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MAXIM SHAYDAKOV MD
NPI 1780118679
Surgery - Vascular Surgery in York, PA

Active since April 18, 2017PECOS EnrolledAccepts Medicare Assignment
30 MONUMENT RD STE 1100, YORK, PA 17403(717) 851-6454 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 21, 2026, Mar 22, 2023, Jul 26, 2018 and 1 more (4 updates tracked since 2017).

About Maxim Shaydakov Md NPPES

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

MAXIM SHAYDAKOV MD (NPI 1780118679) is an individual vascular surgery provider in York, Pennsylvania, licensed in Pennsylvania (MD488318) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1780118679
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameMAXIM SHAYDAKOVCredential: MD
Location Address30 MONUMENT RD STE 1100York, PA 17403-5024
Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405
Phone(717) 851-6454
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateApril 18, 2017
Last NPPES UpdateApril 21, 20264 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1780118679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in PA · MD488318
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
30 MONUMENT RD STE 1100, York, PA 17403
Open in Google Maps ↗

Secondary Practice Locations 3

Location 11227 Baltimore StHanover, PA 17331-4406 · Phone (717) 851-6454
Location 237 Monument Rd Ste 101York, PA 17403-5023 · Phone (717) 851-6454
Location 32900 Carlisle PikeNew Oxford, PA 17350-8426 · Phone (717) 851-8426

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

Maxim Shaydakov 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 ID1254600216
PECOS Enrollment IDI20250815004121
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.

Hospital Affiliations CMS Care Compare 4

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

Wellspan York Hospital

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390046
Location1001 South George StreetYork, PA 17403 · York County
Emergency services Birthing friendly

Gettysburg Hospital

Acute Care Hospitals · Gettysburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390065
Location147 Gettys StreetGettysburg, PA 17325 · Adams County
Emergency services Birthing friendly

Wellspan Good Samaritan Hospital

Acute Care Hospitals · Lebanon, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390066
Location252 South 4th StreetLebanon, PA 17042 · Lebanon County
Emergency services Birthing friendly

Wellspan Chambersburg Hospital

Acute Care Hospitals · Chambersburg, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390151
Location112 North Seventh StreetChambersburg, PA 17201 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17403 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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.

MEGAN BETTS MS
Genetic Counselor, MS
30 MONUMENT RD STE 1100
YORK, PA 17403
York County (717) 356-4660
KATHY MARIE ATTIG CRNP
Nurse Practitioner (Gerontology)
30 MONUMENT RD STE 1100
YORK, PA 17403
York County (717) 851-6000
DR. BRENT DEMBO M.D.
Internal Medicine (Interventional Cardiology)
30 MONUMENT RD STE 1100
YORK, PA 17403
York County (717) 851-2441
INGA MACDONALD CRNP
Nurse Practitioner (Gerontology)
30 MONUMENT RD STE 1100
YORK, PA 17403
York County (717) 812-2480
JACQUELINE SUZANNE HASBROUCK CRNP
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
30 MONUMENT RD STE 1100
YORK, PA 17403
York County (717) 851-6000
KELLEN KNOWLES MD
Internal Medicine (Cardiovascular Disease)
30 MONUMENT RD STE 1100
YORK, PA 17403
York County (717) 851-2441
COLBY RHEL HORTON PA-C
Physician Assistant (Surgical)
30 MONUMENT RD STE 1100
YORK, PA 17403
York County (717) 851-6454
CHRISTINA DIANA SMITH CRNP
Nurse Practitioner (Family)
30 MONUMENT RD STE 1100
YORK, PA 17403
York County (717) 851-6454

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 Maxim Shaydakov's NPI number?

The NPI number for Maxim Shaydakov is 1780118679. It was assigned to this individual provider in the NPPES registry on April 18, 2017.

Where is Maxim Shaydakov located?

Maxim Shaydakov practices at 30 Monument Rd Ste 1100, York, PA 17403. The listed phone number is (717) 851-6454.

What is Maxim Shaydakov's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Maxim Shaydakov enrolled in Medicare?

Yes. Maxim Shaydakov 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 Maxim Shaydakov affiliated with any hospitals?

According to CMS data, Maxim Shaydakov is affiliated with Wellspan York Hospital, Gettysburg Hospital, Wellspan Good Samaritan Hospital and Wellspan Chambersburg Hospital.

When was this NPI record last updated?

The NPPES record for Maxim Shaydakov was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.