DR. JOHN ERNEST LAMACCHIA M.D.
NPI 1669465761
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Rochester, MI

Active since August 24, 2005PECOS EnrolledAccepts Medicare Assignment
79.84/100
CMS Quality Rating
1135 W UNIVERSITY DR STE 450, ROCHESTER, MI 48307(248) 650-2400(248) 650-4596 Get Directions Write a Review

NPPES record last updated: June 16, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 16, 2018, Mar 26, 2018 (2 updates tracked since 2018).

About Dr. John Ernest Lamacchia M.d. NPPES

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

DR. JOHN ERNEST LAMACCHIA M.D. (NPI 1669465761) is an individual orthopaedic surgery of the spine provider in Rochester, Michigan, licensed in Michigan (4301074146) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Henry Ford Macomb Hospital, and is a graduate of Wayne State University School Of Medicine (1999).

NPPES Registry Identity

NPI1669465761
Entity TypeIndividualMale
Primary Taxonomy207XS0117X
Provider Legal NameDR. JOHN ERNEST LAMACCHIACredential: M.D.
Location Address1135 W UNIVERSITY DR STE 450Rochester, MI 48307-1871
Mailing Address1135 W University Dr, Suite 450Rochester, MI 48307-1871 · (248) 650-2400 · Fax (248) 650-4596
Fax(248) 650-4596
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 1999
Enumeration DateAugust 24, 2005
Last NPPES UpdateJune 16, 20182 updates tracked since enumeration
NPI 1669465761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians
Taxonomy Code207XS0117X
License Licensed in MI · 4301074146
Definition
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
1135 W UNIVERSITY DR STE 450, Rochester, MI 48307

Other Identifiers 2

Medicaid1669465761MI
Other0931374MI · Blue Cross Blue Shield

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. John Ernest Lamacchia M.d. 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 ID1951380435
PECOS Enrollment IDI20060120000375
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 22

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.

X-ray lower and sacral spine, minimum of 6 views 72114
An X-ray of the lower and sacral spine involves capturing images of the bones in your lower back and tailbone area. It helps to identify issues like fractures, infections, or degenerative diseases. A minimum of 6 views ensures a comprehensive examination.
159 services158 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.
135 services114 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.
106 services92 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.
101 services91 patients
X-ray of lower and sacral spine, 2-3 views 72100
An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.
61 services41 patients
X-ray of upper spine, 4-5 views 72050
An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.
51 services48 patients

Hospital Affiliations CMS Care Compare 5

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

Henry Ford Macomb Hospital

Acute Care Hospitals · Clinton Township, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230047
Location15855 Nineteen Mile RdClinton Township, MI 48038 · Macomb County
Emergency services Birthing friendly

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Ascension Providence Rochester Hospital

Acute Care Hospitals · Rochester, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230254
Location1101 W University DriveRochester, MI 48307 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

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.

79.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.99
Promoting Interoperability100
Improvement Activities40
Cost60.82

Reported Quality Measures

Breast Cancer Screening
24%377 patients2/55-star benchmark: 93%
Cervical Cancer Screening
18%350 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
37%484 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
59%170 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
34%88 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
41%88 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
89%2,535 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
15%567 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
35%1,307 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
15%1,227 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%1,957 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 45% · 1,037 patients
Patients screened: 49% · 1,037 patients
42%64 patients2/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
80%194 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 587 patients
Patients totalRate: 11% · 599 patients
11%599 patients3/55-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.

Other Providers at the Same Location NPPES 13

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

Orthopaedic Surgery
1135 W UNIVERSITY DR STE 450
ROCHESTER, MI 48307
Physical Therapist
1135 W UNIVERSITY DR STE 450
ROCHESTER, MI 48307
Physician Assistant
1135 W UNIVERSITY DR STE 450
ROCHESTER, MI 48307
Physician Assistant
1135 W UNIVERSITY DR STE 450
ROCHESTER, MI 48307
Physical Therapist
1135 W UNIVERSITY DR STE 450
ROCHESTER HILLS, MI 48307
Family Medicine (Sports Medicine)
1135 W UNIVERSITY DR STE 450
ROCHESTER, MI 48307
Orthopaedic Surgery
1135 W UNIVERSITY DR STE 450
ROCHESTER, MI 48307
Physical Therapist
1135 W UNIVERSITY DR STE 450
ROCHESTER, MI 48307

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 John Lamacchia's NPI number?

The NPI number for John Lamacchia is 1669465761. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Where is John Lamacchia located?

John Lamacchia practices at 1135 W University Dr Ste 450, Rochester, MI 48307. The listed phone number is (248) 650-2400.

What is John Lamacchia's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is John Lamacchia enrolled in Medicare?

Yes. John Lamacchia 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 John Lamacchia accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list John Lamacchia 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 John Lamacchia affiliated with any hospitals?

According to CMS data, John Lamacchia is affiliated with Henry Ford Macomb Hospital, Beaumont Hospital Royal Oak, Ascension St John Hospital, Ascension Providence Rochester Hospital and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for John Lamacchia was last updated on June 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.