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JOEL D MACY M.D.
NPI 1225031099
Family Medicine in Fairborn, OH

Active since May 24, 2005PECOS Enrolled
7790 DAYTON SPRINGFIELD RD STE B, FAIRBORN, OH 45324(937) 340-6440(937) 340-6441 Get Directions Write a Review

NPPES record last updated: October 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 21, 2022, Jan 14, 2021, Dec 6, 2018 (3 updates tracked since 2018).

About Joel D Macy M.d. NPPES

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

JOEL D MACY M.D. (NPI 1225031099) is an individual family medicine provider in Fairborn, Ohio, licensed in Ohio (35-08-0461-M) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Springfield Regional Medical Center, and is a graduate of Medical College Of Ohio (1999).

NPPES Registry Identity

NPI1225031099
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOEL D MACYCredential: M.D.
Location Address7790 DAYTON SPRINGFIELD RD STE BFairborn, OH 45324-1996
Mailing Address7790 Dayton Springfield Rd Ste BFairborn, OH 45324-1996 · (937) 399-7777 · Fax (937) 399-6794
Phone(937) 340-6440
Fax(937) 340-6441
Sole ProprietorNo
Medical School CMSMedical College Of OhioGraduated 1999
Enumeration DateMay 24, 2005
Last NPPES UpdateOctober 21, 20223 updates tracked since enumeration
NPPES CertifiedOctober 21, 2022
✔ NPI 1225031099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35-08-0461-M
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
7790 DAYTON SPRINGFIELD RD STE B, Fairborn, OH 45324
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Other Identifiers 7

Other000000222542OH · Anthem
Other0109435OH · United Health Care
Other97569OH · Nationwide
Medicaid2314909OH
OtherOH0036839OH · Tricare/champus
Other7572352OH · Aetna
Other08018351OH · Rr Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Joel D Macy M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628117926
PECOS Enrollment IDI20091130000117
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 8

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 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.
394 services180 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
156 services156 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
42 services42 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
38 services38 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.
34 services34 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.
28 services27 patients

Hospital Affiliations CMS Care Compare 4

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

Springfield Regional Medical Center

Acute Care Hospitals · Springfield, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360086
Location100 Medical Center DriveSpringfield, OH 45504 · Clark County
Emergency services Birthing friendly

Ohio Valley Surgical Hospital

Acute Care Hospitals · Springfield, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360355
Location100 West Main StreetSpringfield, OH 45502 · Clark County

Soin Medical Center

Acute Care Hospitals · Beaver Creek, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360360
Location3535 Pentagon Park BlvdBeaver Creek, OH 45431 · Greene County
Emergency services Birthing friendly

Mercy Health - Urbana Hospital

Critical Access Hospitals · Urbana, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number361312
Location904 Scioto StreetUrbana, OH 43078 · Champaign County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45324 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers39 claims88 services$4.73 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$30.59 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 3

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

DR. KEVIN P MACY DO
Family Medicine
7790 DAYTON SPRINGFIELD RD STE B
FAIRBORN, OH 45324
Greene County (937) 340-6440
DIGESTIVE SPECIALISTS INC
Internal Medicine (Gastroenterology)
7790 DAYTON SPRINGFIELD RD STE B
FAIRBORN, OH 45324
Greene County (937) 293-4424
HILLARY MICHAEL NICOLE OAKS FNP-C
Nurse Practitioner (Family)
7790 DAYTON SPRINGFIELD RD STE B
FAIRBORN, OH 45324
Greene County (937) 340-6440

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 Joel Macy's NPI number?

The NPI number for Joel Macy is 1225031099. It was assigned to this individual provider in the NPPES registry on May 24, 2005.

Where is Joel Macy located?

Joel Macy practices at 7790 Dayton Springfield Rd Ste B, Fairborn, OH 45324. The listed phone number is (937) 340-6440.

What is Joel Macy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Joel Macy enrolled in Medicare?

Yes. Joel Macy is registered in the Medicare PECOS enrollment system.

What insurance does Joel Macy accept?

Health plans from CareSource, MedMutual, Molina Healthcare and UnitedHealthcare list Joel Macy 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 Joel Macy affiliated with any hospitals?

According to CMS data, Joel Macy is affiliated with Springfield Regional Medical Center, Ohio Valley Surgical Hospital, Soin Medical Center and Mercy Health - Urbana Hospital.

When was this NPI record last updated?

The NPPES record for Joel Macy was last updated on October 21, 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.