DR. VICTOR OROSCO MACIAS M.D.
NPI 1093095929
Hospitalist in Cape Coral, FL

Active since August 23, 2011PECOS EnrolledAccepts Medicare Assignment
636 DEL PRADO BLVD S, CAPE CORAL, FL 33990(239) 628-3192(407) 647-5431 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 19, 2025, Nov 10, 2025, Feb 20, 2023 and 1 more (4 updates tracked since 2016).

About Dr. Victor Orosco Macias M.d. NPPES

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

DR. VICTOR OROSCO MACIAS M.D. (NPI 1093095929) is an individual hospitalist provider in Cape Coral, Florida, licensed in Florida (ME124892) and active in the NPI registry since August 2011. He is enrolled in Medicare PECOS, is affiliated with Gulf Coast Medical Center Lee Health, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1093095929
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. VICTOR OROSCO MACIASCredential: M.D.
Location Address636 DEL PRADO BLVD SCape Coral, FL 33990-2668
Mailing AddressPo Box 2147Fort Myers, FL 33902-2147 · (239) 628-3192 · Fax (407) 647-5431
Fax(407) 647-5431
Sole ProprietorYes
Medical School CMSOtherGraduated 1993
Enumeration DateAugust 23, 2011
Last NPPES UpdateNovember 19, 20254 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
NPI 1093095929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in FL · ME124892
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedFamily MedicineTaxonomy 207Q00000X · License MD60744325 (WA), MD157560 (OR)
636 DEL PRADO BLVD S, Cape Coral, FL 33990

Other Names 1

Other Name (5)Dr. Victor Macias Orosco M.d.

Secondary Practice Locations 3

Location 194220 4th StGold Beach, OR 97444-7756 · Phone (702) 453-3799 · Fax (702) 453-5741
Location 2888 Swift BlvdRichland, WA 99352-3514 · Phone (509) 946-4611
Location 32500 NE Neff RdBend, OR 97701-6015 · Phone (541) 706-6892 · Fax (541) 706-6813

Other Identifiers 1

Medicaid020394900FL

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

Dr. Victor Orosco Macias 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 ID3274781737
PECOS Enrollment IDI20161101000616
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 2

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
158 services155 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Gulf Coast Medical Center Lee Health

Acute Care Hospitals · Fort Myers, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100220
Location13681 Doctors WayFort Myers, FL 33912 · Lee County
Emergency services

Cape Coral Hospital

Acute Care Hospitals · Cape Coral, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100244
Location636 Del Prado BlvdCape Coral, FL 33990 · Lee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33990 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%48 patients5/55-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.

Other Providers at the Same Location NPPES 20

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

Counselor (Mental Health)
636 DEL PRADO BLVD S
CAPE CORAL, FL 33990
Student in an Organized Health Care Education/Training Program
636 DEL PRADO BLVD S
CAPE CORAL, FL 33990
Student in an Organized Health Care Education/Training Program
636 DEL PRADO BLVD S, LEE HEALTH-CAPE CORAL HOSPITAL
CAPE CORAL, FL 33990
Emergency Medicine
636 DEL PRADO BLVD S
CAPE CORAL, FL 33990
Nurse Anesthetist, Certified Registered
636 DEL PRADO BLVD S
CAPE CORAL, FL 33990
Student in an Organized Health Care Education/Training Program
636 DEL PRADO BLVD S
CAPE CORAL, FL 33990
Physician Assistant
636 DEL PRADO BLVD S
CAPE CORAL, FL 33990
Physician Assistant
636 DEL PRADO BLVD S
CAPE CORAL, FL 33990

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 Victor Macias's NPI number?

The NPI number for Victor Macias is 1093095929. It was assigned to this individual provider in the NPPES registry on August 23, 2011. The provider is also known as Dr. Victor Macias Orosco M.D..

Where is Victor Macias located?

Victor Macias practices at 636 Del Prado Blvd S, Cape Coral, FL 33990. The listed phone number is (239) 628-3192.

What is Victor Macias's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Victor Macias enrolled in Medicare?

Yes. Victor 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 Victor Macias accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc., Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Victor 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.

Is Victor Macias affiliated with any hospitals?

According to CMS data, Victor Macias is affiliated with Gulf Coast Medical Center Lee Health and Cape Coral Hospital.

When was this NPI record last updated?

The NPPES record for Victor Macias was last updated on November 19, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.