BRIAN WAYNE MACAULAY MD
NPI 1750382297
Family Medicine in Charleston, WV

Active since August 09, 2005PECOS EnrolledAccepts Medicare Assignment
116 HILLS PLZ, CHARLESTON, WV 25387(304) 720-4466(304) 720-4815 Get Directions Write a Review

NPPES record last updated: July 18, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brian Wayne Macaulay Md NPPES

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

BRIAN WAYNE MACAULAY MD (NPI 1750382297) is an individual family medicine provider in Charleston, West Virginia, licensed in West Virginia (14811) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of West Virginia University School Of Medicine (1985).

NPPES Registry Identity

NPI1750382297
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameBRIAN WAYNE MACAULAYCredential: MD
Location Address116 HILLS PLZCharleston, WV 25387-2438
Mailing Address1602 Harper RdBeckley, WV 25801-3310 · (304) 757-6999 · Fax (304) 757-3252
Fax(304) 720-4815
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1985
Enumeration DateAugust 9, 2005
Last NPPES UpdateJuly 18, 2018
NPI 1750382297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in WV · 14811
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.
116 HILLS PLZ, Charleston, WV 25387

Other Identifiers 5

Other001718160Mountain State Bcbs
Medicaid2043621OH
Medicaid0052239000WV
Other14811Health Plan Of Upper Oh V
Other55035705700WV · Wv Compensation

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

Brian Wayne Macaulay 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 ID4385601632
PECOS Enrollment IDI20041217000569
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 5

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.

Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
218 services215 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
176 services176 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
31 services31 patients
Administration of vaccine 90471
Administering a vaccine involves injecting a small, safe piece of a virus or bacteria into your body. This triggers your immune system to recognize and fight off the disease in the future. It's a vital tool in preventing serious illnesses and maintaining public health.
24 services20 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25387 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
65%161 patients3/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
72%278 patients4/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
46%154 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%109 patients5/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%66 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
95%755 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
37%726 patients2/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
96%755 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
20%755 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
33%755 patients
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 20

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

Social Worker (Clinical)
116 HILLS PLZ
CHARLESTON, WV 25387
Social Worker
116 HILLS PLZ
CHARLESTON, WV 25387
Counselor (Professional)
116 HILLS PLZ
CHARLESTON, WV 25387
Dentist
116 HILLS PLZ
CHARLESTON, WV 25387
Physician Assistant
116 HILLS PLZ
CHARLESTON, WV 25387
Nurse Practitioner (Family)
116 HILLS PLZ
CHARLESTON, WV 25387
Dentist (General Practice)
116 HILLS PLZ
CHARLESTON, WV 25387
Dentist
116 HILLS PLZ
CHARLESTON, WV 25387

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 Brian Macaulay's NPI number?

The NPI number for Brian Macaulay is 1750382297. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Brian Macaulay located?

Brian Macaulay practices at 116 Hills Plz, Charleston, WV 25387. The listed phone number is (304) 720-4466.

What is Brian Macaulay's specialty?

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

Is Brian Macaulay enrolled in Medicare?

Yes. Brian Macaulay 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 Brian Macaulay accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Brian Macaulay 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 Brian Macaulay was last updated on July 18, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.