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DR. MIKELLE A MADDOX MD
NPI 1770578726
Family Medicine in Foley, AL

Active since September 15, 2005PECOS EnrolledAccepts Medicare Assignment
87.47/100
CMS Quality Rating
1613 N MCKENZIE ST, FOLEY, AL 36535(251) 949-3710(251) 949-3715 Get Directions Write a Review

NPPES record last updated: November 13, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 13, 2020, Sep 21, 2020, Nov 21, 2019 (3 updates tracked since 2019).

About Dr. Mikelle A Maddox Md NPPES

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

DR. MIKELLE A MADDOX MD (NPI 1770578726) is an individual family medicine provider in Foley, Alabama, licensed in Alabama (22008) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1997).

NPPES Registry Identity

NPI1770578726
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MIKELLE A MADDOXCredential: MD
Location Address1613 N MCKENZIE STFoley, AL 36535-2247
Mailing Address1613 N Mckenzie StFoley, AL 36535-2247 · (251) 949-3479 · Fax (251) 949-3434
Phone(251) 949-3710
Fax(251) 949-3715
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1997
Enumeration DateSeptember 15, 2005
Last NPPES UpdateNovember 13, 20203 updates tracked since enumeration
NPPES CertifiedNovember 13, 2020
✔ NPI 1770578726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AL · 22008
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.
1613 N MCKENZIE ST, Foley, AL 36535
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Other Identifiers 5

Medicaid240553AL
Medicaid105656800FL
Medicaid210025AL
Medicaid03330541MS
Medicaid7100679480KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.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. Mikelle A Maddox 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 ID1254482078
PECOS Enrollment IDI20090707000520
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
261 services139 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
146 services144 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
124 services119 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
113 services64 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 36535 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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.

87.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.95
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers49 claims50 services$16.48 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers42 claims42 services$84.43 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 20

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

DR. JOHN J CAMPBELL M.D.
Radiology (Diagnostic Radiology)
1613 N MCKENZIE ST
FOLEY, AL 36535
Baldwin County (251) 949-1513
MRS. SHARON ELAINE CHRISTOPHER CRNA
Nurse Anesthetist, Certified Registered
1613 N MCKENZIE ST
FOLEY, AL 36535
Baldwin County (251) 971-1028
GRACE ANN RILEY DOUCET
Student in an Organized Health Care Education/Training Program
1613 N MCKENZIE ST
FOLEY, AL 36535
Baldwin County (251) 949-3400
M AND M ANESTHESIOLOGY PA
Anesthesiology
1613 N MCKENZIE ST
FOLEY, AL 36535
Baldwin County (251) 949-3400
IES ALABAMA PLLC
Emergency Medicine
1613 N MCKENZIE ST
FOLEY, AL 36535
Baldwin County (251) 949-3540
FOLEY HOSPITAL COMPANY LLC
General Acute Care Hospital
1613 N MCKENZIE ST
FOLEY, AL 36535
Baldwin County (251) 949-3400
SOUTH BALDWIN DIAGNOSTIC IMAGINE ASSOCIATES, P.C.
Specialist
1613 N MCKENZIE ST
FOLEY, AL 36535
Baldwin County (251) 949-1513
MARK T. KNOWER M.D.
Internal Medicine (Pulmonary Disease)
1613 N MCKENZIE ST
FOLEY, AL 36535
Baldwin County (251) 949-3710

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 Mikelle Maddox's NPI number?

The NPI number for Mikelle Maddox is 1770578726. It was assigned to this individual provider in the NPPES registry on September 15, 2005.

Where is Mikelle Maddox located?

Mikelle Maddox practices at 1613 N Mckenzie St, Foley, AL 36535. The listed phone number is (251) 949-3710.

What is Mikelle Maddox's specialty?

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

Is Mikelle Maddox enrolled in Medicare?

Yes. Mikelle Maddox 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 Mikelle Maddox accept?

Health plans from Blue Cross and Blue Shield of Alabama list Mikelle Maddox 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 Mikelle Maddox was last updated on November 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.