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RUSSELL C MAXA M.D.
NPI 1699784785
Internal Medicine in Atlanta, GA

Active since August 07, 2006PECOS EnrolledAccepts Medicare Assignment
64.19/100
CMS Quality Rating
5670 PEACHTREE DUNWOODY RD NE, SUITE 1200, ATLANTA, GA 30342(404) 255-9100(404) 257-7171 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Russell C Maxa M.d. NPPES

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

RUSSELL C MAXA M.D. (NPI 1699784785) is an individual internal medicine provider in Atlanta, Georgia, licensed in Georgia (054816) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Forsyth, and is a graduate of University Of Virginia School Of Medicine (1994).

NPPES Registry Identity

NPI1699784785
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRUSSELL C MAXACredential: M.D.
Location Address5670 PEACHTREE DUNWOODY RD NE, SUITE 1200Atlanta, GA 30342-1699
Mailing Address5670 Peachtree Dunwoody Rd Ne, Suite 1200Atlanta, GA 30342-1699 · (404) 255-9100 · Fax (404) 257-7171
Phone(404) 255-9100
Fax(404) 257-7171
Sole ProprietorNo
Medical School CMSUniversity Of Virginia School Of MedicineGraduated 1994
Enumeration DateAugust 7, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1699784785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 054816
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
5670 PEACHTREE DUNWOODY RD NE, Atlanta, GA 30342
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Other Identifiers 2

Medicare UPING61589
Medicare ID-Type Unspecified11SCCVMGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Russell C Maxa 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 ID5991785594
PECOS Enrollment IDI20040723000563
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 10

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
455 services80 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
348 services232 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.
317 services216 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
208 services198 patients
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.
151 services114 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
57 services57 patients

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital Forsyth

Acute Care Hospitals · Cumming, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110005
Location1200 Northside Forsyth DriveCumming, GA 30041 · Forsyth County
Birthing friendly

Northside Hospital

Acute Care Hospitals · Atlanta, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110161
Location1000 Johnson Ferry Road, NEAtlanta, GA 30342 · Fulton County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30342 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

64.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality67.33
Improvement Activities40
Cost40.54

Reported Quality Measures

Breast Cancer Screening
63%425 patients3/55-star benchmark: 100%
Colorectal Cancer Screening
61%1,308 patients3/55-star benchmark: 100%
Controlling High Blood Pressure
81%639 patients4/55-star benchmark: 98%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
56%176 patients3/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
79%596 patients3/55-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 20

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

SILPA REDDY MD
Internal Medicine (Hematology & Oncology)
5670 PEACHTREE DUNWOODY RD NE, SUITE 1100
ATLANTA, GA 30342
Fulton County (404) 851-2300
MARY ELIZABETH DAVIDSON
Physician Assistant
5670 PEACHTREE DUNWOODY RD NE, #1240
ATLANTA, GA 30342
Fulton County (404) 777-9791
JENNIFER KURRE WEBER ARNP
Nurse Practitioner
5670 PEACHTREE DUNWOODY RD NE, SUITE 1000
ATLANTA, GA 30342
Fulton County (404) 255-1930
DR. PRADEEP KUMAR SINHA M.D.
Otolaryngology
5670 PEACHTREE DUNWOODY RD NE, SUITE 1280
ATLANTA, GA 30342
Fulton County (404) 257-1589
MEGAN CHRISTINA SWEET PA
Physician Assistant
5670 PEACHTREE DUNWOODY RD NE, SUITE 1000
ATLANTA, GA 30342
Fulton County (404) 255-1930
LONNIE HERZOG M.D.
Internal Medicine
5670 PEACHTREE DUNWOODY RD NE, SUITE 1200
ATLANTA, GA 30342
Fulton County (404) 255-9100
LANA JEAN JACKSON P.A.
Physician Assistant
5670 PEACHTREE DUNWOODY RD NE, SUITE 1000
ATLANTA, GA 30342
Fulton County (404) 255-1930
MICHAEL ALAN BALK MD
Internal Medicine (Cardiovascular Disease)
5670 PEACHTREE DUNWOODY RD NE, SUITE 880
ATLANTA, GA 30342
Fulton County (404) 256-2525

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 Russell Maxa's NPI number?

The NPI number for Russell Maxa is 1699784785. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Where is Russell Maxa located?

Russell Maxa practices at 5670 Peachtree Dunwoody Rd NE Suite 1200, Atlanta, GA 30342. The listed phone number is (404) 255-9100.

What is Russell Maxa's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Russell Maxa enrolled in Medicare?

Yes. Russell Maxa 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 Russell Maxa accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Russell Maxa 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 Russell Maxa affiliated with any hospitals?

According to CMS data, Russell Maxa is affiliated with Northside Hospital Forsyth and Northside Hospital.

When was this NPI record last updated?

The NPPES record for Russell Maxa was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.