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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. PEDRO STEVEN BUARQUE DE MACEDO M.D
NPI 1063460251
Specialist in Washington, DC

Active since May 04, 2006PECOS EnrolledAccepts Medicare Assignment
1327 18 TH STREET NW, WASHINGTON, DC 20036(202) 785-2400 Get Directions Write a Review

NPPES record last updated: October 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 14, 2026, Dec 15, 2022 (2 updates tracked since 2022).

About Dr. Pedro Steven Buarque De Macedo M.d NPPES

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

DR. PEDRO STEVEN BUARQUE DE MACEDO M.D (NPI 1063460251) is an individual specialist in Washington, District Of Columbia, licensed in District Of Columbia (MD18812) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Santa Barbara, and is a graduate of University Of Maryland School Of Medicine (1987).

NPPES Registry Identity

NPI1063460251
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. PEDRO STEVEN BUARQUE DE MACEDOCredential: M.D
Location Address1327 18 TH STREET NWWashington, DC 20036
Mailing Address6305 Mountain Branch CourtBethesda, MD 20817 · (301) 320-6919
Phone(202) 785-2400
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1987
Enumeration DateMay 4, 2006
Last NPPES UpdateOctober 14, 20262 updates tracked since enumeration
NPPES CertifiedOctober 14, 2026
✔ NPI 1063460251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Licenses✔ Licensed in DC · MD18812✔ Licensed in MD · D0038530
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License G151743 (CA)
1327 18 TH STREET NW, Washington, DC 20036
Open in Google Maps ↗

Secondary Practice Location 1

Location 12323 De La Vina St Ste 209Santa Barbara, CA 93105-3880 · Phone (805) 220-4300 · Fax (805) 620-7676

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Pedro Steven Buarque De Macedo M.d 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 ID7315946191
PECOS Enrollment IDI20101026000748
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Pedro Buarque De Macedo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Washington Medical Group PC
Same address
Neurology
1327 18TH ST NW
Washington, DC 20036
  • Reassigned Medicare billing, District of Columbia enrollment
  • 3 clinicians in this Medicare group
NPI 1497768519 (202) 785-2400
South Coast Neurology Inc
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
No phone listed

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
965 services176 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
909 services175 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.
233 services46 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
96 services96 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
17 services17 patients
Placement of skin electrodes and measurement of stimulated sites on arms and legs 95938
This procedure involves placing small pads (electrodes) on your arms and legs. These electrodes send gentle electric signals to specific areas, and the responses are measured. This helps assess the health of your nerves and muscles.
13 services13 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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
85%79 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
90%71 patients4/55-star benchmark: 100%
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.

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 Pedro Buarque De Macedo's NPI number?

The NPI number for Pedro Buarque De Macedo is 1063460251. It was assigned to this individual provider in the NPPES registry on May 4, 2006.

Where is Pedro Buarque De Macedo located?

Pedro Buarque De Macedo practices at 1327 18 Th Street NW, Washington, DC 20036. The listed phone number is (202) 785-2400.

What is Pedro Buarque De Macedo's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Pedro Buarque De Macedo enrolled in Medicare?

Yes. Pedro Buarque De Macedo 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.

Which organizations bill Medicare for Pedro Buarque De Macedo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pedro Buarque De Macedo reassigns Medicare benefits to 2 organizations: Washington Medical Group PC (Washington, DC) and South Coast Neurology Inc (CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pedro Buarque De Macedo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Pedro Buarque De Macedo was last updated on October 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.