JOHN DAVID MACIAS MD
NPI 1053308098
Otolaryngology - Otology & Neurotology in Phoenix, AZ

Active since October 04, 2005PECOS EnrolledAccepts Medicare Assignment
69.24/100
CMS Quality Rating
1515 N 9TH ST, SUITE B, PHOENIX, AZ 85006(602) 257-4228(602) 252-6416 Get Directions Write a Review

NPPES record last updated: August 9, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John David Macias Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHN DAVID MACIAS MD (NPI 1053308098) is an individual otology & neurotology provider in Phoenix, Arizona, licensed in Arizona (MD22346) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Stanford University School Of Medicine (1988).

NPPES Registry Identity

NPI1053308098
Entity TypeIndividualMale
Primary Taxonomy207YX0901X
Provider Legal NameJOHN DAVID MACIASCredential: MD
Location Address1515 N 9TH ST, SUITE BPhoenix, AZ 85006-2523
Mailing Address1515 N 9th St, Suite BPhoenix, AZ 85006-2523 · (602) 257-4228 · Fax (602) 252-6416
Fax(602) 252-6416
Sole ProprietorYes
Medical School CMSStanford University School Of MedicineGraduated 1988
Enumeration DateOctober 4, 2005
Last NPPES UpdateAugust 9, 2011
NPI 1053308098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngology · Otology & NeurotologyAllopathic & Osteopathic Physicians
Taxonomy Code207YX0901X
License Licensed in AZ · MD22346
Definition

An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.

Also ListedOtolaryngologyTaxonomy 207Y00000X · License 22346 (AZ)
1515 N 9TH ST, Phoenix, AZ 85006

Other Identifiers 1

Medicare UPINF64798

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

John David Macias Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9830115617
PECOS Enrollment IDI20051020000757
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
468 services24 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
466 services331 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
330 services221 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
132 services83 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
111 services111 patients
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268
This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.
70 services62 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

69.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.86
Promoting Interoperability99
Improvement Activities40
Cost28.43

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
Percentage of patients aged 2 years and older with a diagnosis of AOE who were not prescribed systemic antimicrobial therapy
100%25 patients
Acute Otitis Externa (AOE): Topical Therapy
Percentage of patients aged 2 years and older with a diagnosis of AOE who were prescribed topical preparations
96%25 patients4/55-star benchmark: 100%
Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
83%336 patients4/55-star benchmark: 96%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%410 patients5/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%1,027 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
16%2,090 patients1/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
90%486 patients4/55-star benchmark: 95%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
87%2,090 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%2,090 patients1/55-star benchmark: 79%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
100%70 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1515 N 9TH ST, STE B
PHOENIX, AZ 85006
Internal Medicine
1515 N 9TH ST, STE. D
PHOENIX, AZ 85006
Nurse Practitioner
1515 N 9TH ST, STE A
PHOENIX, AZ 85006
Audiologist-Hearing Aid Fitter
1515 N 9TH ST, SUITE A3
PHOENIX, AZ 85006
Nurse Practitioner (Family)
1515 N 9TH ST, SUITE A
PHOENIX, AZ 85006
Internal Medicine
1515 N 9TH ST, STE D
PHOENIX, AZ 85006
Hearing Instrument Specialist
1515 N 9TH ST
PHOENIX, AZ 85006

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Macias's NPI number?

The NPI number for John Macias is 1053308098. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Where is John Macias located?

John Macias practices at 1515 N 9th St Suite B, Phoenix, AZ 85006. The listed phone number is (602) 257-4228.

What is John Macias's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Otology & Neurotology, with taxonomy code 207YX0901X.

Is John Macias enrolled in Medicare?

Yes. John Macias is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does John Macias accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list John Macias as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Macias was last updated on August 9, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.