Ramiro Maldonado, M.D.
NPI 1215228036 · Ophthalmology Physician · Durham, NC
Enrolled with Medicare as Practitioner - Ophthalmology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ramiro Maldonado, M.D. is a Ophthalmology Physician provider in Durham, NC (NPI 1215228036).
Provider details
- NPI number
- 1215228036
- Entity type
- Individual
- Primary specialty
- Ophthalmology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD457242 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
15 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
988 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 213 | $118 |
| Photography of the Retina92250 | 203 | $33 |
| Imaging of Retina92134 | 192 | $37 |
| Injection of Drug Into Eye67028 | 154 | $96 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 42 | $169 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 39 | $156 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 2 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Erythromycin Basebrand: Erythromycin | 14 |
| Ketorolac Tromethamine | 13 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$124 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 110 Conn Ter Ste 550Lexington, KY 40508Phone: (859) 323-5867
- 10 Center Dr.Nih. Bldg 10Bethesda, MD 20814Phone: (301) 496-3577
Registry dates
- Enumerated
- 2011-04-27
- Last updated
- 2022-04-06
- Certified
- 2022-04-06
Frequently asked questions
- What is Ramiro Maldonado's NPI number?
- Ramiro Maldonado's National Provider Identifier (NPI) is 1215228036, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ramiro Maldonado's specialty?
- Ramiro Maldonado is listed in the NPPES registry with a primary specialty of Ophthalmology Physician (Allopathic & Osteopathic Physicians).
- Where is Ramiro Maldonado located?
- Ramiro Maldonado's practice location on file with NPPES is Duke University Medical Ctr, Durham, NC 27710-0001.
- What is Ramiro Maldonado's phone number?
- The practice phone number listed in the NPPES registry for Ramiro Maldonado is (919) 681-3816.
- Does Ramiro Maldonado accept Medicare?
- Ramiro Maldonado is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ramiro Maldonado's NPI active?
- Yes — Ramiro Maldonado's NPI (1215228036) is active in the NPPES registry as of the last update on 2022-04-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.