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DR. JORGE LUIS MALDONADO M.D.
NPI 1437192085
Psychiatry & Neurology - Psychiatry in San Antonio, TX

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment
1634 LOCKHILL SELMA RD, SAN ANTONIO, TX 78213(210) 541-8455 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jorge Luis Maldonado M.d. NPPES

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

DR. JORGE LUIS MALDONADO M.D. (NPI 1437192085) is an individual psychiatry provider in San Antonio, Texas, licensed in Texas (K2359) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1437192085
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. JORGE LUIS MALDONADOCredential: M.D.
Location Address1634 LOCKHILL SELMA RDSan Antonio, TX 78213-1929
Mailing Address1634 Lockhill Selma RdSan Antonio, TX 78213-1929 · (210) 541-8455
Phone(210) 541-8455
Sole ProprietorYes
Medical School CMSOtherGraduated 1986
Enumeration DateJune 13, 2006
Last NPPES UpdateJuly 11, 2024
NPPES CertifiedJuly 11, 2024
✔ NPI 1437192085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in TX · K2359
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedSpecialistTaxonomy 174400000X · License K2359 (TX)
1634 LOCKHILL SELMA RD, San Antonio, TX 78213
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Other Identifiers 1

Medicaid149418903TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Providence Health Plan 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

Dr. Jorge Luis Maldonado 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 ID941360291
PECOS Enrollment IDI20090518000285
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 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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
106 services44 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
96 services40 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.
51 services16 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.
18 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78213 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
$166.88 typical visit price
range $54.84 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
94%5,011 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
97%579 patients4/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
86%579 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

AMELIA ISBELL LPC PLLC
Counselor (Professional)
1634 LOCKHILL SELMA RD
SAN ANTONIO, TX 78213
Bexar County (210) 541-8455
DR. HECTOR MAURICIO SUNCIN MD
Psychiatry & Neurology (Psychiatry)
1634 LOCKHILL SELMA RD
SAN ANTONIO, TX 78213
Bexar County (210) 541-8455
VALERIE BALDWIN THOMAS, LLS
Clinic/Center (Adult Mental Health)
1634 LOCKHILL SELMA RD
SAN ANTONIO, TX 78213
Bexar County (210) 289-4681
MALDONADO PSYCHIATRIC ASSOCIATION
Specialist
1634 LOCKHILL SELMA RD
SAN ANTONIO, TX 78213
Bexar County (210) 541-8455

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 Jorge Maldonado's NPI number?

The NPI number for Jorge Maldonado is 1437192085. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Jorge Maldonado located?

Jorge Maldonado practices at 1634 Lockhill Selma Rd, San Antonio, TX 78213. The listed phone number is (210) 541-8455.

What is Jorge Maldonado's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Jorge Maldonado enrolled in Medicare?

Yes. Jorge 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 Jorge Maldonado accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Providence Health Plan, UnitedHealthcare and WellPoint list Jorge 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.

When was this NPI record last updated?

The NPPES record for Jorge Maldonado was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.