DR. MACARIO F. LICHAUCO MD
NPI 1821026055
Hospitalist in Bangor, ME

Active since June 28, 2006PECOS Enrolled
489 STATE ST, KELLY 6 EASTERN MAINE MEDICAL CENTER, BANGOR, ME 04401(207) 973-8670(207) 973-5163 Get Directions Write a Review

NPPES record last updated: December 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2023, Dec 4, 2023 (2 updates tracked since 2023).

About Dr. Macario F. Lichauco Md NPPES

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

DR. MACARIO F. LICHAUCO MD (NPI 1821026055) is an individual hospitalist provider in Bangor, Maine, licensed in Ohio (35149711) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Mansfield.

NPPES Registry Identity

NPI1821026055
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. MACARIO F. LICHAUCOCredential: MD
Location Address489 STATE ST, KELLY 6 EASTERN MAINE MEDICAL CENTERBangor, ME 04401-6616
Mailing Address489 State St, Kelly 6 Eastern Maine Medical CenterBangor, ME 04401-6616 · (207) 973-8670 · Fax (207) 973-5163
Fax(207) 973-5163
Sole ProprietorNo
Enumeration DateJune 28, 2006
Last NPPES UpdateDecember 20, 20232 updates tracked since enumeration
NPPES CertifiedDecember 20, 2023
NPI 1821026055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in OH · 35149711
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedPediatricsTaxonomy 208000000X · License 35149711 (OH)
Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X · License 015508 (ME)
489 STATE ST, Bangor, ME 04401

Secondary Practice Location 1

Location 1335 Glessner AveMansfield, OH 44903-2269 · Phone (419) 526-8000

Other Identifiers 1

Medicaid0033779OH

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 (PECOS)

Dr. Macario F. Lichauco Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04401 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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 20

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

Physician Assistant
489 STATE ST
BANGOR, ME 04401
Physician Assistant
489 STATE ST
BANGOR, ME 04401
Nurse Anesthetist, Certified Registered
489 STATE ST
BANGOR, ME 04401
Nurse Anesthetist, Certified Registered
489 STATE ST
BANGOR, ME 04401
Physician Assistant (Surgical)
489 STATE ST
BANGOR, ME 04401
Family Medicine
489 STATE ST
BANGOR, ME 04401
Nurse Practitioner
489 STATE ST, VASCULAR CARE OF MAINE
BANGOR, ME 04401
Hospitalist
489 STATE ST
BANGOR, ME 04401

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 Macario Lichauco's NPI number?

The NPI number for Macario Lichauco is 1821026055. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Macario Lichauco located?

Macario Lichauco practices at 489 State St Kelly 6 Eastern Maine Medical Center, Bangor, ME 04401. The listed phone number is (207) 973-8670.

What is Macario Lichauco's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Macario Lichauco enrolled in Medicare?

Yes. Macario Lichauco is registered in the Medicare PECOS enrollment system.

What insurance does Macario Lichauco accept?

Health plans from Blue Cross Blue Shield of Arizona and CareSource list Macario Lichauco 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 Macario Lichauco was last updated on December 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.