Hernan Maldonado, MD
NPI 1306043773 · Family Medicine Physician · Midland, MI
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Hernan Maldonado, MD is a Family Medicine Physician provider in Midland, MI (NPI 1306043773).
Provider details
- NPI number
- 1306043773
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4301090618 (MI)
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
18 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
551 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 349 | $75 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 85 | $109 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 80 | $164 |
| Emergency Department Visit With High Level of Medical Decision Making99285 | 19 | $169 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 18 | $117 |
Typical Medicare-allowed amounts for these services range $75–$169 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 35 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 59 | 14 |
| Quetiapine Fumarate | 54 | 14 |
| Furosemide | 48 | 15 |
| Omeprazole | 44 | 11 |
| Methenamine Hippurate | 36 | — |
| Trazodone Hcl | 32 | — |
| Venlafaxine Hclbrand: Venlafaxine Hcl Er | 27 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$74 across 1 record (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
Registry dates
- Enumerated
- 2007-06-29
- Last updated
- 2026-02-19
- Certified
- 2026-02-19
Frequently asked questions
- What is Hernan Maldonado's NPI number?
- Hernan Maldonado's National Provider Identifier (NPI) is 1306043773, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Hernan Maldonado's specialty?
- Hernan Maldonado is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Hernan Maldonado located?
- Hernan Maldonado's practice location on file with NPPES is 4000 Wellness Dr, Midland, MI 48670-2000.
- What is Hernan Maldonado's phone number?
- The practice phone number listed in the NPPES registry for Hernan Maldonado is (989) 839-1644.
- Does Hernan Maldonado accept Medicare?
- Hernan Maldonado is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Hernan Maldonado's NPI active?
- Yes — Hernan Maldonado's NPI (1306043773) is active in the NPPES registry as of the last update on 2026-02-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.