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DR. JONATHAN MANUEL MALDONADO MD
NPI 1487004917
Urology in Saint Louis, MO

Active since June 15, 2016PECOS EnrolledAccepts Medicare Assignment
86.88/100
CMS Quality Rating
1 BARNES JEWISH HOSPITAL PLZ, DIV SURG UROLOGY, SAINT LOUIS, MO 63110(314) 362-8200(314) 454-5244 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 1, 2024, Aug 11, 2022, Jun 15, 2016 (3 updates tracked since 2016).

About Dr. Jonathan Manuel Maldonado Md NPPES

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

DR. JONATHAN MANUEL MALDONADO MD (NPI 1487004917) is an individual urology provider in Saint Louis, Missouri, licensed in Missouri (2022040431) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and is a graduate of Loma Linda University School Of Medicine (2016).

NPPES Registry Identity

NPI1487004917
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. JONATHAN MANUEL MALDONADOCredential: MD
Location Address1 BARNES JEWISH HOSPITAL PLZ, DIV SURG UROLOGYSaint Louis, MO 63110-1003
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 362-8200 · Fax (314) 454-5244
Phone(314) 362-8200
Fax(314) 454-5244
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2016
Enumeration DateJune 15, 2016
Last NPPES UpdateApril 17, 20253 updates tracked since enumeration
NPPES CertifiedAugust 11, 2022
✔ NPI 1487004917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in MO · 2022040431
Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

1 BARNES JEWISH HOSPITAL PLZ, Saint Louis, MO 63110
Open in Google Maps ↗

Other Identifiers 1

Medicaid200113315MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CommunityCare, Cox HealthPlans 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. Jonathan Manuel 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 ID4688057664
PECOS Enrollment IDI20231004003241
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 5

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.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
33 services30 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
19 services19 patients
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.
13 services12 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Memorial Hospital

Acute Care Hospitals · Belleville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140185
Location4500 Memorial DriveBelleville, IL 62226 · St. Clair County
Emergency services Birthing friendly

Barnes Jewish Hospital

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number260032
LocationOne Barnes-Jewish Hospital PlazaSaint Louis, MO 63110 · St. Louis City County
Emergency services Birthing friendly

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260108
Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County
Emergency services Birthing friendly

Barnes-Jewish West County Hospital

Acute Care Hospitals · Creve Coeur, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260162
Location12634 Olive BoulevardCreve Coeur, MO 63141 · St. Louis County
Emergency services

Christian Hospital Northeast

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260180
Location11133 Dunn RoadSaint Louis, MO 63136 · St. Louis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63110 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
$128.28 typical visit price
range $55.65 – $169.38
Typical copayment $32.07 (range $13.91 – $42.34)
Most-billed visit code 99204
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

86.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.46
Promoting Interoperability100
Improvement Activities40
Cost57.71

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.

DR. MARGARET LEIGHTON MCNAIRY MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
ANNA RABINOV ANNA RABINOV
Obstetrics & Gynecology
1 BARNES JEWISH HOSPITAL PLZ
SAINT LOUIS, MO 63110
St. Louis City (314) 747-3000
MRS. MICHELLE MARIE BLOOM ACNP
Nurse Practitioner (Acute Care)
1 BARNES JEWISH HOSPITAL PLZ, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (800) 862-9980
DR. FARIS ADAM BAKEER MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
DR. REHAN RAIS MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
DR. RANDY OLIVIER LAINE MD
Hospitalist
1 BARNES JEWISH HOSPITAL PLZ, DIV IM HOSPITALIST
SAINT LOUIS, MO 63110
St. Louis City (314) 362-1700
DR. BRADLEY SETH KUSHNER MD
Surgery
1 BARNES JEWISH HOSPITAL PLZ, DIV SURG VASCULAR
SAINT LOUIS, MO 63110
St. Louis City (314) 273-7373
MS. KELSEY ELISE FOGUS CRNA
Nurse Anesthetist, Certified Registered
1 BARNES JEWISH HOSPITAL PLZ, DEPT ANESTHESIOLOGY
SAINT LOUIS, MO 63110
St. Louis City (800) 862-9980

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 Maldonado's NPI number?

The NPI number for Jonathan Maldonado is 1487004917. It was assigned to this individual provider in the NPPES registry on June 15, 2016.

Where is Jonathan Maldonado located?

Jonathan Maldonado practices at 1 Barnes Jewish Hospital Plz Div Surg Urology, Saint Louis, MO 63110. The listed phone number is (314) 362-8200.

What is Jonathan Maldonado's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Jonathan Maldonado enrolled in Medicare?

Yes. Jonathan 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 Jonathan Maldonado accept?

Health plans from Anthem Blue Cross and Blue Shield, CommunityCare, Cox HealthPlans and UnitedHealthcare list Jonathan 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 Jonathan Maldonado affiliated with any hospitals?

According to CMS data, Jonathan Maldonado is affiliated with Memorial Hospital, Barnes Jewish Hospital, Missouri Baptist Medical Center, Barnes-Jewish West County Hospital and Christian Hospital Northeast.

When was this NPI record last updated?

The NPPES record for Jonathan Maldonado was last updated on April 17, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.