JONATHAN PATMOR MADDUX MD
NPI 1417194689
Family Medicine in Marion, KY

Q: What is Jonathan Maddux's NPI number?

The NPI number for Jonathan Maddux is 1417194689. It was assigned to this individual provider in the NPPES registry on January 9, 2009.

Q: What is Jonathan Maddux's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Maddux was last updated on October 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since January 09, 2009PECOS EnrolledAccepts Medicare Assignment

21.4/100

CMS Quality Rating

518 WEST GUM STREET, MARION, KY 42064(270) 965-5238(270) 965-9015 Get Directions Write a Review

NPPES record last updated: October 13, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Jonathan Patmor Maddux Md NPPES

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

JONATHAN PATMOR MADDUX MD (NPI 1417194689) is an individual family medicine provider in Marion, Kentucky, licensed in Kentucky (44671) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS, is affiliated with Mercy Health - Lourdes Hospital, and is a graduate of University Of Louisville School Of Medicine (2008).

NPPES Registry Identity

NPI1417194689

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJONATHAN PATMOR MADDUXCredential: MD

Location Address518 WEST GUM STREETMarion, KY 42064-1516

Mailing AddressPo Box 559Marion, KY 42064-0559 · (270) 965-5238 · Fax (270) 965-9015

Phone(270) 965-5238

Fax(270) 965-9015

Sole ProprietorNo

Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2008

Enumeration DateJanuary 9, 2009

Last NPPES UpdateOctober 13, 2011

✔ NPI 1417194689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in KY · 44671

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

518 WEST GUM STREET, Marion, KY 42064

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Other Identifiers 3

Other000000723351KY · Anthem Blue Cross/blue Shield

Medicaid7100172480KY

Medicare PINK004110KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter of Tennessee and more.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

Jonathan Patmor Maddux 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 ID244379626

PECOS Enrollment IDI20110721000789

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 Reassignment

Medicare enrollment records show Jonathan Maddux reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Crittenden Community Hospital LLC

0.3 mi

Emergency Medicine

520 W GUM ST
Marion, KY 42064

Reassigned Medicare billing, Kentucky enrollment
28 clinicians in this Medicare group

NPI 1275097339 (270) 965-1042

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 4

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.

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.

118 services47 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

78 services62 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.

70 services55 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.

16 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Mercy Health - Lourdes Hospital

Acute Care Hospitals · Paducah, KY

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number180102

Location1530 Lone Oak RoadPaducah, KY 42003 · Mc Cracken County

Emergency services Birthing friendly

Baptist Health Paducah

Acute Care Hospitals · Paducah, KY

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number180104

Location2501 Kentucky AvenuePaducah, KY 42003 · Mc Cracken County

Emergency services Birthing friendly

Livingston Hospital And Healthcare Services, Inc

Critical Access Hospitals · Salem, KY

OwnershipVoluntary non-profit - Private

CMS Certification Number181320

Location131 Hospital DriveSalem, KY 42078 · Livingston County

Emergency services

Caldwell Medical Center

Critical Access Hospitals · Princeton, KY

OwnershipVoluntary non-profit - Private

CMS Certification Number181322

Location100 Medical Center DrivePrinceton, KY 42445 · Caldwell County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42064 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

21.4/100

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

Scored as part of a group practice

Quality

12.53

Improvement Activities

Cost

44.68

Referred Medical Equipment & Supplies CMS DME claims 26

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

5 suppliers25 claims58 services$4.91 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

4 suppliers15 claims22 services$0.97 avg. paid by Medicare

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500

DME-Orthotic Devices · category DF000N

4 suppliers12 claims24 services$61.21 avg. paid by Medicare

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

DME-Other DME · category DE001N

4 suppliers25 claims25 services$114.89 avg. paid by Medicare

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

DME-Other DME · category DE001N

3 suppliers19 claims37 services$40.12 avg. paid by Medicare

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

DME-Other DME · category DE001N

4 suppliers17 claims89 services$23.91 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

4 suppliers23 claims23 services$71.96 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

5 suppliers27 claims27 services$23.69 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

4 suppliers43 claims43 services$21.78 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers47 claims215 services$3.10 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

4 suppliers19 claims19 services$12.98 avg. paid by Medicare

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035

Other-Enteral and Parenteral · category OB006N

2 suppliers11 claims333 services$7.68 avg. paid by Medicare

Walker, folding, wheeled, adjustable or fixed height E0143

DME-Other DME · category DE000N

3 suppliers11 claims11 services$64.95 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

4 suppliers64 claims66 services$63.58 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers88 claims88 services$20.58 avg. paid by Medicare

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

2 suppliers26 claims26 services$920.64 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

1 supplier13 claims13 services$126.37 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

1 supplier13 claims13 services$18.53 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier16 claims16 services$7.80 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

4 suppliers52 claims52 services$48.48 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers106 claims106 services$116.10 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

2 suppliers12 claims12 services$38.04 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

4 suppliers15 claims5,362 services$0.03 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers49 claims49 services$24.82 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

4 suppliers34 claims34 services$195.97 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

4 suppliers20 claims20 services$24.88 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 5

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

GARY V JAMES MD

Family Medicine

518 WEST GUM STREET
MARION, KY 42064

Crittenden County (270) 965-5238

FAMILY PRACTICE CLINIC PSC

Family Medicine

518 WEST GUM STREET
MARION, KY 42064

Crittenden County (270) 965-5238

HOWARD G MADDUX MD

Family Medicine

518 WEST GUM STREET
MARION, KY 42064

Crittenden County (270) 965-5238

LEE ANNA BOONE APRN

Nurse Practitioner (Family)

518 WEST GUM STREET
MARION, KY 42064

Crittenden County (270) 965-5238

ALICIA H CLARK APRN

Nurse Practitioner (Family)

518 WEST GUM STREET
MARION, KY 42064

Crittenden County (270) 965-5238

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 Jonathan Maddux's NPI number?

The NPI number for Jonathan Maddux is 1417194689. It was assigned to this individual provider in the NPPES registry on January 9, 2009.

Where is Jonathan Maddux located?

Jonathan Maddux practices at 518 West Gum Street, Marion, KY 42064. The listed phone number is (270) 965-5238.

What is Jonathan Maddux's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jonathan Maddux enrolled in Medicare?

Yes. Jonathan Maddux 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 organization bills Medicare for Jonathan Maddux's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Maddux reassigns Medicare benefits to Crittenden Community Hospital LLC (Marion, KY). The 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 Jonathan Maddux's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Maddux accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Jonathan Maddux 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 Jonathan Maddux affiliated with any hospitals?

According to CMS data, Jonathan Maddux is affiliated with Mercy Health - Lourdes Hospital, Baptist Health Paducah, Livingston Hospital And Healthcare Services, Inc and Caldwell Medical Center.

When was this NPI record last updated?

The NPPES record for Jonathan Maddux was last updated on October 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.