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EDIFEL N MACATUNO M.D.
NPI 1649219585
Pediatrics - Adolescent Medicine in Spartanburg, SC

Active since June 06, 2006PECOS Enrolled
101 E WOOD ST, SPARTANBURG, SC 29303(864) 560-6287(864) 560-7091 Get Directions Write a Review

NPPES record last updated: February 4, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 4, 2021, Jun 29, 2020, Jul 11, 2018 and 1 more (4 updates tracked since 2018).

About Edifel N Macatuno M.d. NPPES

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

EDIFEL N MACATUNO M.D. (NPI 1649219585) is an individual adolescent medicine provider in Spartanburg, South Carolina, licensed in South Carolina (23575) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649219585
Entity TypeIndividualMale
Primary Taxonomy2080A0000X
Provider Legal NameEDIFEL N MACATUNOCredential: M.D.
Location Address101 E WOOD STSpartanburg, SC 29303-3040
Mailing AddressPo Box 743070Atlanta, GA 30374-3070 · (864) 560-4304 · Fax (864) 560-4413
Phone(864) 560-6287
Fax(864) 560-7091
Sole ProprietorNo
Enumeration DateJune 6, 2006
Last NPPES UpdateFebruary 4, 20214 updates tracked since enumeration
NPPES CertifiedFebruary 4, 2021
✔ NPI 1649219585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Licenses✔ Licensed in SC · 23575✔ Licensed in SC · M23575
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
101 E WOOD ST, Spartanburg, SC 29303
Open in Google Maps ↗

Other Identifiers 4

Medicaid235757SC
OtherSCC508J577SC · Medicare Pin
OtherSCC508H895SC · Medicare Pin
OtherSCC5085019SC · Medicare Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edifel N Macatuno M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Edifel Macatuno reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Spartanburg Medical Center
Same address
Thoracic Surgery (Cardiothoracic Vascular Surgery)
225 E WOOD ST
Spartanburg, SC 29303
  • Reassigned Medicare billing, South Carolina enrollment
  • Also billed through NPI 1013161520 (South Carolina)
  • 754 clinicians in this Medicare group
NPI 1043307887 (864) 583-4420
Cherokee Medical Center
16 mi
Family Medicine
722 HYATT ST STE C
Gaffney, SC 29341
  • Reassigned Medicare billing, South Carolina enrollment
  • 139 clinicians in this Medicare group
NPI 1821649393 (864) 487-2400
Union Medical Center
23 mi
Obstetrics & Gynecology
1201 FURMAN L FENDLEY HWY STE C
Union, SC 29379
  • Reassigned Medicare billing, South Carolina enrollment
  • 66 clinicians in this Medicare group
NPI 1275035255 (864) 427-8380

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. TONDRE BUCK M.D.
Internal Medicine (Hematology & Oncology)
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-7050
ADAM KEITH RAYNES
Nurse Anesthetist, Certified Registered
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6000
RAJAN BHATT
Student in an Organized Health Care Education/Training Program
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6285
NICHOLE TACKETT DO
Surgery
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6285
PATRICIA C. GRIFFIN MD
Radiology (Radiation Oncology)
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6917
DR. VIKAS DEMBLA M.D.
Internal Medicine (Hematology & Oncology)
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-7050
DR. ANDREW OMOIT EKATAN M.D.
Internal Medicine
101 E WOOD ST, SUITE 401
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6654
STETSON REED BICKLEY M.D.
Radiology (Diagnostic Radiology)
101 E WOOD ST
SPARTANBURG, SC 29303
Spartanburg County (864) 560-6522

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 Edifel Macatuno's NPI number?

The NPI number for Edifel Macatuno is 1649219585. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is Edifel Macatuno located?

Edifel Macatuno practices at 101 E Wood St, Spartanburg, SC 29303. The listed phone number is (864) 560-6287.

What is Edifel Macatuno's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Edifel Macatuno enrolled in Medicare?

Yes. Edifel Macatuno is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Edifel Macatuno's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edifel Macatuno reassigns Medicare benefits to 3 organizations: Spartanburg Medical Center (Spartanburg, SC), Cherokee Medical Center (Gaffney, SC) and Union Medical Center (Union, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edifel Macatuno's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edifel Macatuno accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 2 other insurers list Edifel Macatuno 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.

When was this NPI record last updated?

The NPPES record for Edifel Macatuno was last updated on February 4, 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.