MAOXIIM TELLEZ M.D.
NPI 1740311349
Family Medicine in Petersburg, IL

Active since March 08, 2007PECOS EnrolledAccepts Medicare Assignment
72.14/100
CMS Quality Rating
1 CENTRE DR, PETERSBURG, IL 62675(217) 632-7761(217) 632-0312 Get Directions Write a Review

NPPES record last updated: November 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Maoxiim Tellez M.d. NPPES

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

MAOXIIM TELLEZ M.D. (NPI 1740311349) is an individual family medicine provider in Petersburg, Illinois, licensed in Illinois (036117662) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Memorial Medical Center, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2003).

NPPES Registry Identity

NPI1740311349
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMAOXIIM TELLEZCredential: M.D.
Location Address1 CENTRE DRPetersburg, IL 62675-9467
Mailing AddressPo Box 3428Springfield, IL 62708-3428 · (800) 577-5368 · Fax (217) 757-2021
Fax(217) 632-0312
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2003
Enumeration DateMarch 8, 2007
Last NPPES UpdateNovember 3, 2022
NPPES CertifiedNovember 3, 2022
NPI 1740311349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IL · 036117662
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.
1 CENTRE DR, Petersburg, IL 62675

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

Maoxiim Tellez 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 ID1456452739
PECOS Enrollment IDI20070731000451
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

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.

X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
20 services18 patients

Hospital Affiliations CMS Care Compare

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

Memorial Medical Center

Acute Care Hospitals · Springfield, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140148
Location701 N First StSpringfield, IL 62702 · Sangamon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62675 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

72.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.96
Improvement Activities40
Cost53.06

Referred Medical Equipment & Supplies CMS DME claims 19

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
5 suppliers13 claims42 services$5.53 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way, all silicone A4315
DME-Orthotic Devices · category DF000N
2 suppliers37 claims37 services$25.55 avg. paid by Medicare
Irrigation tray with bulb or piston syringe, any purpose A4320
DME-Medical/Surgical Supplies · category DA000N
2 suppliers38 claims140 services$4.83 avg. paid by Medicare
Urinary catheter anchoring device, adhesive skin attachment, each A4333
DME-Orthotic Devices · category DF000N
2 suppliers38 claims456 services$2.15 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
1 supplier34 claims34 services$4.77 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
2 suppliers38 claims51 services$9.40 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 14

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

Family Medicine
1 CENTRE DR
PETERSBURG, IL 62675
Nurse Practitioner (Family)
1 CENTRE DR
PETERSBURG, IL 62675
Clinic/Center (Multi-Specialty)
1 CENTRE DR
PETERSBURG, IL 62675
Pharmacist
1 CENTRE DR
PETERSBURG, IL 62675
Family Medicine
1 CENTRE DR
PETERSBURG, IL 62675
Occupational Therapist
1 CENTRE DR
PETERSBURG, IL 62675
Family Medicine
1 CENTRE DR
PETERSBURG, IL 62675
Pharmacy (Community/Retail Pharmacy)
1 CENTRE DR, SUITE 100
PETERSBURG, IL 62675

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 Maoxiim Tellez's NPI number?

The NPI number for Maoxiim Tellez is 1740311349. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Where is Maoxiim Tellez located?

Maoxiim Tellez practices at 1 Centre Dr, Petersburg, IL 62675. The listed phone number is (217) 632-7761.

What is Maoxiim Tellez's specialty?

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

Is Maoxiim Tellez enrolled in Medicare?

Yes. Maoxiim Tellez 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.

Is Maoxiim Tellez affiliated with any hospitals?

According to CMS data, Maoxiim Tellez is affiliated with Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Maoxiim Tellez was last updated on November 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.