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DR. PETER JOSEPH MACERONI JR. D.O.
NPI 1124221668
Psychiatry & Neurology - Neurology in Macomb, MI

Active since June 11, 2007PECOS EnrolledAccepts Medicare Assignment
86.85/100
CMS Quality Rating
46591 ROMEO PLANK RD STE 220, MACOMB, MI 48044(586) 226-6170(586) 226-6168 Get Directions Write a Review

NPPES record last updated: October 10, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 10, 2019, Nov 12, 2015 (2 updates tracked since 2015).

About Dr. Peter Joseph Maceroni Jr. D.o. NPPES

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

DR. PETER JOSEPH MACERONI JR. D.O. (NPI 1124221668) is an individual neurology provider in Macomb, Michigan, licensed in Michigan (5101017204) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Mclaren Northern Michigan, and is a graduate of Michigan State University College Of Osteopathic Medicine (2007).

NPPES Registry Identity

NPI1124221668
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. PETER JOSEPH MACERONI JR.Credential: D.O.
Location Address46591 ROMEO PLANK RD STE 220Macomb, MI 48044-5705
Mailing Address46591 Romeo Plank Rd Ste 220Macomb, MI 48044-5705 · (586) 226-6170 · Fax (586) 226-6168
Phone(586) 226-6170
Fax(586) 226-6168
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 2007
Enumeration DateJune 11, 2007
Last NPPES UpdateOctober 10, 20192 updates tracked since enumeration
✔ NPI 1124221668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in MI · 5101017204✔ Licensed in OH · 34.011978
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
46591 ROMEO PLANK RD STE 220, Macomb, MI 48044
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, CareSource and more.Insurance ›

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. Peter Joseph Maceroni Jr. 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 ID6709054000
PECOS Enrollment IDI20110712000237, I20151002001192
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

4

Medicare enrollment records show Peter Maceroni reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ascension Medical Group Michigan
2.1 mi
Internal Medicine
15855 19 MILE RD
Clinton Township, MI 48038
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Henry Ford Semi Medical Group
  • 101 clinicians in this Medicare group
NPI 1255378139 (248) 680-8000
Henry Ford Health Macomb-Oakland Hospital
9.9 mi
Family Medicine
11800 E 12 MILE RD
Warren, MI 48093
  • Reassigned Medicare billing, Michigan enrollment
  • 161 clinicians in this Medicare group
NPI 1134176472 (586) 573-5000
Mclaren Central Michigan
114 mi
General Acute Care Hospital
1221 SOUTH DR
Mt Pleasant, MI 48858
  • Reassigned Medicare billing, Michigan enrollment
  • 321 clinicians in this Medicare group
NPI 1245266063 (989) 772-6700
Mclaren Northern Michigan
214 mi
Family Medicine
416 CONNABLE AVE
Petoskey, MI 49770
  • Reassigned Medicare billing, Michigan enrollment
  • 149 clinicians in this Medicare group
NPI 1760736094 (231) 487-4000

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 5

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.

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.
70 services47 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.
59 services45 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.
23 services20 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.
21 services21 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.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Mclaren Northern Michigan

Acute Care Hospitals · Petoskey, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230105
Location416 Connable AvePetoskey, MI 49770 · Emmet County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48044 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

86.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.71
Promoting Interoperability100
Improvement Activities40
Cost65.3

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
37%91 patients2/55-star benchmark: 87%
Dementia: Cognitive Assessment
52%21 patients
Falls: Screening for Future Fall Risk
44%203 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
62%249 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
41%690 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 74% · 205 patients
Patients screened: 77% · 205 patients
81%27 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard hemi (low seat) wheelchair K0002
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$19.45 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$3.89 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

LISA VIRGINIA CAMERON NP-C
Nurse Practitioner (Family)
46591 ROMEO PLANK RD STE 220
MACOMB, MI 48044
Macomb County (586) 226-6170

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 Peter Maceroni's NPI number?

The NPI number for Peter Maceroni is 1124221668. It was assigned to this individual provider in the NPPES registry on June 11, 2007.

Where is Peter Maceroni located?

Peter Maceroni practices at 46591 Romeo Plank Rd Ste 220, Macomb, MI 48044. The listed phone number is (586) 226-6170.

What is Peter Maceroni's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Peter Maceroni enrolled in Medicare?

Yes. Peter Maceroni 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 Peter Maceroni's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Maceroni reassigns Medicare benefits to 4 organizations: Ascension Medical Group Michigan (Clinton Township, MI), Henry Ford Health Macomb-Oakland Hospital (Warren, MI), Mclaren Central Michigan (Mt Pleasant, MI) and Mclaren Northern Michigan (Petoskey, MI). 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 Peter Maceroni's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Maceroni accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, CareSource and Priority Health list Peter Maceroni 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 Peter Maceroni affiliated with any hospitals?

According to CMS data, Peter Maceroni is affiliated with Mclaren Northern Michigan.

When was this NPI record last updated?

The NPPES record for Peter Maceroni was last updated on October 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.