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MANUEL AGUAS MACAPINLAC JR. M.D.
NPI 1811975345
Internal Medicine - Medical Oncology in Sequim, WA

Active since January 05, 2006PECOS EnrolledAccepts Medicare Assignment
83.84/100
CMS Quality Rating
OLYMPIC MEDICAL CANCER CENTER, 844 N 5TH AVE, SEQUIM, WA 98382(360) 683-9895(360) 582-5614 Get Directions Write a Review

NPPES record last updated: August 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 9, 2024, Jul 11, 2024 (2 updates tracked since 2024).

About Manuel Aguas Macapinlac Jr. M.d. NPPES

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

MANUEL AGUAS MACAPINLAC JR. M.D. (NPI 1811975345) is an individual medical oncology provider in Sequim, Washington, licensed in Washington (61535062) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Olympic Medical Center, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1811975345
Entity TypeIndividualMale
Primary Taxonomy207RX0202X
Provider Legal NameMANUEL AGUAS MACAPINLAC JR.Credential: M.D.
Location AddressOLYMPIC MEDICAL CANCER CENTER, 844 N 5TH AVESequim, WA 98382-3045
Mailing AddressOlympic Medical Cancer Center, 844 N 5th AveSequim, WA 98382-3045 · (360) 683-9895 · Fax (360) 582-5614
Phone(360) 683-9895
Fax(360) 582-5614
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJanuary 5, 2006
Last NPPES UpdateAugust 9, 20242 updates tracked since enumeration
NPPES CertifiedAugust 5, 2024
✔ NPI 1811975345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in WA · 61535062
Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X · License 61535062 (WA)
OLYMPIC MEDICAL CANCER CENTER, Sequim, WA 98382
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

Manuel Aguas Macapinlac Jr. 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 ID5496775785
PECOS Enrollment IDI20240715003446
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.

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.
854 services402 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.
474 services348 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
96 services96 patients
Smoking and tobacco use intensive counseling, 4-10 minutes 99406
This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.
44 services38 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
32 services32 patients

Hospital Affiliations CMS Care Compare 3

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

Olympic Medical Center

Acute Care Hospitals · Port Angeles, WA
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number500072
Location939 Caroline StPort Angeles, WA 98362 · Clallam County
Emergency services Birthing friendly

Jefferson Healthcare

Critical Access Hospitals · Port Townsend, WA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501323
Location834 Sheridan StreetPort Townsend, WA 98368 · Jefferson County
Emergency services Birthing friendly

Forks Community Hospital

Critical Access Hospitals · Forks, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501325
Location530 Bogachiel WayForks, WA 98331 · Clallam County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98382 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
$172.80 typical visit price
range $57.27 – $172.80
Typical copayment $43.20 (range $14.31 – $43.20)
Most-billed visit code 99205
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

83.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.59
Promoting Interoperability100
Improvement Activities40
Cost58.63

Referred Medical Equipment & Supplies CMS DME claims 4

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

Methotrexate; oral, 2.5 mg J8610
Treatment-Chemotherapy · category RH002N
1 supplier13 claims416 services$0.15 avg. paid by Medicare
Temozolomide, oral, 5 mg J8700
Treatment-Treatment - Miscellaneous · category RX000N
1 supplier13 claims1,755 services$0.42 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
1 supplier22 claims22 services$18.09 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier15 claims18 services$12.64 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Manuel Macapinlac's NPI number?

The NPI number for Manuel Macapinlac is 1811975345. It was assigned to this individual provider in the NPPES registry on January 5, 2006.

Where is Manuel Macapinlac located?

Manuel Macapinlac practices at Olympic Medical Cancer Center 844 N 5th Ave, Sequim, WA 98382. The listed phone number is (360) 683-9895.

What is Manuel Macapinlac's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Manuel Macapinlac enrolled in Medicare?

Yes. Manuel Macapinlac 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 Manuel Macapinlac accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Manuel Macapinlac 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 Manuel Macapinlac affiliated with any hospitals?

According to CMS data, Manuel Macapinlac is affiliated with Olympic Medical Center, Jefferson Healthcare and Forks Community Hospital.

When was this NPI record last updated?

The NPPES record for Manuel Macapinlac was last updated on August 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.