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KYLE MACAULAY D.O.
NPI 1093249625
Internal Medicine in Wexford, PA

Active since April 20, 2017PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
12351 PERRY HWY, WEXFORD, PA 15090(412) 359-3030(412) 359-3060 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 13, 2022, Apr 20, 2017 (2 updates tracked since 2017).

About Kyle Macaulay D.o. NPPES

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

KYLE MACAULAY D.O. (NPI 1093249625) is an individual internal medicine provider in Wexford, Pennsylvania, licensed in Pennsylvania (PS020536) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Grove City Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1093249625
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKYLE MACAULAYCredential: D.O.
Location Address12351 PERRY HWYWexford, PA 15090-8344
Mailing Address12351 Perry HwyWexford, PA 15090-8344 · (412) 359-3030 · Fax (412) 359-3060
Phone(412) 359-3030
Fax(412) 359-3060
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 20, 2017
Last NPPES UpdateSeptember 13, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2022
✔ NPI 1093249625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in PA · PS020536✔ Licensed in PA · OT017579
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
12351 PERRY HWY, Wexford, PA 15090
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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

Kyle Macaulay D.o. 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 ID9739451808
PECOS Enrollment IDI20200803003445
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

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.
90 services87 patients

Hospital Affiliations CMS Care Compare 2

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

Grove City Medical Center

Acute Care Hospitals · Grove City, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390266
Location631 North Broad Street Ext.Grove City, PA 16127 · Mercer County
Emergency services

Ahn Wexford Hospital

Acute Care Hospitals · Wexford, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390334
Location12351 Perry HighwayWexford, PA 15090 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15090 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

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.

VISHAL N PATEL
Hospitalist
12351 PERRY HWY
WEXFORD, PA 15090
Allegheny County (412) 359-3030
DR. BRADFORD SCOTT BENNETT DO
Hospitalist
12351 PERRY HWY
WEXFORD, PA 15090
Allegheny County (412) 359-3030
THOMAS G MASON CRNA
Nurse Anesthetist, Certified Registered
12351 PERRY HWY
WEXFORD, PA 15090
Allegheny County (412) 359-6581
CHRISTOPHER EICHER DO
Hospitalist
12351 PERRY HWY
WEXFORD, PA 15090
Allegheny County (412) 359-3030
DR. SACHIN JAGDISH SHAH D.O.
Hospitalist
12351 PERRY HWY
WEXFORD, PA 15090
Allegheny County (412) 359-3030
MATTHEW PAUL COY CRNA
Nurse Anesthetist, Certified Registered
12351 PERRY HWY
WEXFORD, PA 15090
Allegheny County (412) 359-6581
MEGHANA AMIT
Internal Medicine
12351 PERRY HWY
WEXFORD, PA 15090
Allegheny County (412) 359-3030
SARAH HARBER CRNA
Nurse Anesthetist, Certified Registered
12351 PERRY HWY
WEXFORD, PA 15090
Allegheny County (412) 359-6581

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 Kyle Macaulay's NPI number?

The NPI number for Kyle Macaulay is 1093249625. It was assigned to this individual provider in the NPPES registry on April 20, 2017.

Where is Kyle Macaulay located?

Kyle Macaulay practices at 12351 Perry Hwy, Wexford, PA 15090. The listed phone number is (412) 359-3030.

What is Kyle Macaulay's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kyle Macaulay enrolled in Medicare?

Yes. Kyle Macaulay 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.

Is Kyle Macaulay affiliated with any hospitals?

According to CMS data, Kyle Macaulay is affiliated with Grove City Medical Center and Ahn Wexford Hospital.

When was this NPI record last updated?

The NPPES record for Kyle Macaulay was last updated on September 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.