DAVID MALDONADO III M.D.
NPI 1386624476
Internal Medicine - Pulmonary Disease in North Richland Hills, TX

Q: What is David Maldonado's NPI number?

The NPI number for David Maldonado is 1386624476. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Q: What is David Maldonado's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for David Maldonado was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since January 17, 2006PECOS EnrolledAccepts Medicare Assignment

52.59/100

CMS Quality Rating

4401 BOOTH CALLOWAY RD, NORTH RICHLAND HILLS, TX 76180(817) 263-6116(817) 263-6117 Get Directions Write a Review

NPPES record last updated: August 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 2, 2022, Apr 24, 2022, Apr 22, 2021 and 3 more (6 updates tracked since 2016).

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About David Maldonado Iii M.d. NPPES

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

DAVID MALDONADO III M.D. (NPI 1386624476) is an individual pulmonary disease provider in North Richland Hills, Texas, licensed in Texas (L2441) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Medical City North Hills, and is a graduate of Mayo Medical School (1998).

NPPES Registry Identity

NPI1386624476

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDAVID MALDONADO IIICredential: M.D.

Location Address4401 BOOTH CALLOWAY RDNorth Richland Hills, TX 76180-7371

Mailing Address4843 Colleyville Blvd Ste 251-328Colleyville, TX 76034-3923 · (817) 263-6116 · Fax (817) 263-6117

Phone(817) 263-6116

Fax(817) 263-6117

Sole ProprietorYes

Medical School CMSMayo Medical SchoolGraduated 1998

Enumeration DateJanuary 17, 2006

Last NPPES UpdateAugust 22, 20256 updates tracked since enumeration

NPPES CertifiedAugust 22, 2025

✔ NPI 1386624476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in TX · L2441

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License L2441 (TX)

Also ListedInternal Medicine · Hospice and Palliative MedicineTaxonomy 207RH0002X · License L2441 (TX)

4401 BOOTH CALLOWAY RD, North Richland Hills, TX 76180

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Other Identifiers 1

Medicaid196242501TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

David Maldonado Iii 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 ID6103858022

PECOS Enrollment IDI20080912000125

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 6

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.

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.

505 services188 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

446 services169 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.

296 services105 patients

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.

81 services73 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

15 services15 patients

Irrigation and suction of lung airways to obtain cells using an endoscope 31624

This is a procedure where a thin, flexible tube called an endoscope is inserted through your mouth into the lungs. A small amount of saline is then introduced to wash the airways. The fluid, along with cells from the lung, is suctioned back for analysis.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Medical City North Hills

Acute Care Hospitals · North Richland Hills, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450087

Location4401 Booth Calloway RoadNorth Richland Hills, TX 76180 · Tarrant County

Emergency services

Medical City Alliance

Acute Care Hospitals · Fort Worth, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670103

Location3101 North Tarrant ParkwayFort Worth, TX 76177 · Tarrant County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76180 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

$129.63 typical visit price

range $56.47 – $171.07

Typical copayment $32.40 (range $14.11 – $42.76)

Most-billed visit code 99204

Established Patient

$99.68 typical visit price

range $18.18 – $139.68

Typical copayment $24.92 (range $4.54 – $34.92)

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.

52.59/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

71.07

Improvement Activities

Cost

53.61

Referred Medical Equipment & Supplies CMS DME claims 16

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

13 suppliers56 claims56 services$26.92 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

8 suppliers75 claims75 services$66.71 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

9 suppliers76 claims180 services$26.57 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

7 suppliers28 claims151 services$17.93 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

10 suppliers60 claims326 services$12.81 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

14 suppliers100 claims100 services$46.60 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.

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