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DR. REUBEN ANTHONY MACIAS MD
NPI 1174977508
Orthopaedic Surgery in East Providence, RI

Active since April 22, 2016PECOS EnrolledAccepts Medicare Assignment
1 KETTLE POINT AVE, EAST PROVIDENCE, RI 02914(401) 402-1090 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2026, May 29, 2026, Nov 8, 2023 and 3 more (6 updates tracked since 2022).

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 East Providence, Rhode Island, licensed in Rhode Island (MD20647) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Newport Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1174977508
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. REUBEN ANTHONY MACIASCredential: MD
Location Address1 KETTLE POINT AVEEast Providence, RI 02914-5375
Mailing Address1 Kettle Point AveEast Providence, RI 02914-5375
Phone(401) 402-1090
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2016
Enumeration DateApril 22, 2016
Last NPPES UpdateJune 3, 20266 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1174977508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in RI · MD20647✔ Licensed in TN · 74974✔ Licensed in KY · 56795
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1 KETTLE POINT AVE, East Providence, RI 02914
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Secondary Practice Locations 3

Location 1Breckinridge Surgical Services, 207 Fairground Rd.Hardinsburg, KY 40143 · Phone (270) 580-2256 · Fax (270) 580-2251
Location 22 Dudley St Ste 200Providence, RI 02905-3248 · Phone (401) 457-1500
Location 31000 S Gateway BlvdClarksville, TN 37043-8118 · Phone (931) 552-4340 · Fax (931) 552-0999

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare.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. 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.

PECOS PAC ID9638563919
PECOS Enrollment IDI20220707003717, I20250718001744
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.

Hospital Affiliations CMS Care Compare 4

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

Newport Hospital

Acute Care Hospitals · Newport, RI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410006
Location11 Friendship StreetNewport, RI 02840 · Newport County
Emergency services Birthing friendly

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Westerly Hospital

Acute Care Hospitals · Westerly, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410013
Location25 Wells StreetWesterly, RI 02891 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02914 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
$90.48 typical visit price
range $58.57 – $177.03
Typical copayment $22.62 (range $14.64 – $44.25)
Most-billed visit code 99203
Established Patient
$72.93 typical visit price
range $18.92 – $144.38
Typical copayment $18.23 (range $4.73 – $36.09)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

BRAD D. BLANKENHORN M.D.
Orthopaedic Surgery
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Providence County (401) 330-1405
ELIZABETH MOORE NP
Nurse Practitioner (Family)
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Providence County (401) 457-1500
DANIELLE BARRY NP-C
Nurse Practitioner (Family)
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Providence County (401) 457-1500
OLIVIA PERRY PA-C
Physician Assistant
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Providence County (401) 457-1500
JACLYN R PLANTE DPT
Physical Therapist
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Providence County (401) 277-0790
JARED WINSTON DPT
Physical Therapist
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Providence County (401) 443-5000
DR. ALEXANDER CRAWFORD
Orthopaedic Surgery
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Providence County (401) 457-1500
MELISSA VIENS OT
Occupational Therapist
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Providence County (401) 457-1580

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 1 Kettle Point Ave, East Providence, RI 02914. The listed phone number is (401) 402-1090.

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.

What insurance does Reuben Macias accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina 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 and Westerly Hospital.

When was this NPI record last updated?

The NPPES record for Reuben Macias was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.