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DR. MARC MALDAVER MD
NPI 1982395026
Internal Medicine in Nashville, TN

Active since May 18, 2023PECOS EnrolledAccepts Medicare Assignment
1151 21ST AVE S, NASHVILLE, TN 37232(615) 322-5000 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Marc Maldaver Md NPPES

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

DR. MARC MALDAVER MD (NPI 1982395026) is an individual internal medicine provider in Nashville, Tennessee, licensed in Tennessee (74000) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Human Medicine (2023).

NPPES Registry Identity

NPI1982395026
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARC MALDAVERCredential: MD
Location Address1151 21ST AVE SNashville, TN 37232-0001
Mailing Address1161 21st Ave SNashville, TN 37232-0011
Phone(615) 322-5000
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 2023
Enumeration DateMay 18, 2023
Last NPPES UpdateJune 10, 2026
NPPES CertifiedJune 10, 2026
✔ NPI 1982395026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TN · 74000
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1151 21ST AVE S, Nashville, TN 37232
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Insurance Company.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

Dr. Marc Maldaver 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 ID6608236146
PECOS Enrollment IDI20260615003227
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

2

Medicare enrollment records show Marc Maldaver reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Warner Physician Services PC
0.7 mi
Hospitalist
2000 CHURCH ST
Nashville, TN 37236
  • Reassigned Medicare billing, Tennessee enrollment
  • 85 clinicians in this Medicare group
NPI 1770272221 (615) 284-5555
Beaman Physician Services, PC
2.7 mi
Hospitalist
4220 HARDING PIKE
Nashville, TN 37205
  • Reassigned Medicare billing, Tennessee enrollment
  • 97 clinicians in this Medicare group
NPI 1487342242 (615) 222-2111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37232 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
$121.80 typical visit price
range $52.64 – $160.89
Typical copayment $30.45 (range $13.16 – $40.22)
Most-billed visit code 99204
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

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 Marc Maldaver's NPI number?

The NPI number for Marc Maldaver is 1982395026. It was assigned to this individual provider in the NPPES registry on May 18, 2023.

Where is Marc Maldaver located?

Marc Maldaver practices at 1151 21st Ave S, Nashville, TN 37232. The listed phone number is (615) 322-5000.

What is Marc Maldaver's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Marc Maldaver enrolled in Medicare?

Yes. Marc Maldaver 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 Marc Maldaver's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marc Maldaver reassigns Medicare benefits to 2 organizations: Warner Physician Services PC (Nashville, TN) and Beaman Physician Services, PC (Nashville, TN). 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 Marc Maldaver's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marc Maldaver accept?

Health plans from Oscar Health and Oscar Insurance Company list Marc Maldaver 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 Marc Maldaver was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.