DR. CARL MALTESE M.D.
NPI 1487702999
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Mobile, AL

Active since January 08, 2007PECOS EnrolledAccepts Medicare Assignment
13.72/100
CMS Quality Rating
1901 SPRINGHILL AVE, MOBILE, AL 36607(251) 300-2240(251) 300-2249 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 22, 2019, Aug 3, 2018 (2 updates tracked since 2018).

About Dr. Carl Maltese M.d. NPPES

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

DR. CARL MALTESE M.D. (NPI 1487702999) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Mobile, Alabama, licensed in Alabama (13832) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of Florida College Of Medicine (1981).

NPPES Registry Identity

NPI1487702999
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameDR. CARL MALTESECredential: M.D.
Location Address1901 SPRINGHILL AVEMobile, AL 36607
Mailing AddressPo Box 746450Atlanta, GA 30374-6450 · (866) 401-3057 · Fax (318) 868-6430
Fax(251) 300-2249
Sole ProprietorNo
Medical School CMSUniversity Of Florida College Of MedicineGraduated 1981
Enumeration DateJanuary 8, 2007
Last NPPES UpdateJanuary 8, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2024
NPI 1487702999 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License Licensed in AL · 13832
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSpecialistTaxonomy 174400000X · License 13832 (AL)
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License 13832 (AL)
1901 SPRINGHILL AVE, Mobile, AL 36607

Secondary Practice Locations 2

Location 15 Mobile Infirmary CirMobile, AL 36607-3513 · Phone (251) 300-2240 · Fax (251) 300-2249
Location 224220 US Highway 98Fairhope, AL 36532-3406 · Phone (251) 300-2240 · Fax (251) 300-2249

Other Identifiers 5

Other4049486AL · Aetna Provider #
Other3710049AL · Uhc
Medicaid000019748AL
OtherC71718AL · Healthsprings Of Al
Medicaid0018838MS

Accepted 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. Carl Maltese 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 ID5890683676
PECOS Enrollment IDI20130429000442
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 15

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.

Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
151 services137 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
133 services109 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.
68 services66 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
64 services41 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
26 services22 patients
Ultrasound of leg arteries or artery grafts 93925
An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.
26 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36607 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
$161.63 typical visit price
range $52.65 – $161.63
Typical copayment $40.40 (range $13.16 – $40.40)
Most-billed visit code 99205
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

13.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost45.73

Reported Quality Measures

Patient Centered Surgical Risk Assessment and Communication for Cardiac Surgery
Percentage of patients age 18 and older undergoing a non-emergency risk modeled cardiac surgery procedure that had personalized risk assessment using the STS risk calculator and discussed those risks with the surgeon.
52%33 patients3/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
96%55 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 6

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

Thoracic Surgery (Cardiothoracic Vascular Surgery)
1901 SPRINGHILL AVE
MOBILE, AL 36607
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1901 SPRINGHILL AVE
MOBILE, AL 36607
Physician Assistant (Surgical)
1901 SPRINGHILL AVE
MOBILE, AL 36607
Physician Assistant (Surgical)
1901 SPRINGHILL AVE
MOBILE, AL 36607
Physician Assistant (Surgical)
1901 SPRINGHILL AVE
MOBILE, AL 36607
Specialist
1901 SPRINGHILL AVE
MOBILE, AL 36607

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 Carl Maltese's NPI number?

The NPI number for Carl Maltese is 1487702999. It was assigned to this individual provider in the NPPES registry on January 8, 2007.

Where is Carl Maltese located?

Carl Maltese practices at 1901 Springhill Ave, Mobile, AL 36607. The listed phone number is (251) 300-2240.

What is Carl Maltese's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Carl Maltese enrolled in Medicare?

Yes. Carl Maltese 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 Carl Maltese accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and Blue Cross and Blue Shield of Alabama and 3 other insurers list Carl Maltese 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 Carl Maltese was last updated on January 8, 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.