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: July 19, 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
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

Secondary Practice Locations 3

Location 11000 S Gateway BlvdClarksville, TN 37043-8118 · Phone (931) 552-4340 · Fax (931) 552-0999
Location 22 Dudley St Ste 200Providence, RI 02905-3248 · Phone (401) 457-1500
Location 3Breckinridge Surgical Services, 207 Fairground Rd.Hardinsburg, KY 40143 · Phone (270) 580-2256 · Fax (270) 580-2251

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. 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.

Orthopaedic Surgery
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Orthopaedic Surgery (Sports Medicine)
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Physical Therapist
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Orthopaedic Surgery
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Specialist
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Orthopaedic Surgery
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Physical Therapist
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914
Physical Therapist
1 KETTLE POINT AVE
EAST PROVIDENCE, RI 02914

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174977508, enumerated as an "individual" on April 22, 2016.

The provider is located at 1 KETTLE POINT AVE EAST PROVIDENCE, RI 02914 and the phone number is (401) 402-1090.

Orthopaedic Surgery with taxonomy code 207X00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Texas and Molina. Please consult your insurance carrier or call the provider to verify.

Reuben Macias is affiliated with: NEWPORT HOSPITAL, RHODE ISLAND HOSPITAL, THE MIRIAM HOSPITAL and WESTERLY HOSPITAL.