VICTOR AVILA MACIAS MD
NPI 1386265288
Family Medicine in Utica, NY

Q: What is Victor Avila Macias's NPI number?

The NPI number for Victor Avila Macias is 1386265288. It was assigned to this individual provider in the NPPES registry on May 1, 2020. The provider is also known as Victor Macias MD.

Q: What is Victor Avila Macias's specialty?

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

Active since May 01, 2020PECOS EnrolledAccepts Medicare Assignment

111 HOSPITAL DR, UTICA, NY 13502(315) 917-9966 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Victor Avila Macias Md NPPES

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

VICTOR AVILA MACIAS MD (NPI 1386265288) is an individual family medicine provider in Utica, New York, licensed in New York (325202) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Wynn Hospital, and maintains a secondary practice location in Utica.

NPPES Registry Identity

NPI1386265288

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameVICTOR AVILA MACIASCredential: MD

Location Address111 HOSPITAL DRUtica, NY 13502-2517

Mailing Address2215 Genesee St Rm 105Utica, NY 13501-5930 · (315) 801-3282 · Fax (315) 801-8391

Phone(315) 917-9966

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateMay 1, 2020

Last NPPES UpdateMay 31, 2024

NPPES CertifiedMay 31, 2024

✔ NPI 1386265288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 325202

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.

Also ListedHospitalistTaxonomy 208M00000X · License 325202 (NY)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

111 HOSPITAL DR, Utica, NY 13502

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Other Names 1

Other Name (5)Victor Macias Md

Secondary Practice Location 1

Location 1120 Hobart StUtica, NY 13501-4308 · Phone (315) 798-1149 · Fax (315) 734-3565

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

Victor Avila 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 ID6608230784

PECOS Enrollment IDI20230907001967

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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

388 services138 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

330 services121 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

130 services125 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

30 services29 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Wynn Hospital

Acute Care Hospitals · Utica, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330044

Location111 Hospital DriveUtica, NY 13502 · Oneida County

Emergency services Birthing friendly

Rome Memorial Hospital, Inc

Acute Care Hospitals · Rome, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330215

Location1500 North James StreetRome, NY 13440 · Oneida County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13502 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

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.

MISS JENNA YAGER FNP

Nurse Practitioner (Family)