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DR. TONY MAURICE MAALOUF M.D.
NPI 1831120534
Specialist in Butler, PA

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
407 W JEFFERSON ST STE B, BUTLER, PA 16001(724) 283-1005(724) 283-4612 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Tony Maurice Maalouf M.d. NPPES

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

DR. TONY MAURICE MAALOUF M.D. (NPI 1831120534) is an individual specialist in Butler, Pennsylvania, licensed in Pennsylvania (MD054326L) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Clarion Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1831120534
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. TONY MAURICE MAALOUFCredential: M.D.
Location Address407 W JEFFERSON ST STE BButler, PA 16001-5485
Mailing Address407 W Jefferson St Ste BButler, PA 16001-5485 · (724) 283-1005 · Fax (724) 283-4612
Phone(724) 283-1005
Fax(724) 283-4612
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateJuly 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1831120534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in PA · MD054326L
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
407 W JEFFERSON ST STE B, Butler, PA 16001
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Other Identifiers 3

Medicaid0015480890002PA
Medicare ID-Type Unspecified065142PA
Medicare UPING05418PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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. Tony Maurice Maalouf 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 ID2567350085
PECOS Enrollment IDI20101214000873
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.

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
36 services36 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
32 services28 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
28 services28 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.
21 services19 patients
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.
13 services13 patients

Hospital Affiliations CMS Care Compare 3

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

Clarion Hospital

Acute Care Hospitals · Clarion, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390093
LocationOne Hospital DriveClarion, PA 16214 · Clarion County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Butler Memorial Hospital

Acute Care Hospitals · Butler, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390168
LocationOne Hospital WayButler, PA 16001 · Butler County
Emergency services Birthing friendly

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.

Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
3 suppliers15 claims895 services$0.23 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
3 suppliers15 claims555 services$0.23 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 2

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

MRS. TRACY LYNN MAALOUF PA C
Physician Assistant (Surgical)
407 W JEFFERSON ST STE B
BUTLER, PA 16001
Butler County (724) 283-1005
TONY M. MAALOUF, M.D.,P.C.
Specialist
407 W JEFFERSON ST STE B
BUTLER, PA 16001
Butler County (724) 283-1005

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 Tony Maalouf's NPI number?

The NPI number for Tony Maalouf is 1831120534. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Tony Maalouf located?

Tony Maalouf practices at 407 W Jefferson St Ste B, Butler, PA 16001. The listed phone number is (724) 283-1005.

What is Tony Maalouf's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Tony Maalouf enrolled in Medicare?

Yes. Tony Maalouf 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 Tony Maalouf accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Tony Maalouf 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.

Is Tony Maalouf affiliated with any hospitals?

According to CMS data, Tony Maalouf is affiliated with Clarion Hospital, Magee Womens Hospital Of Upmc Health System and Butler Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Tony Maalouf was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.