease in Orwigsburg, PA

Active since December 20, 2006PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
1260 CENTRE TPKE STE 107, ORWIGSBURG, PA 17961(570) 516-9647(570) 968-4084 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 15, 2025, Nov 19, 2019, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

About Crystal Maksimik Do NPPES

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

CRYSTAL MAKSIMIK DO (NPI 1306900865) is an individual cardiovascular disease provider in Orwigsburg, Pennsylvania, licensed in Pennsylvania (OS013642) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Schuylkill Medical Center - South Jackson Street, and is a graduate of Philadelphia College Of Osteopathic Medicine (2003).

NPPES Registry Identity

NPI1306900865
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameCRYSTAL MAKSIMIKCredential: DO
Location Address1260 CENTRE TPKE STE 107Orwigsburg, PA 17961-8956
Mailing Address1260 Centre Tpke Ste 107Orwigsburg, PA 17961-8956 · (570) 516-9647 · Fax (570) 968-4084
Fax(570) 968-4084
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2003
Enumeration DateDecember 20, 2006
Last NPPES UpdateSeptember 15, 20255 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2025
✔ NPI 1306900865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in PA · OS013642
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1260 CENTRE TPKE STE 107, Orwigsburg, PA 17961

Other Identifiers 1

Medicaid101805124PA

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

Crystal Maksimik Do 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 ID1658372362
PECOS Enrollment IDI20070124000093
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Crystal Maksimik reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1165 CENTRE TPKE FL 2
Orwigsburg, PA 17961
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Physician Group Inc
  • 2,851 clinicians in this Medicare group
Specialist
100 PARAMOUNT BLVD
Orwigsburg, PA 17961
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 953 clinicians in this Medicare group
Family Medicine
82 TUNNEL RD
Pottsville, PA 17901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 124 clinicians in this Medicare group
Cardiovascular Disease
1000 N FRONT ST
Wormleysburg, PA 17043
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 132 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.

Hospital Affiliations CMS Care Compare 2

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

Schuylkill Medical Center - South Jackson Street

Acute Care Hospitals · Pottsville, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390030
Location420 South Jackson StreetPottsville, PA 17901 · Schuylkill County
Emergency services Birthing friendly

Geisinger St. Luke's Hospital

Acute Care Hospitals · Orwigsburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390332
Location100 Paramount BoulevardOrwigsburg, PA 17961 · Schuylkill County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17961 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

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 Crystal Maksimik's NPI number?

The NPI number for Crystal Maksimik is 1306900865. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Where is Crystal Maksimik located?

Crystal Maksimik practices at 1260 Centre Tpke Ste 107, Orwigsburg, PA 17961. The listed phone number is (570) 516-9647.

What is Crystal Maksimik's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Crystal Maksimik enrolled in Medicare?

Yes. Crystal Maksimik 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 Crystal Maksimik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Crystal Maksimik reassigns Medicare benefits to 4 organizations: St Luke's Physician Group Inc (Orwigsburg, PA), Gslpg, Inc (Orwigsburg, PA), Integrated Medical Group P C (Pottsville, PA) and Pinnacle Health Cardiovascular Institute Inc (Wormleysburg, PA). 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 Crystal Maksimik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Crystal Maksimik accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Crystal Maksimik 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 Crystal Maksimik affiliated with any hospitals?

According to CMS data, Crystal Maksimik is affiliated with Schuylkill Medical Center - South Jackson Street and Geisinger St. Luke's Hospital.

When was this NPI record last updated?

The NPPES record for Crystal Maksimik was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.