TY CARL MADDOX D.O.
NPI 1992871321
Internal Medicine in Irving, TX

Active since November 28, 2006PECOS EnrolledAccepts Medicare Assignment
2021 N MACARTHUR BLVD, SUITE 350, IRVING, TX 75061(972) 253-2500(972) 253-4227 Get Directions Write a Review

NPPES record last updated: March 2, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ty Carl Maddox D.o. NPPES

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

TY CARL MADDOX D.O. (NPI 1992871321) is an individual internal medicine provider in Irving, Texas, licensed in Texas (L5445) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center At Irving, and is a graduate of University Of Nebraska College Of Medicine (1998).

NPPES Registry Identity

NPI1992871321
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTY CARL MADDOXCredential: D.O.
Location Address2021 N MACARTHUR BLVD, SUITE 350Irving, TX 75061-2219
Mailing Address2021 N Macarthur Blvd, Suite 150Irving, TX 75061-2219 · (972) 253-2560 · Fax (972) 253-4218
Fax(972) 253-4227
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1998
Enumeration DateNovember 28, 2006
Last NPPES UpdateMarch 2, 2017
NPI 1992871321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · L5445
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.

2021 N MACARTHUR BLVD, Irving, TX 75061

Other Identifiers 3

Medicaid163003001TX
Medicare UPINH26822TX
Medicare PIN8B3642TX

Accepted 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

Ty Carl Maddox D.o. 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 ID5395634661
PECOS Enrollment IDI20040313000641
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 15

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 30-39 minutes 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.
648 services263 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
472 services262 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
237 services137 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
214 services45 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
206 services78 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.
198 services198 patients

Hospital Affiliations CMS Care Compare

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

Baylor Scott & White Medical Center At Irving

Acute Care Hospitals · Irving, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450079
Location1901 N Macarthur BlvdIrving, TX 75061 · Dallas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75061 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

Referred Medical Equipment & Supplies CMS DME claims 15

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
15 suppliers55 claims112 services$6.44 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers11 claims11 services$2.95 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers13 claims16 services$1.20 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
3 suppliers13 claims13 services$32.66 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers18 claims18 services$69.64 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers17 claims43 services$28.78 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 19

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

Internal Medicine
2021 N MACARTHUR BLVD, SUITE 520
IRVING, TX 75061
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2021 N MACARTHUR BLVD, SUITE 515
IRVING, TX 75061
Family Medicine
2021 N MACARTHUR BLVD, SUITE 150
IRVING, TX 75061
Nurse Practitioner (Pediatrics)
2021 N MACARTHUR BLVD, 150
IRVING, TX 75061
Dermatology
2021 N MACARTHUR BLVD, SUITE 300
IRVING, TX 75061
Internal Medicine (Hematology & Oncology)
2021 N MACARTHUR BLVD, SUITE 400
IRVING, TX 75061
Physical Therapist
2021 N MACARTHUR BLVD, SUITE 550
IRVING, TX 75061
Dermatology (MOHS-Micrographic Surgery)
2021 N MACARTHUR BLVD, SUITE 300
IRVING, TX 75061

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992871321, enumerated as an "individual" on November 28, 2006.

The provider is located at 2021 N MACARTHUR BLVD SUITE 350 IRVING, TX 75061 and the phone number is (972) 253-2500.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Baylor Scott and White Health Plan, Blue Cross and. Please consult your insurance carrier or call the provider to verify.

Ty Maddox is affiliated with: BAYLOR SCOTT & WHITE MEDICAL CENTER AT IRVING.