Maxwell Tanyi Fohtung
NPI 1982088571ActiveIndividual· General Practice· Saint Louis, MO
General Practice in Saint Louis, Missouri, trained at Indiana University School of Medicine (class of 2015). Medicare paid $326,332 for services to 317 patients in 2024. Deroyal Industries, Inc. reported $197.14 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1982088571 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 14, 2015 |
| Last updated in NPPES | Mar 31, 2026 |
| Certified by provider | Mar 31, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | DR.0069226 | CO |
| General Practice | 208D00000X | 2018011353 | MO |
| Surgery | 208600000X | 2018011353 | MO |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (CO); Practitioner - Family Practice (MO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 317 |
|---|---|
| Services billed | 4,034 across 15 procedure codes |
| Paid by Medicare | $326,332 |
Education and affiliations
| Medical school | Indiana University School of Medicine |
|---|---|
| Graduation year | 2015 |
| Medicare specialty | General Surgery |
Medical group
- Pro Health One IncDenver, CO · 26 clinicians
Industry payments (Open Payments)
- 2025$197.14 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Deroyal Industries, Inc. | $197.14 | 1 |
What the 2025 payments were for
- Food and Beverage$197.14 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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