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EDGARDO MALDONADO MD
NPI 1346279981
Internal Medicine in Greensboro, NC

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
83.67/100
CMS Quality Rating
1409 YANCEYVILLE ST STE B, GREENSBORO, NC 27405(743) 223-2033(743) 223-4186 Get Directions Write a Review

NPPES record last updated: January 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 3, 2023, Aug 11, 2020, Nov 21, 2019 (3 updates tracked since 2019).

About Edgardo Maldonado Md NPPES

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

EDGARDO MALDONADO MD (NPI 1346279981) is an individual internal medicine provider in Greensboro, North Carolina, licensed in North Carolina (2012-00904) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Moses H. Cone Memorial Hospital, The, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1346279981
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameEDGARDO MALDONADOCredential: MD
Location Address1409 YANCEYVILLE ST STE BGreensboro, NC 27405-6961
Mailing Address1409 Yanceyville St Ste BGreensboro, NC 27405-6961 · (743) 223-2033 · Fax (743) 223-4186
Phone(743) 223-2033
Fax(743) 223-4186
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 3, 2006
Last NPPES UpdateJanuary 3, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2023
✔ NPI 1346279981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NC · 2012-00904✔ Licensed in PA · MD423559
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.
1409 YANCEYVILLE ST STE B, Greensboro, NC 27405
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC, Oscar Health Plan of North Carolina, Inc.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

Edgardo 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.

PECOS PAC ID6507846532
PECOS Enrollment IDI20131104000062
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.

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.
68 services25 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services11 patients
Test to measure exhaled air for evaluation of lung function at rest 94690
This test, known as spirometry, measures how much and how quickly you can move air out of your lungs. It helps to assess lung function by determining the amount of airflow obstruction present. It's non-invasive and important for diagnosing respiratory conditions.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Moses H. Cone Memorial Hospital, The

Acute Care Hospitals · Greensboro, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340091
Location1200 N Elm StGreensboro, NC 27401 · Guilford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27405 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

83.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.56
Promoting Interoperability80
Improvement Activities40
Cost67.7

Other Providers at the Same Location NPPES 2

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

TIERNEY ORTHOTICS AND PROSTHETICS INC.
Prosthetic/Orthotic Supplier
1409 YANCEYVILLE ST STE B
GREENSBORO, NC 27405
Guilford County (336) 537-3901
DEDICATED PHYSICIANS GROUP OF NORTH CAROLINA PLLC
Non-Pharmacy Dispensing Site
1409 YANCEYVILLE ST STE B
GREENSBORO, NC 27405
Guilford County (743) 223-2003

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 Edgardo Maldonado's NPI number?

The NPI number for Edgardo Maldonado is 1346279981. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Edgardo Maldonado located?

Edgardo Maldonado practices at 1409 Yanceyville St Ste B, Greensboro, NC 27405. The listed phone number is (743) 223-2033.

What is Edgardo Maldonado's specialty?

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

Is Edgardo Maldonado enrolled in Medicare?

Yes. Edgardo 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.

What insurance does Edgardo Maldonado accept?

Health plans from AmeriHealth Caritas Next, Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Edgardo 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 Edgardo Maldonado affiliated with any hospitals?

According to CMS data, Edgardo Maldonado is affiliated with Moses H. Cone Memorial Hospital, The.

When was this NPI record last updated?

The NPPES record for Edgardo Maldonado was last updated on January 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.