DR. REUBEN ANTHONY MACIAS MD
NPI 1174977508
Orthopaedic Surgery in Clarksville, TN
About Dr. Reuben Anthony Macias Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. REUBEN ANTHONY MACIAS MD (NPI 1174977508) is an individual orthopaedic surgery provider in Clarksville, Tennessee, licensed in Tennessee (74974) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Newport Hospital, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Accepted 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. Reuben Anthony 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.
Medicare Billing Reassignments
4Medicare enrollment records show Reuben Macias reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Clarksville, TN 37043
- Reassigned Medicare billing, Tennessee enrollment
- 365 clinicians in this Medicare group
Mc Daniels, KY 40152
- Reassigned Medicare billing, Kentucky enrollment
- 33 clinicians in this Medicare group
Providence, RI 02905
- Reassigned Medicare billing, Rhode Island enrollment
- 222 clinicians in this Medicare group
El Paso, TX 79927
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Texas Tech University Health Sciences Center El Paso
- 856 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Newport Hospital
Acute Care Hospitals · Newport, RIRhode Island Hospital
Acute Care Hospitals · Providence, RIThe Miriam Hospital
Acute Care Hospitals · Providence, RIWesterly Hospital
Acute Care Hospitals · Westerly, RITennova Healthcare-Clarksville
Acute Care Hospitals · Clarksville, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37043 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Reuben Macias's NPI number?
The NPI number for Reuben Macias is 1174977508. It was assigned to this individual provider in the NPPES registry on April 22, 2016.
Where is Reuben Macias located?
Reuben Macias practices at 1000 S Gateway Blvd, Clarksville, TN 37043. The listed phone number is (931) 552-4340.
What is Reuben Macias's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Reuben Macias enrolled in Medicare?
Yes. Reuben 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.
Which organizations bill Medicare for Reuben Macias's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Reuben Macias reassigns Medicare benefits to 4 organizations: Tennessee Orthopaedic Alliance (Clarksville, TN), Breckinridge Health Inc (Mc Daniels, KY), University Orthopedics, Inc. (Providence, RI) and Texas Tech University Health Sciences Center (El Paso, TX). 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 Reuben Macias's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Reuben Macias accept?
Health plans from BlueCross BlueShield of Tennessee and Cigna Healthcare list Reuben 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 Reuben Macias affiliated with any hospitals?
According to CMS data, Reuben Macias is affiliated with Newport Hospital, Rhode Island Hospital, The Miriam Hospital, Westerly Hospital and Tennova Healthcare-Clarksville.
When was this NPI record last updated?
The NPPES record for Reuben Macias was last updated on October 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Dr. Reuben Anthony Macias, MD · NPI 1174977508
Orthopaedic Surgery physician in Clarksville, Tennessee. Individual provider, active in the CMS NPPES registry since April 22, 2016.
## Identity
- **NPI:** 1174977508 (Entity type: Individual)
- **Enumerated:** April 22, 2016
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** 74974 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 S GATEWAY BLVD, Clarksville, TN 37043-8118
- **Phone:** (931) 552-4340 · **Fax:** (931) 552-0999
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Tennessee Orthopaedic Alliance (NPI 1154513448, Clarksville, TN); Breckinridge Health Inc (NPI 1235566332, Mc Daniels, KY); University Orthopedics, Inc. (NPI 1235181041, Providence, RI); Texas Tech University Health Sciences Center (NPI 1588622500, El Paso, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** October 26, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1174977508) · Data from the CMS NPPES public registry.