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TODD MACAULEY DO
NPI 1669859203
Family Medicine in Newport Beach, CA

Active since May 04, 2015PECOS Enrolled
471 OLD NEWPORT BLVD STE 302, NEWPORT BEACH, CA 92663(949) 415-4883(949) 625-2586 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 1, 2026, Oct 17, 2018, Aug 20, 2018 (3 updates tracked since 2018).

About Todd Macauley Do NPPES

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

TODD MACAULEY DO (NPI 1669859203) is an individual family medicine provider in Newport Beach, California, licensed in California (20A15678) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2015).

NPPES Registry Identity

NPI1669859203
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTODD MACAULEYCredential: DO
Location Address471 OLD NEWPORT BLVD STE 302Newport Beach, CA 92663-4244
Mailing Address471 Old Newport Blvd Ste 302Newport Beach, CA 92663-4244 · (949) 415-4883 · Fax (949) 625-2586
Phone(949) 415-4883
Fax(949) 625-2586
Sole ProprietorYes
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2015
Enumeration DateMay 4, 2015
Last NPPES UpdateMay 1, 20263 updates tracked since enumeration
NPPES CertifiedMay 1, 2026
✔ NPI 1669859203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 20A15678
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.
471 OLD NEWPORT BLVD STE 302, Newport Beach, CA 92663
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Todd Macauley Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820340078
PECOS Enrollment IDI20181016002890
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 Reassignment

Medicare enrollment records show Todd Macauley reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Todd Macauley Do A Medical Corporation
Same address
Family Medicine
471 OLD NEWPORT BLVD STE 302
Newport Beach, CA 92663
  • Reassigned Medicare billing, California enrollment
NPI 1942129697 (949) 415-4883

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

Areas of Expertise CMS Part B claims 7

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.
143 services80 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.
33 services33 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.
24 services24 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.
22 services21 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.
17 services14 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92663 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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

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

TODD MACAULEY DO A MEDICAL CORPORATION
Family Medicine
471 OLD NEWPORT BLVD STE 302
NEWPORT BEACH, CA 92663
Orange County (949) 415-4883

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 Todd Macauley's NPI number?

The NPI number for Todd Macauley is 1669859203. It was assigned to this individual provider in the NPPES registry on May 4, 2015.

Where is Todd Macauley located?

Todd Macauley practices at 471 Old Newport Blvd Ste 302, Newport Beach, CA 92663. The listed phone number is (949) 415-4883.

What is Todd Macauley's specialty?

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

Is Todd Macauley enrolled in Medicare?

Yes. Todd Macauley is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Todd Macauley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Todd Macauley reassigns Medicare benefits to Todd Macauley Do A Medical Corporation (Newport Beach, CA). The 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 Todd Macauley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Todd Macauley was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.