JONATHAN MACCLEMENTS MD
NPI 1760472625
Family Medicine in Tyler, TX

Q: What is Jonathan Macclements's NPI number?

The NPI number for Jonathan Macclements is 1760472625. It was assigned to this individual provider in the NPPES registry on October 24, 2005.

Q: What is Jonathan Macclements's specialty?

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

Active since October 24, 2005PECOS EnrolledAccepts Medicare Assignment

71.53/100

CMS Quality Rating

11937 US HIGHWAY 271, TYLER, TX 75708(903) 877-7777(903) 877-5080 Get Directions Write a Review

NPPES record last updated: December 21, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jonathan Macclements Md NPPES

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

JONATHAN MACCLEMENTS MD (NPI 1760472625) is an individual family medicine provider in Tyler, Texas, licensed in Texas (K2236) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1760472625

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJONATHAN MACCLEMENTSCredential: MD

Location Address11937 US HIGHWAY 271Tyler, TX 75708-3154

Mailing AddressPo Box 731912Dallas, TX 75373-1912 · (903) 877-7777 · Fax (903) 877-5080

Phone(903) 877-7777

Fax(903) 877-5080

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateOctober 24, 2005

Last NPPES UpdateDecember 21, 2012

✔ NPI 1760472625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in TX · K2236

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.

11937 US HIGHWAY 271, Tyler, TX 75708

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Other Identifiers 3

Medicaid133230601TX

Medicare ID-Type Unspecified8994J1TX

Medicare UPING42028

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Oscar Insurance Company, Sendero Health Plans, Local Nonprofit.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

Jonathan Macclements 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 ID8921167263

PECOS Enrollment IDI20081031000477

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 4

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.

95 services60 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.

52 services37 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.

33 services32 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.

31 services31 patients

Hospital Affiliations CMS Care Compare

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

Ascension Seton Medical Center Austin

Acute Care Hospitals · Austin, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450056

Location1201 W 38th StAustin, TX 78705 · Travis County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75708 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

71.53/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

64.85

Improvement Activities

Cost

69.55

Reported Quality Measures

Breast Cancer Screening

71%55 patients4/55-star benchmark: 93%

Cervical Cancer Screening

61%79 patients3/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

43%194 patients2/55-star benchmark: 87%

Colorectal Cancer Screening

62%178 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

63%100 patients3/55-star benchmark: 91%

Diabetes: Eye Exam

18%50 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

18%50 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

99%459 patients4/55-star benchmark: 100%

e-Prescribing

96%670 patients3/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

13%98 patients1/55-star benchmark: 100%

HIV Screening

25%260 patients2/55-star benchmark: 60%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

39%331 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

83%264 patients4/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

33%297 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 88% · 289 patients

Patients screened: 89% · 289 patients

87%23 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

90%99 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

81%91 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 1% · 105 patients

Patients totalRate: 10% · 108 patients

11%108 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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier11 claims11 services$42.26 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

1 supplier11 claims11 services$104.08 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 20

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

UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT TYLER

Psychiatric Unit