Maxim Pekarev, MD

Primary specialty

Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X

License

P5223 Issued in TX

Practice address

800 8TH Ave Ste 206
Fort Worth, TX 76104-2619

Phone

(817) 529-9199

Fax

(817) 334-0491

NPI assigned

May 3, 2010

Last updated

Aug 25, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 TX

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 1

Specialty

Plastic and Reconstructive Surgery

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MP Plastic Surgery PLLCGroup PAC ID 1254681844, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• All Care Professional Home Health Inc Home health agency, Arlington, TX, CCN 457994
• Texas Health Harris Methodist Fort Worth Hospital, Fort Worth, TX, CCN 450135

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: maxim.pekarev.1@29858.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.

• MP Plastic Surgery PLLC

  • Plastic Surgery Physician
  • Fort Worth, TX
  • NPI 1275922734

  Multi-Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• North Metro Plastic Surgery PLLC

  • Plastic Surgery Physician
  • Fort Worth, TX
  • NPI 1194193052
  Authorized official Same address or phone
• MP Plastic Surgery KS LLC

  dba Thrive Reconstructive Surgery KS

  • Plastic and Reconstructive Surgery Physician
  • Wichita, KS
  • NPI 1811784093

  Multi-Specialty

  NPD

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

• All Care Professional Home Health, Inc.

  • Home Health Agency
  • Arlington, TX
  • NPI 1629034491
  Care Compare affiliation
• Texas Health Harris Methodist Hospital Fort Worth

  • General Acute Care Hospital
  • Fort Worth, TX
  • NPI 1336172105
  Care Compare affiliation

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

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1851618649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 8TH AVE STE 206",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042619",
            "telephone_number": "817-529-9199",
            "fax_number": "817-334-0491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 8TH AVE STE 206",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042619",
            "telephone_number": "817-529-9199",
            "fax_number": "817-334-0491"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "551 N Hillside St Ste 550",
            "address_purpose": "LOCATION",
            "city": "Wichita",
            "state": "KS",
            "postal_code": "672144928",
            "country_code": "US",
            "telephone_number": "316-235-3933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEKAREV",
        "first_name": "MAXIM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-03",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "KS",
            "license": "04-49254",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "TX",
            "license": "P5223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3280166",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Peevey, MD
• Pegasus Therapy
• Ronald C Pei, O.D.
• Haley Pejovich, M.A., BCBA, LBA
• Pek Medical So;Utions PLLC
• Francesca Louise Gruenberg Pelea, RPT
• Max Joseph Pell, MS, CCC-SLP
• Megan Pellacani-Richey, PT, DPT
• Pelvic Neuromonitoring PLLC
• Pelvis Power PT, LLC

• Plastic and Reconstructive Surgery Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Plastic and Reconstructive Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.