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JEFFREY THOMAS MAUDLIN M.D.
NPI 1811930423
Family Medicine in Nogales, AZ

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment
97.64/100
CMS Quality Rating
1209 W TARGET RANGE RD, NOGALES, AZ 85621(520) 287-4747(520) 285-3136 Get Directions Write a Review

NPPES record last updated: July 22, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jeffrey Thomas Maudlin M.d. NPPES

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

JEFFREY THOMAS MAUDLIN M.D. (NPI 1811930423) is an individual family medicine provider in Nogales, Arizona, licensed in Arizona (17138) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Arizona College Of Medicine (1984).

NPPES Registry Identity

NPI1811930423
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJEFFREY THOMAS MAUDLINCredential: M.D.
Location Address1209 W TARGET RANGE RDNogales, AZ 85621-2466
Mailing Address2202 N Forbes BlvdTucson, AZ 85745-1412 · (520) 287-4747 · Fax (520) 285-3136
Phone(520) 287-4747
Fax(520) 285-3136
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 1984
Enumeration DateJune 13, 2006
Last NPPES UpdateJuly 22, 2011
✔ NPI 1811930423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 17138
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.
1209 W TARGET RANGE RD, Nogales, AZ 85621
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Other Identifiers 3

Medicaid280123AZ
Medicare UPINE45435AZ
Medicare PIN28679AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc..Insurance ›

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

Jeffrey Thomas Maudlin 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 ID1052397130
PECOS Enrollment IDI20040629000211
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jeffrey Maudlin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cogent Healthcare Of Arizona PC
45 mi
Internal Medicine
5700 E HIGHWAY 90
Sierra Vista, AZ 85635
  • Reassigned Medicare billing, Arizona enrollment
  • 372 clinicians in this Medicare group
NPI 1568758266 (520) 417-4594
Banner-University Medical Group
53 mi
Nutrition, Education
8290 S HOUGHTON RD STE 150
Tucson, AZ 85747
  • Reassigned Medicare billing, Arizona enrollment
  • 1,514 clinicians in this Medicare group
NPI 1508673682 (520) 874-3111
El Rio Santa Cruz Neighborhood Health Center, Inc
54 mi
Federally Qualified Health Center (FQHC)
7490 S CAMINO DE OESTE
Tucson, AZ 85746
  • Reassigned Medicare billing, Arizona enrollment
  • 464 clinicians in this Medicare group
NPI 1962770370 (520) 879-6225

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 4

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.
740 services402 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.
110 services97 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
105 services105 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85621 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

97.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.77
Promoting Interoperability98.67
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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
11 suppliers33 claims69 services$6.39 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers20 claims21 services$1.09 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
4 suppliers16 claims19 services$31.43 avg. paid by Medicare
Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier12 claims12 services$67.81 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 9

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

MARIPOSA COMMUNITY HEALTH CENTER, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1209 W TARGET RANGE RD
NOGALES, AZ 85621
Santa Cruz County (520) 287-4747
DR. GUY A CRAWFORD M.D.
Family Medicine
1209 W TARGET RANGE RD
NOGALES, AZ 85621
Santa Cruz County (520) 287-4747
LYDIA H. RIVERA NP
Nurse Practitioner
1209 W TARGET RANGE RD
NOGALES, AZ 85621
Santa Cruz County (520) 287-4747
MR. LEO GASTON STINNETT JR. MD
Surgery
1209 W TARGET RANGE RD
NOGALES, AZ 85621
Santa Cruz County (520) 287-4747
DR. OSCAR I ROJAS M.D.
Pediatrics (Adolescent Medicine)
1209 W TARGET RANGE RD, SUITE 103
NOGALES, AZ 85621
Santa Cruz County (520) 287-4656
GUADALUPE ROBLES MISQUEZ N.P.
Nurse Practitioner (Gerontology)
1209 W TARGET RANGE RD
NOGALES, AZ 85621
Santa Cruz County (520) 287-4747
DR. JOSEPH A GERBER M.D.
Family Medicine
1209 W TARGET RANGE RD
NOGALES, AZ 85621
Santa Cruz County (520) 287-4747
MARIA GWEN GALLEGOS FNP
Nurse Practitioner (Family)
1209 W TARGET RANGE RD
NOGALES, AZ 85621
Santa Cruz County (520) 287-4747

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 Jeffrey Maudlin's NPI number?

The NPI number for Jeffrey Maudlin is 1811930423. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Jeffrey Maudlin located?

Jeffrey Maudlin practices at 1209 W Target Range Rd, Nogales, AZ 85621. The listed phone number is (520) 287-4747.

What is Jeffrey Maudlin's specialty?

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

Is Jeffrey Maudlin enrolled in Medicare?

Yes. Jeffrey Maudlin 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 organizations bill Medicare for Jeffrey Maudlin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeffrey Maudlin reassigns Medicare benefits to 3 organizations: Cogent Healthcare Of Arizona PC (Sierra Vista, AZ), Banner-University Medical Group (Tucson, AZ) and El Rio Santa Cruz Neighborhood Health Center, Inc (Tucson, AZ). Each 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 Jeffrey Maudlin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jeffrey Maudlin accept?

Health plans from Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona and Imperial Insurance Companies, Inc. list Jeffrey Maudlin 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 Jeffrey Maudlin was last updated on July 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.