ETHAN JEROME MALTZ MD
NPI 1811482672
Orthopaedic Surgery in Greenville, SC
About Ethan Jerome Maltz Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETHAN JEROME MALTZ MD (NPI 1811482672) is an individual orthopaedic surgery provider in Greenville, South Carolina, licensed in South Carolina (LL52379) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with St Mary Medical Center, and is a graduate of Michigan State University College Of Human Medicine (2018).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ethan Jerome Maltz 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.
Medicare Billing Reassignment
Medicare enrollment records show Ethan Maltz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Peoria, IL 61615
- Reassigned Medicare billing, Illinois enrollment
- 2,944 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Mary Medical Center
Acute Care Hospitals · Galesburg, ILSaint Francis Medical Center
Acute Care Hospitals · Peoria, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 29605 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
GREENVILLE, SC 29605
GREENVILLE, SC 29605
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 Ethan Maltz's NPI number?
The NPI number for Ethan Maltz is 1811482672. It was assigned to this individual provider in the NPPES registry on June 25, 2018.
Where is Ethan Maltz located?
Ethan Maltz practices at 701 Grove Rd, Greenville, SC 29605. The listed phone number is (864) 455-6221.
What is Ethan Maltz's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Ethan Maltz enrolled in Medicare?
Yes. Ethan Maltz 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.
Which organization bills Medicare for Ethan Maltz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Maltz reassigns Medicare benefits to Osf Multi-Specialty Group (Peoria, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ethan Maltz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Ethan Maltz affiliated with any hospitals?
According to CMS data, Ethan Maltz is affiliated with St Mary Medical Center and Saint Francis Medical Center.
When was this NPI record last updated?
The NPPES record for Ethan Maltz was last updated on June 25, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Ethan Jerome Maltz, MD · NPI 1811482672
Orthopaedic Surgery physician in Greenville, South Carolina. Individual provider, active in the CMS NPPES registry since June 25, 2018.
## Identity
- **NPI:** 1811482672 (Entity type: Individual)
- **Enumerated:** June 25, 2018
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** LL52379 (South Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 701 GROVE RD, Greenville, SC 29605-4210
- **Phone:** (864) 455-6221
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Osf Multi-Specialty Group (NPI 1922445527, Peoria, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Michigan State University College Of Human Medicine, class of 2018
## Record status
- **NPPES last updated:** June 25, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1811482672) · Data from the CMS NPPES public registry.