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MAXWELL COSTA TAGUE MD
NPI 1932859873
Family Medicine in Louisville, KY

Active since March 24, 2022PECOS EnrolledAccepts Medicare Assignment
210 E GRAY ST STE 700, LOUISVILLE, KY 40202(502) 629-5400(502) 629-5492 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Maxwell Costa Tague Md NPPES

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

MAXWELL COSTA TAGUE MD (NPI 1932859873) is an individual family medicine provider in Louisville, Kentucky, licensed in Kentucky (61274) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1932859873
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMAXWELL COSTA TAGUECredential: MD
Location Address210 E GRAY ST STE 700Louisville, KY 40202-3903
Mailing AddressPo Box 776351Chicago, IL 60677-6879 · (502) 975-2205 · Fax (502) 272-5339
Phone(502) 629-5400
Fax(502) 629-5492
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMarch 24, 2022
Last NPPES UpdateJune 29, 2026
NPPES CertifiedJune 29, 2026
✔ NPI 1932859873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in KY · 61274
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.
210 E GRAY ST STE 700, Louisville, KY 40202
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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

Maxwell Costa Tague 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 ID840756995
PECOS Enrollment IDI20260729001044
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40202 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

Other Providers at the Same Location NPPES 4

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

DR. RICHARD BLAIR DO
Family Medicine (Adult Medicine)
210 E GRAY ST STE 700
LOUISVILLE, KY 40202
Jefferson County (502) 629-5400
JENNIFER C BRISLIN APRN
Nurse Practitioner (Family)
210 E GRAY ST STE 700
LOUISVILLE, KY 40202
Jefferson County (502) 629-5400
DR. JONATHAN CHRISTOPHER KAPP M.D.
Internal Medicine
210 E GRAY ST STE 700
LOUISVILLE, KY 40202
Jefferson County (502) 629-5400
MRS. STACIE SWITZER CHENEY APRN
Nurse Practitioner (Family)
210 E GRAY ST STE 700
LOUISVILLE, KY 40202
Jefferson County (502) 629-5400

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 Maxwell Tague's NPI number?

The NPI number for Maxwell Tague is 1932859873. It was assigned to this individual provider in the NPPES registry on March 24, 2022.

Where is Maxwell Tague located?

Maxwell Tague practices at 210 E Gray St Ste 700, Louisville, KY 40202. The listed phone number is (502) 629-5400.

What is Maxwell Tague's specialty?

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

Is Maxwell Tague enrolled in Medicare?

Yes. Maxwell Tague 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.

When was this NPI record last updated?

The NPPES record for Maxwell Tague was last updated on June 29, 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.