Active NPI 1437223807 Individual Practitioner Male Practitioner

Dr. Nicholas P Maxwell , MD

Surgery • Monroe, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Nicholas Maxwell, MD is a certified Surgery practicing in Monroe, WI. With approximately 42 years of clinical experience since completing medical education in 1984, Dr. Maxwell delivers high-quality medical care to the local community at 515 22ND AVE.

Dr. Maxwell is affiliated with The Monroe Clinic, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, destruction of polyp or growth of large bowel using a flexible endoscope, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

515 22nd Ave

Monroe, WI 535661569

Telephone 6083242000

Associated Practice Facility / Clinic

🏢 The Monroe Clinic, Inc. Facility NPI 1740291491

Medicare Profile & Education

Medical School

Other

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Monroe, WI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

42 Yrs +23.2 yrs vs City Avg

City Avg: 18.8 Yrs

State Avg: 25.2 Yrs

Regional Practice Density

4 Specialists

Practicing in Monroe, WI (765 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

89.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Maxwell (42 Years) 42 Yrs

Monroe Specialty Average (18.8 Years) 18.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	102	76	$203.94	$61.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	57	$287.00	$90.33
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	54	53	$3904.00	$242.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$390.00	$123.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	21	$123.95	$32.44
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	21	21	$2029.00	$165.49
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$463.00	$120.47
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	18	18	$110.00	$4.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$227.00	$75.41
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	16	16	$2029.00	$166.25
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$2055.00	$79.61
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$570.00	$166.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	61	$271.74	$93.16
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	63	61	$110.00	$4.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$449.83	$126.58
99213 Established patient office or other outpatient visit, typically 15 minutes	53	48	$156.83	$62.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	32	$557.42	$115.87
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	35	35	$3394.00	$250.99
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	29	29	$578.38	$171.87
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	26	26	$2029.00	$171.56
99231 Follow-up hospital inpatient care per day, typically 15 minutes	21	13	$226.00	$46.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	20	$385.29	$136.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	19	$79.50	$33.78
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	19	19	$2029.00	$171.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$740.63	$165.87
47562 Removal of gallbladder using an endoscope	16	16	$5017.44	$562.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$248.57	$78.09
49505 Repair of groin hernia (5 years or older)	11	11	$4659.91	$518.27
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	11	11	$6480.00	$306.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	67	54	$96.00	$64.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	60	$202.00	$94.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$455.72	$129.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	49	40	$34.00	$34.20
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	49	49	$2957.69	$255.17
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	47	46	$110.00	$4.98
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	44	38	$372.00	$140.07
99231 Follow-up hospital inpatient care per day, typically 15 minutes	37	18	$226.00	$36.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$216.06	$79.20
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	22	22	$2020.18	$175.12
99221 Initial hospital inpatient care per day, typically 30 minutes	19	17	$480.00	$94.06
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	18	18	$108.44	$11.72
49505 Repair of groin hernia (5 years or older)	15	15	$4137.33	$484.50
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	12	$298.00	$67.91
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	14	14	$2022.07	$174.84
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$601.00	$175.01
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$127.83	$46.67
47562 Removal of gallbladder using an endoscope	12	12	$6342.75	$603.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	67	67	$96.00	$5.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	57	$206.09	$96.32
99213 Established patient office or other outpatient visit, typically 15 minutes	63	50	$102.52	$65.07
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	55	45	$372.00	$141.78
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$461.15	$130.97
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	52	52	$3279.00	$258.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$200.74	$80.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	44	38	$34.00	$34.32
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	30	30	$605.57	$177.88
99221 Initial hospital inpatient care per day, typically 30 minutes	24	22	$480.00	$95.62
47562 Removal of gallbladder using an endoscope	23	23	$6065.00	$612.26
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	14	$298.00	$68.93
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	16	$1957.00	$95.11
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$105.00	$47.30
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	16	16	$1932.00	$176.97
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	11	$226.00	$36.92
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	11	$6171.00	$314.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	88	$194.23	$76.40
99213 Established patient office or other outpatient visit, typically 15 minutes	60	48	$96.33	$48.78
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	59	58	$85.00	$5.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	57	51	$355.00	$109.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$435.20	$125.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$190.22	$73.35
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	35	35	$3858.00	$266.13
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	33	33	$573.00	$165.21
99221 Initial hospital inpatient care per day, typically 30 minutes	21	20	$457.00	$98.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	13	$284.00	$71.00
47562 Removal of gallbladder using an endoscope	17	17	$7239.93	$609.05
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	16	$1864.00	$97.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$53.00	$24.93
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	13	13	$1840.00	$181.17
49568 Placement of mesh to repair incisional or abdominal hernia	12	12	$1957.00	$251.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	139	106	$95.66	$49.38
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	128	124	$257.92	$5.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	114	88	$192.88	$75.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$185.09	$73.20
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	61	61	$3086.00	$263.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$319.46	$124.55
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	45	40	$353.27	$106.76
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	35	35	$1472.00	$181.11
99221 Initial hospital inpatient care per day, typically 30 minutes	34	33	$457.00	$97.32
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	26	$35.24	$24.67
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	28	27	$1775.00	$98.91
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$108.98	$47.29
49568 Placement of mesh to repair incisional or abdominal hernia	17	17	$1957.00	$250.17
47562 Removal of gallbladder using an endoscope	16	16	$7246.48	$599.73
49505 Repair of groin hernia (5 years or older)	13	13	$4344.31	$490.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	11	$607.00	$132.39
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	12	12	$5597.00	$310.33

