Individual provider Active NPI

Eric Maiorino, M.D.

  • Plastic Surgery Physician
  • Hagerstown, MD
National Provider Identifier
1174888606
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
D0089038 Issued in MD
Practice address
11110 Medical Campus Rd Ste 241
Hagerstown, MD 21742-6756
Phone
(301) 714-4460
NPI assigned
Jul 10, 2012
Last updated
May 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X TX
Plastic Surgery Physician 208200000X D0089038 MD Primary

Addresses

Primary practice location

11110 Medical Campus Rd Ste 241
Hagerstown, MD 21742-6756

Mailing address

11116 Medical Campus Rd
Hagerstown, MD 21742-6710

Other practice location 1

6410 Fannin St
Suite 1400
Houston, TX 77030-3000
Phone (832) 325-7125

Other practice location 2

5530 Wisconsin Ave Ste 818
Chevy Chase, MD 20815-4401
Phone (301) 654-5666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, MD3 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

Enrollment IDStateProvider typePAC IDDetails
I20200629003774 DC Practitioner - Plastic and Reconstructive Surgery 6305130477 Reassigns benefits to 2 organizations
I20200630002128 VA Practitioner - Plastic and Reconstructive Surgery 6305130477 Reassigns benefits to 1 organization
I20250311001212 MD Practitioner - Plastic and Reconstructive Surgery 6305130477 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Temple University School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meritus Medical Center IncGroup PAC ID 7113811795, 730 clinicians

Practice addresses (Care Compare)

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

11110 Medical Campus Rd
Suite 241
Hagerstown, MD 21742-6756
Phone (301) 714-4460

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy14
Melanoma (skin cancer) excision29
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0089038MDMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Meritus Medical Center Inc CurrentSince Jan 31, 2025 Accepting new patients
Meritus Medical Center Inc Current Accepting new patients
Meritus Medical Center Inc CurrentSince Jan 31, 2025 Accepting new patients
Belmont Aesthetic & Reconstructive Plastic Surgery Plastic Surgery CurrentSince Aug 3, 2020 Accepting new patients
Belmont Surgery Center, L.L.C. CurrentSince Aug 3, 2020 Accepting new patients
Medical Practices of Antietam, LLC CurrentSince Jan 31, 2025 Accepting new patients
Medical Practices of Antietam LLC CurrentSince Jan 31, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Jules a. Feledy, Jr., MD., PLLC Plastic Surgery PastSince Aug 3, 2020 Accepting new patients

Locations

5530 Wisconsin Ave
Ste 818
Chevy Chase, MD 20815
Phone (301) 654-5666

11110 Medical Campus Rd
Ste 241
Hagerstown, MD 21742
Phone (301) 714-4460

11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600

3 Byrkit Dr
Williamsport, MD 21795
Phone (301) 582-1150

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1174888606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11116 MEDICAL CAMPUS RD",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD STE 241",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426756",
            "telephone_number": "301-714-4460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6410 Fannin St",
            "address_2": "Suite 1400",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770303000",
            "country_code": "US",
            "telephone_number": "832-325-7125",
            "fax_number": "713-512-2200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5530 Wisconsin Ave Ste 818",
            "address_purpose": "LOCATION",
            "city": "Chevy Chase",
            "state": "MD",
            "postal_code": "208154401",
            "country_code": "US",
            "telephone_number": "301-654-5666",
            "fax_number": "301-654-5552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAIORINO",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-10",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MD",
            "license": "D0089038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.