Luke Maxfield, D.O.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

4372 Issued in TN

Practice address

607 Beaman St
Clinton, NC 28328-2603

Phone

(910) 596-5421

Fax

(412) 712-8567

NPI assigned

Mar 16, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NC, TN, CA3 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 3

Specialty

DermatologyAlso: Micrographic Dermatologic Surgery (MDS)

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Aspire Dermatology and Skin Surgery Center PLLCGroup PAC ID 5799124707, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lmaxfield@aadermaffiliates.emadirect.md

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

• Horizon Dermatology and Skin Surgery Center PLLC

  • Dermatology Physician
  • Soddy Daisy, TN
  • NPI 1285488312
  Medicare reassignment Care Compare group NPD Authorized official
• Compass Dermatopathology, Inc.

  • Dermatopathology Physician
  • San Diego, CA
  • NPI 1922312248

  Dermatology

  Medicare reassignment NPD
• Aspire Dermatology and Skin Surgery Center PLLC

  • Medical Specialty Clinic/Center
  • Soddy Daisy, TN
  • NPI 1528932548
  NPD Authorized official
• Horizon Dermatology and Skin Surgery Center PLLC

  • Non-Pharmacy Dispensing Site
  • Cleveland, TN
  • NPI 1578488417
  NPD (past) Authorized official
• Anne Arundel Dermatology Affiliates PC

  • Dermatology Physician
  • Hunt Valley, MD
  • NPI 1083200794
  NPD (past)

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1144681255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10298 WALDEN ST",
            "city": "SODDY DAISY",
            "state": "TN",
            "postal_code": "373795152",
            "fax_number": "412-712-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 BEAMAN ST",
            "city": "CLINTON",
            "state": "NC",
            "postal_code": "283282603",
            "telephone_number": "910-596-5421",
            "fax_number": "412-712-8567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10298 Walden St",
            "address_purpose": "LOCATION",
            "city": "Soddy Daisy",
            "state": "TN",
            "postal_code": "373795152",
            "country_code": "US",
            "telephone_number": "412-712-9301",
            "fax_number": "412-712-8567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAXFIELD",
        "first_name": "LUKE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-16",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2020-03771",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NC",
            "license": "2020-03771",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "TN",
            "license": "4372",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TN",
            "license": "4372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4372",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "2020-03771",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthews Health Mart
• Matthews Inc
• Matthews Inc
• Russell Matthews
• Lesley Matthis, M.ED., CCC/SLP
• Ginger T. McCullen, PNP
• Hilary McCullen, FNP-BC
• Gordon Roberts McDevitt Jr., MD
• Carrie Frederick McLean, PHD
• John F McPhail III, M.D.

• Dermatology Physician in Clinton, NC
• Providers in Clinton, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.