Michael C Maxwell, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

12361 Issued in MT

Practice address

915 Highland Blvd
Bozeman, MT 59715-6902

Phone

(406) 414-5000

NPI assigned

Jul 19, 2005

Last updated

Apr 9, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ, MT2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Cardiac SurgeryAlso: Thoracic Surgery

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bozeman Health Deaconess HospitalGroup PAC ID 4688984164, 309 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Banner Heart Hospital Hospital, Mesa, AZ, CCN 030105
• Banner Desert Medical Center Hospital, Mesa, AZ, CCN 030065
• Banner Baywood Medical Center Hospital, Mesa, AZ, CCN 030088
• Bozeman Health Deaconess Hospital Hospital, Bozeman, MT, CCN 270057
• Banner Ironwood Medical Center Hospital, Queen Creek, AZ, CCN 030130

Merit-based Incentive Payment System (MIPS)

Final score

87.04 of 100Reported as group

Quality

84.13

Promoting interoperability

100

Improvement activities

40

Cost

72.66

Merit-based Incentive Payment System (MIPS)

Final score

77.04 of 100Reported as individual

Quality

69.38

Promoting interoperability

59

Improvement activities

40

Cost

72.46

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3628/brand/1/csg/1/fhir/r4
• Direct secure messaging: michael.maxwell.1@3628.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bozeman Health Deaconess Hospital

  • Family Medicine Physician
  • Bozeman, MT
  • NPI 1619347390
  Medicare reassignment Care Compare group NPD
• Red Mountain Cardiothoracic Surgeons PC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Chandler, AZ
  • NPI 1538342589
  Medicare reassignment NPD Authorized official
• Banner Cancer Center Specialists LLC

  • Oncology Clinic/Center
  • Phoenix, AZ
  • NPI 1518253152
  Medicare reassignment NPD
• Belgrade Clinic PLLP

  • Family Medicine Physician
  • Belgrade, MT
  • NPI 1447280912
  NPD
• Bozeman Health Deaconess Hospital

  • Durable Medical Equipment & Medical Supplies
  • Bozeman, MT
  • NPI 1013733955
  NPD
• Banner Cancer Center Specialists LLC

  • Oncology Clinic/Center
  • Payson, AZ
  • NPI 1588158448
  NPD
• Bozeman Health Deaconess Hospital

  • General Acute Care Hospital
  • Bozeman, MT
  • NPI 1104295864
  NPD (past)
• Desert Cardiothoracic Surgeons, PLLC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Mesa, AZ
  • NPI 1801840988
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bozeman Health Deaconess Hospital

  • General Acute Care Hospital
  • Bozeman, MT
  • NPI 1104295864
  Care Compare affiliation
• Banner Baywood Medical Center

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1194758284
  Care Compare affiliation
• Banner Desert Medical Center

  • General Acute Care Hospital
  • Mesa, AZ
  • NPI 1720011810
  Care Compare affiliation
• Banner Heart Hospital

  • Special Hospital
  • Mesa, AZ
  • NPI 1215961248
  Care Compare affiliation
• Banner Ironwood Medical Center

  • General Acute Care Hospital
  • Queen Creek, AZ
  • NPI 1124341672
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1114926300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 HIGHLAND BLVD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156902",
            "telephone_number": "406-414-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 HIGHLAND BLVD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597156902",
            "telephone_number": "406-414-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 N Dobson Rd",
            "address_2": "Ste 15",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852244412",
            "country_code": "US",
            "telephone_number": "480-782-6900",
            "fax_number": "480-782-6905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAXWELL",
        "first_name": "MICHAEL",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MT",
            "license": "12361",
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AZ",
            "license": "31814",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "819055",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Maurillo, RD
• Heidi Marie Maus
• Susan Pendleton Mavor, MS, LCPC
• Adam Daye Maxwell, DPT
• Kimberly Annette Maxwell, D.C.
• Kenneth Francis May Jr., M.D., PH.D.
• Konnor Andrew May, DC
• Steffan John May, M.D.
• Donielle Jordan Mayes, LCSW
• Nicole Corina Mayne, PHARMD

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.