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DR. OSCAR ENRIQUE MACAL M.D.
NPI 1740221936
Internal Medicine in Owosso, MI

Active since June 09, 2006PECOS EnrolledAccepts Medicare Assignment
56.42/100
CMS Quality Rating
300 HEALTH PARK DRIVE, SUITE 302, OWOSSO, MI 48867(989) 723-5540 Get Directions Write a Review

NPPES record last updated: May 29, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Oscar Enrique Macal M.d. NPPES

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

DR. OSCAR ENRIQUE MACAL M.D. (NPI 1740221936) is an individual internal medicine provider in Owosso, Michigan, licensed in Michigan (4301049566) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Healthcare, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1740221936
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. OSCAR ENRIQUE MACALCredential: M.D.
Location Address300 HEALTH PARK DRIVE, SUITE 302Owosso, MI 48867-1292
Mailing Address300 Health Park Dr Ste 302Owosso, MI 48867-1293 · (989) 723-5540
Phone(989) 723-5540
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateJune 9, 2006
Last NPPES UpdateMay 29, 2012
✔ NPI 1740221936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301049566
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
300 HEALTH PARK DRIVE, Owosso, MI 48867
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Other Identifiers 7

Other0400026MI · Php
Medicaid2577942MI
Other5487268MA · Aetna
Medicare ID-Type UnspecifiedN38780001MI
OtherP47759MI · Bcn
Medicare UPINB47701MI
Other1107800272MI · Bc/bs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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

Dr. Oscar Enrique Macal 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 ID547270373
PECOS Enrollment IDI20060426000050
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 3

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.
368 services191 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.
104 services75 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Healthcare

Acute Care Hospitals · Owosso, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230121
Location826 West King StreetOwosso, MI 48867 · Shiawassee County
Emergency services Birthing friendly

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48867 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

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.

56.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.82
Promoting Interoperability0
Improvement Activities40
Cost60.06

Referred Medical Equipment & Supplies CMS DME claims 12

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers44 claims93 services$5.93 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers18 claims21 services$1.04 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
3 suppliers11 claims1,122 services$1.61 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers15 claims15 services$33.08 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
2 suppliers12 claims56 services$12.20 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
2 suppliers16 claims16 services$48.26 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 2

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

MS. KIMBERLY ANN MACAL RD, CDE
Dietitian, Registered
300 HEALTH PARK DRIVE, SUITE 302
OWOSSO, MI 48867
Shiawassee County (989) 723-5540
INTERNAL MEDICINE ASSOCIATES OF OWOSSO, PC
Internal Medicine
300 HEALTH PARK DRIVE, SUITE 302
OWOSSO, MI 48867
Shiawassee County (989) 723-5540

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 Oscar Macal's NPI number?

The NPI number for Oscar Macal is 1740221936. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Oscar Macal located?

Oscar Macal practices at 300 Health Park Drive Suite 302, Owosso, MI 48867. The listed phone number is (989) 723-5540.

What is Oscar Macal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Oscar Macal enrolled in Medicare?

Yes. Oscar Macal 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 Oscar Macal accept?

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

According to CMS data, Oscar Macal is affiliated with Memorial Healthcare and Edward W Sparrow Hospital.

When was this NPI record last updated?

The NPPES record for Oscar Macal was last updated on May 29, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.