DR. MARVIN DWIGHT MAXWELL MD
NPI 1720001209
Family Medicine in Sebring, FL

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
86.96/100
CMS Quality Rating
4020 US HIGHWAY 27 N, SEBRING, FL 33870(863) 314-0020(863) 314-0024 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Marvin Dwight Maxwell Md NPPES

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

DR. MARVIN DWIGHT MAXWELL MD (NPI 1720001209) is an individual family medicine provider in Sebring, Florida, licensed in Florida (ME67256) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Highlands Hospital, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1720001209
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MARVIN DWIGHT MAXWELLCredential: MD
Location Address4020 US HIGHWAY 27 NSebring, FL 33870-1333
Mailing Address4020 Us Highway 27 NSebring, FL 33870-1333 · (863) 314-0020 · Fax (863) 314-0024
Fax(863) 314-0024
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateJuly 25, 2006
Last NPPES UpdateFebruary 5, 2024
NPPES CertifiedFebruary 5, 2024
NPI 1720001209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · ME67256
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.
4020 US HIGHWAY 27 N, Sebring, FL 33870

Other Identifiers 2

OtherCJ8463FL · Railroad Medicare Ptan
Medicaid259459500FL

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. Marvin Dwight Maxwell 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 ID3274728753
PECOS Enrollment IDI20101110000255
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 37

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 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.
4,236 services1,329 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
2,820 services30 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.
1,138 services686 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
812 services138 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
493 services146 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
326 services324 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Florida Highlands Hospital

Acute Care Hospitals · Sebring, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100049
Location3600 S Highlands AveSebring, FL 33870 · Highlands County
Emergency services

Adventhealth Sebring

Acute Care Hospitals · Sebring, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100109
Location4200 Sun N Lake BlvdSebring, FL 33872 · Highlands County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33870 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

86.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40
Cost56.55

Reported Quality Measures

Advance Care Plan
100%3,304 patients5/55-star benchmark: 100%
Controlling High Blood Pressure
84%2,105 patients4/55-star benchmark: 98%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
17%752 patients4/55-star benchmark: 98%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%5,584 patients5/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
88%1,473 patients4/55-star benchmark: 98%
Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older
100%66 patients5/55-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.

Referred Medical Equipment & Supplies CMS DME claims 33

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
20 suppliers81 claims266 services$6.12 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers20 claims20 services$2.79 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
12 suppliers31 claims52 services$1.13 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers61 claims61 services$37.73 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers16 claims29 services$1.25 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
6 suppliers79 claims79 services$89.89 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 6

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

Nurse Practitioner (Family)
4020 US HIGHWAY 27 N
SEBRING, FL 33870
Nurse Practitioner (Adult Health)
4020 US HIGHWAY 27 N
SEBRING, FL 33870
Nurse Practitioner (Family)
4020 US HIGHWAY 27 N
SEBRING, FL 33870
Nurse Practitioner (Family)
4020 US HIGHWAY 27 N
SEBRING, FL 33870
Nurse Practitioner (Family)
4020 US HIGHWAY 27 N
SEBRING, FL 33870
Physician Assistant
4020 US HIGHWAY 27 N
SEBRING, FL 33870

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 Marvin Maxwell's NPI number?

The NPI number for Marvin Maxwell is 1720001209. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Marvin Maxwell located?

Marvin Maxwell practices at 4020 Us Highway 27 N, Sebring, FL 33870. The listed phone number is (863) 314-0020.

What is Marvin Maxwell's specialty?

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

Is Marvin Maxwell enrolled in Medicare?

Yes. Marvin Maxwell 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 Marvin Maxwell accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Health First Commercial Plans, Inc. list Marvin Maxwell 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 Marvin Maxwell affiliated with any hospitals?

According to CMS data, Marvin Maxwell is affiliated with Hca Florida Highlands Hospital and Adventhealth Sebring.

When was this NPI record last updated?

The NPPES record for Marvin Maxwell was last updated on February 5, 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.