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	172	137	$92.96	$49.17
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	132	131	$248.00	$5.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	82	$187.04	$74.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	91	91	$187.09	$72.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	49	$34.14	$24.29
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	58	58	$2967.00	$257.85
99221 Initial hospital inpatient care per day, typically 30 minutes	33	32	$439.00	$96.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$346.37	$123.04
47562 Removal of gallbladder using an endoscope	29	29	$6920.15	$587.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	26	$341.00	$106.48
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	27	27	$1707.00	$95.20
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	26	26	$1349.00	$175.07
93922 Ultrasound study of arm and leg arteries	24	23	$141.00	$11.94
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$110.21	$48.23
93924 Ultrasound study of arteries of both legs at rest and exercise	24	24	$236.25	$23.43
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	23	23	$1373.26	$174.50
88307 Pathology examination of tissue using a microscope, moderately high complexity	17	15	$910.00	$84.27
11042 Removal of skin and tissue, 20.0 sq cm or less	16	13	$515.75	$57.52
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	16	16	$5382.00	$300.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	14	$584.00	$130.71
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$1971.00	$119.21
35301 Removal of blood clot and portion of artery of neck	13	11	$9411.00	$1040.48
88304 Pathology examination of tissue using a microscope, moderately low complexity	13	13	$451.00	$11.64
99201 New patient office or other outpatient visit, typically 10 minutes	12	12	$81.50	$25.59
49568 Placement of mesh to repair incisional or abdominal hernia	12	12	$1882.00	$246.08
44140 Partial removal of large bowel	11	11	$8231.93	$1185.67
49505 Repair of groin hernia (5 years or older)	11	11	$4901.27	$547.59
19125 Removal of breast growth, open procedure	11	11	$3319.00	$423.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	120	103	$92.48	$48.99
G0500 Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito	120	116	$311.95	$5.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	72	$180.36	$75.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	84	84	$184.71	$72.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	67	58	$37.27	$24.04
45388 Destruction of polyp or growth of large bowel using a flexible endoscope	56	56	$2832.00	$257.07
99202 New patient office or other outpatient visit, typically 20 minutes	31	31	$107.74	$48.45
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	31	30	$1641.00	$102.66
99221 Initial hospital inpatient care per day, typically 30 minutes	23	23	$439.00	$96.57
47562 Removal of gallbladder using an endoscope	23	23	$6740.41	$609.68
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	22	22	$1310.00	$179.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$314.32	$123.81
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	18	$328.00	$102.12
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	18	18	$1373.00	$179.39
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$1895.00	$95.26
36821 Relocation of arm vein with connection to arm artery, open procedure	12	12	$8202.00	$626.99
49505 Repair of groin hernia (5 years or older)	12	12	$4011.58	$487.67
44140 Partial removal of large bowel	11	11	$7914.89	$1223.86
45378 Diagnostic exam of large bowel using a flexible endoscope	11	11	$2254.00	$172.25
36590 Removal of peripheral venous catheter for infusion	11	11	$1302.45	$173.49

Medical Specialties & State Licenses

CMS Verified: 2020-12-29

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WI 30316

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

31508500 (WI)

Commercial Insurance / Payer ID Medicare Railroad

690004890

Commercial Insurance / Payer ID Cigna

390808509

Commercial Insurance / Payer ID Wps

390808509

Commercial Insurance / Payer ID Medicare Railroad

20022801

Commercial Insurance / Payer ID Ct General

390808509

Commercial Insurance / Payer ID Wea Ins

90002361

Commercial Insurance / Payer ID Dean Health Plan

10884

Commercial Insurance / Payer ID Hirsp

31508500

Commercial Insurance / Payer ID Physicians Plus

1006060

Hospital & Practice Group Affiliations

The Monroe Clinic, Inc.

2009 5th St, Monroe, WI 535661546

Phone: 6083242000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

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Orthopaedic Surgery

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Doctor of Medicine (M.D.)

Dr. David Johnson , MD

Internal Medicine

NPI 1013931922

Doctor of Medicine (M.D.)

Dr. Matthew Michalski , MD

Emergency Medicine

NPI 1023198215

Doctor of Medicine (M.D.)

Michael Roesch

Family Medicine

NPI 1023639135

Dr. Lindsey Houle , DNP, PMHNP-BC

Nurse Practitioner

NPI 1023762457

Doctor of Nursing Practice, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Mohammad Saleem

Internal Medicine - Cardiovascular Disease

NPI 1043196025

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 515 22ND AVE, MONROE, WI 535661569 (Tel: 6083242000)

📍

Updated Business Mailing Address July 08, 2007

Registered at 515 22ND AVE, MONROE, WI 535661569 (Tel: 6083242000)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as NICHOLAS MAXWELL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #30316 in WI)

🟢

Initial NPI Registration & Enumeration November 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1437223807

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 20, 2006

Last Update: December 29, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

515 22nd Ave

Monroe, WI 535661569

Phone: 6083242000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

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