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DR. MAXWELL TANYI FOHTUNG
NPI 1982088571
General Practice in Saint Louis, MO

Active since July 14, 2015PECOS EnrolledAccepts Medicare Assignment
81.6/100
CMS Quality Rating
4949 W PINE BLVD, SAINT LOUIS, MO 63108(314) 389-1496 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 31, 2026, Jun 11, 2018, May 24, 2018 (3 updates tracked since 2018).

About Dr. Maxwell Tanyi Fohtung NPPES

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

DR. MAXWELL TANYI FOHTUNG (NPI 1982088571) is an individual general practice provider in Saint Louis, Missouri, licensed in Colorado (DR.0069226) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Saint Louis, and is a graduate of Indiana University School Of Medicine (2015).

NPPES Registry Identity

NPI1982088571
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. MAXWELL TANYI FOHTUNG
Location Address4949 W PINE BLVDSaint Louis, MO 63108
Mailing Address4949 W Pine BlvdSaint Louis, MO 63108-1431 · (314) 362-5000
Phone(314) 389-1496
Sole ProprietorNo
Medical School CMSIndiana University School Of MedicineGraduated 2015
Enumeration DateJuly 14, 2015
Last NPPES UpdateMarch 31, 20263 updates tracked since enumeration
NPPES CertifiedMarch 31, 2026
✔ NPI 1982088571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in CO · DR.0069226✔ Licensed in MO · 2018011353
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedSurgeryTaxonomy 208600000X · License 2018011353 (MO)
4949 W PINE BLVD, Saint Louis, MO 63108
Open in Google Maps ↗

Secondary Practice Location 1

Location 11 Barnes Jewish Hospital PlzSaint Louis, MO 63110-1003 · Phone (314) 362-5000

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

Dr. Maxwell Tanyi Fohtung 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 ID4880908474
PECOS Enrollment IDI20221121001125
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 Maxwell Fohtung reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pro Health One Inc
788 mi
Surgery
8181 E TUFTS AVE STE 510
Denver, CO 80237
  • Reassigned Medicare billing, Colorado enrollment
  • 33 clinicians in this Medicare group
NPI 1053714584 (866) 782-8393
Vohra Wound Physicians Of The West, P.C.
794 mi
Family Medicine
730 W HAMPDEN AVE
Englewood, CO 80110
  • Reassigned Medicare billing, Colorado enrollment
  • Medicare enrollment name: Vohra Wound Physicians Of The West PC
  • 9 clinicians in this Medicare group
NPI 1205176096 (877) 866-7123
Vohra Wound Physicians Of Fl, LLC
1,046 mi
Family Medicine
3601 SW 160TH AVE STE 250
Miramar, FL 33027
  • Reassigned Medicare billing, Missouri enrollment
  • 19 clinicians in this Medicare group
NPI 1407146707 (877) 866-7123

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 14

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,666 services249 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
790 services165 patients
Removal of skin and tissue, each additional 20.0 sq cm or less 11045
This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.
502 services64 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
343 services173 patients
Application of chemical to stop tissue regrowth in wound 17250
This procedure involves applying a special chemical to a wound to prevent unwanted tissue from growing back. It aids in proper healing by ensuring only healthy tissue regrows. It's a common, safe practice in wound care.
216 services62 patients
Removal of muscle and/or tissue, 20.0 sq cm or less 11043
This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.
89 services32 patients

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.

81.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.44
Promoting Interoperability100
Improvement Activities40
Cost29.89

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Collagen dressing, sterile, size 16 sq. in. or less, each A6021
DME-Medical/Surgical Supplies · category DA023N
1 supplier24 claims402 services$20.16 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
2 suppliers101 claims1,958 services$7.11 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219
DME-Medical/Surgical Supplies · category DA023N
2 suppliers410 claims9,729 services$0.92 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing A6220
DME-Medical/Surgical Supplies · category DA023N
1 supplier14 claims274 services$2.53 avg. paid by Medicare
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6222
DME-Medical/Surgical Supplies · category DA023N
2 suppliers53 claims866 services$2.02 avg. paid by Medicare
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size more than 16 sq. in., but less than or equal to 48 sq. in., without adhesive border, each dressing A6223
DME-Medical/Surgical Supplies · category DA023N
1 supplier18 claims260 services$2.34 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Fohtung's NPI number?

The NPI number for Maxwell Fohtung is 1982088571. It was assigned to this individual provider in the NPPES registry on July 14, 2015.

Where is Maxwell Fohtung located?

Maxwell Fohtung practices at 4949 W Pine Blvd, Saint Louis, MO 63108. The listed phone number is (314) 389-1496.

What is Maxwell Fohtung's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Maxwell Fohtung enrolled in Medicare?

Yes. Maxwell Fohtung 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 Maxwell Fohtung's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maxwell Fohtung reassigns Medicare benefits to 3 organizations: Pro Health One Inc (Denver, CO), Vohra Wound Physicians Of The West, P.C. (Englewood, CO) and Vohra Wound Physicians Of Fl, LLC (Miramar, FL). 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 Maxwell Fohtung's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Maxwell Fohtung was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.