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ANTHONY MACALUSO JR. MD
NPI 1649201385
Colon & Rectal Surgery in Dallas, TX

Active since July 05, 2006PECOS EnrolledAccepts Medicare Assignment
89.44/100
CMS Quality Rating
7777 FOREST LN, SUITE A-321, DALLAS, TX 75230(972) 661-3575(972) 233-9120 Get Directions Write a Review

NPPES record last updated: April 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Anthony Macaluso Jr. Md NPPES

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

ANTHONY MACALUSO JR. MD (NPI 1649201385) is an individual colon & rectal surgery provider in Dallas, Texas, licensed in Texas (J6556) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Medical City Plano, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1993).

NPPES Registry Identity

NPI1649201385
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameANTHONY MACALUSO JR.Credential: MD
Location Address7777 FOREST LN, SUITE A-321Dallas, TX 75230-2505
Mailing Address11551 Forest Central Dr, Suite 133Dallas, TX 75243-3920 · (214) 348-5288 · Fax (214) 343-3689
Phone(972) 661-3575
Fax(972) 233-9120
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1993
Enumeration DateJuly 5, 2006
Last NPPES UpdateApril 14, 2021
NPPES CertifiedApril 14, 2021
✔ NPI 1649201385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in TX · J6556
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
7777 FOREST LN, Dallas, TX 75230
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Other Identifiers 2

Medicaid042702302TX
Medicaid042702301TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 and accepts Medicare assignment

Anthony Macaluso Jr. 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 ID840274361
PECOS Enrollment IDI20040614001149
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 11

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.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
353 services352 patients
Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 45384
This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.
351 services350 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
135 services134 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
72 services58 patients
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.
43 services34 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
42 services38 patients

Hospital Affiliations CMS Care Compare

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

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75230 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
$88.19 typical visit price
range $57.18 – $172.86
Typical copayment $22.04 (range $14.29 – $43.21)
Most-billed visit code 99203
Established Patient
$71.28 typical visit price
range $18.48 – $141.20
Typical copayment $17.82 (range $4.62 – $35.30)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.85
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Colorectal Cancer Screening
89%498 patients5/55-star benchmark: 88%
Controlling High Blood Pressure
40%113 patients2/55-star benchmark: 91%
Diabetes: Eye Exam
0%34 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%34 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
94%1,028 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
28%808 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
8%880 patients1/55-star benchmark: 61%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
68%94 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 325 patients
Patients totalRate: 3% · 325 patients
3%325 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Skin barrier; solid, 4 x 4 or equivalent; each A4362
DME-Orthotic Devices · category DF010N
4 suppliers14 claims400 services$3.09 avg. paid by Medicare
Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
7 suppliers22 claims920 services$4.83 avg. paid by Medicare
Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
5 suppliers27 claims816 services$2.38 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
4 suppliers12 claims530 services$8.00 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
5 suppliers29 claims1,015 services$5.70 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
4 suppliers13 claims460 services$3.47 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 20

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

JEFFREY SZOT M.D.
Emergency Medicine
7777 FOREST LN
DALLAS, TX 75230
Dallas County (972) 566-2667
NORTH DALLAS ORTHOPEDICS & REHABILITATION, PA
Clinic/Center
7777 FOREST LN, C-500
DALLAS, TX 75230
Dallas County (972) 566-6366
KASEY REHME
Speech-Language Pathologist
7777 FOREST LN
DALLAS, TX 75230
Dallas County (972) 566-7000
DR. CHRISTIAN BREWER MD
Emergency Medicine
7777 FOREST LN
DALLAS, TX 75230
Dallas County (972) 566-7000
JEFFREY L. HORSWELL, MD PA
Anesthesiology
7777 FOREST LN
DALLAS, TX 75230
Dallas County (972) 247-9946
MRS. AMELIE P. MCKNEELY PA-C
Physician Assistant (Surgical)
7777 FOREST LN
DALLAS, TX 75230
Dallas County (972) 566-7000
MRS. SUSAN KAY DEAHL M.C.D.
Audiologist-Hearing Aid Fitter
7777 FOREST LN, BUILDING C SUITE 100
DALLAS, TX 75230
Dallas County (972) 566-4848
360 ANESTHESIA, PA
Anesthesiology
7777 FOREST LN
DALLAS, TX 75230
Dallas County (972) 566-4817

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 Anthony Macaluso's NPI number?

The NPI number for Anthony Macaluso is 1649201385. It was assigned to this individual provider in the NPPES registry on July 5, 2006.

Where is Anthony Macaluso located?

Anthony Macaluso practices at 7777 Forest Ln Suite A-321, Dallas, TX 75230. The listed phone number is (972) 661-3575.

What is Anthony Macaluso's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Anthony Macaluso enrolled in Medicare?

Yes. Anthony Macaluso 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 Anthony Macaluso accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 9 other insurers list Anthony Macaluso 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 Anthony Macaluso affiliated with any hospitals?

According to CMS data, Anthony Macaluso is affiliated with Medical City Plano.

When was this NPI record last updated?

The NPPES record for Anthony Macaluso was last updated on April 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.