AMY MAGGARD DO
NPI 1235686585
Pediatrics in Athens, OH
NPI Status: Active since September 03, 2016
Contact Information
2131 E STATE ST
ATHENS, OH
ZIP 45701
Phone: (855) 446-5937
Fax: (740) 566-4014
- Individual
- Female
- Pediatrics
- Accepts Insurance
- PECOS Enrolled
About AMY MAGGARD
This page provides the complete NPI Profile along with additional information for Amy Maggard, a pediatrician established in Athens, Ohio with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1235686585 assigned on September 2016. The practitioner's primary taxonomy code is 208000000X with license number 34.013278 (OH). The provider is registered as an individual and her NPI record was last updated April 2025.
- NPI
- 1235686585
- Provider Name
- AMY MAGGARD DO
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2131 E STATE ST ATHENS, OH 45701
- Location Phone
- (855) 446-5937
- Location Fax
- (740) 566-4014
- Mailing Address
- 90 JACKSON PIKE GALLIPOLIS, OH 45631
- Mailing Phone
- (740) 446-5000
- Mailing Fax
- (740) 566-4014
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-03-2016
- Last Update Date
- 04-21-2025
- Code Navigator
A pediatrician like Amy Maggard is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 34.013278
- License State
- OH
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
- Anthem Bronze Pathway HMO 7450 for HSA - HMO
- Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Catastrophic Pathway HMO 9200 - HMO
- Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
- Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- my Blue Access WV Major Events PPO Catastrophic 9200 - 3 Free PCP Visits - PPO
- my Blue Access WV PPO Bronze 3800 - PPO
- my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Bronze 7400 HSA - Custom Drug Benefit - PPO
- my Blue Access WV PPO Bronze 8900 - PPO
- my Blue Access WV PPO Gold 0 - PPO
- my Blue Access WV PPO Gold 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Gold 1700 HSA - PPO
- my Blue Access WV PPO Premier Gold 0 - PPO
- my Blue Access WV PPO Premier Gold 0 + Adult Dental and Vision - PPO
- Bronze $8,300 w/ Virtual & Wellness ON-EX - HMO
- Bronze HSA $7,300 ON-EX - HMO
- Bronze Standard w/ Virtual & Wellness - HMO
- Gold $1250 w/ Virtual & Wellness ON-EX - HMO
- Gold $500 w/ Virtual & Wellness ON-EX - HMO
- Gold Standard w/ Virtual & Wellness - HMO
- Silver $5000 w/ Virtual & Wellness ON-EX - HMO
- Silver Standard w/ Virtual & Wellness - HMO
- SilverSelect w/ Virtual & Wellness ON-EX - HMO
- Young Adult Essentials ON-EX - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 0285213 | MEDICAID (05) | OH |
Medicare Participation & PECOS Enrollment Status
Amy Maggard is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 45701 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.72
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.65
- Average New Patient Copayment $21.18
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.66
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.44
- Minimum Established Patient Price $17.1
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $24.11
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 3 | 5 | 6 | 8 | 6 | 5 | 8 | 5 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 6 | 5 | 12 | 8 | 12 | 5 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 6 + 5 + 1 + 2 + 8 + 1 + 2 + 5 + 1 + 6 + 24 = 65 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 65 = 5 | 5 | ||||||||
The NPI number 1235686585 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1407893829 | LAWRENCE M RUBENS M.D. Individual | Orthopaedic Surgery | 2131 E STATE ST HOLZER CLINIC ATHENS, OH 45701 (740) 589-3100 |
| 1134308935 | GEORGE F CASTILLO MD Individual | Surgery | 2131 E STATE ST ATHENS, OH 45701 (740) 589-3100 |
| 1225478647 | MR. RICHARD MOORE RPH Individual | Pharmacist | 2131 E STATE ST ATHENS, OH 45701 (740) 589-3181 |
| 1679851638 | LISA SCHULTZ PHARMD Individual | Pharmacist | 2131 E STATE ST ATHENS, OH 45701 (740) 589-3181 |
| 1831192020 | CATHERINE A COATS D.O. Individual | Obstetrics & Gynecology | 2131 E STATE ST ATHENS, OH 45701 (740) 589-3100 |
| 1003992660 | CYRIL FRANKLYN HALBERT M.D. Individual | Plastic Surgery | 2131 E STATE ST ATHENS, OH 45701 (740) 589-3100 |
| 1235443573 | ANGELA PORVAZNIK R.D., L.D Individual | Dietitian, Registered | 2131 E STATE ST ATHENS, OH 45701 (740) 589-3100 |
| 1144203092 | CHARLES RONALD SMALLING JR. MD Individual | Dermatology | 2131 E STATE ST ATHENS, OH 45701 (740) 589-3100 |
| 1982850772 | JOINT VENTURES PHARMACY INC Organization | Pharmacy (Community/Retail Pharmacy) | 2131 E STATE ST ATHENS, OH 45701 (740) 589-3181 |
| 1851655567 | MEGHAN SHAY HAYNES D.O. Individual | Obstetrics & Gynecology | 2131 E STATE ST ATHENS, OH 45701 (740) 589-3100 |
| 1043294416 | DR. KENNETH ALAN MARSHALL MD Individual | Anesthesiology (Pain Medicine) | 2131 E STATE ST ATHENS, OH 45701 (740) 589-3100 |
| 1972858843 | CHRISTY D MASSIE FNP-C Individual | Nurse Practitioner (Family) | 2131 E STATE ST ATHENS, OH 45701 (740) 589-3100 |
| 1255983995 | GABRIELA PRIETO Individual | Physician Assistant | 2131 E STATE ST ATHENS, OH 45701 (419) 383-5408 |
| 1205877826 | PENNY L. SHELTON M.D. Individual | Family Medicine | 2131 E STATE ST ATHENS, OH 45701 (740) 589-3100 |
| 1164709770 | DR. BRIAN ANDREW TORSKI D.O. Individual | Internal Medicine (Gastroenterology) | 2131 E STATE ST ATHENS, OH 45701 (855) 446-5937 |
| 1235131848 | DAVID GRANT JOHNSON MD Individual | Emergency Medicine | 2131 E STATE ST ATHENS, OH 45701 (740) 589-3100 |
| 1154345478 | DR. MATTHEW J COMEAU DO, PHD Individual | Internal Medicine | 2131 E STATE ST ATHENS, OH 45701 (855) 446-5937 |
| 1609279363 | BOBBI J. LUNDY CNP Individual | Nurse Practitioner (Family) | 2131 E STATE ST ATHENS, OH 45701 (740) 589-3100 |
| 1063709368 | JESSICA A. JAMES DO Individual | Pediatrics | 2131 E STATE ST ATHENS, OH 45701 (740) 589-3100 |
| 1669852604 | MEGAN WEISS CRNA Individual | Nurse Anesthetist, Certified Registered | 2131 E STATE ST ATHENS, OH 45701 (855) 446-5937 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1235686585, enumerated in the NPI registry as an "individual" on September 03, 2016
The provider is located at 2131 E State St Athens, Oh 45701 and the phone number is (855) 446-5937
The provider's speciality is Pediatrics with taxonomy code 208000000X
The provider might be accepting Accepts: Aetna CVS Health, Anthem Blue Cross and Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $84.72 with an average copayment of $21.18 for new patient appointments. Established patients should expect a typical charge of $96.44 and an average copayment of 24.11. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on September 03, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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