1. Home
  2. Directory
  3. Maine
  4. Bangor
  5. Hospitalist
  6. NPI Profile

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: October 25, 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
Phone(207) 973-8670
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
Open in Google Maps ↗

Secondary Practice Location 1

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

Other Identifiers 1

Medicaid0033779OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Macario Lichauco reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatric Academic Association, Inc.
800 mi
Pediatrics
700 CHILDRENS DR
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 1,246 clinicians in this Medicare group
NPI 1063419943 (614) 722-4579
Tmc Medical Network
2,410 mi
Multi-Specialty
5301 E GRANT RD
Tucson, AZ 85712
  • Reassigned Medicare billing, Arizona enrollment
  • 471 clinicians in this Medicare group
NPI 1750832283 (520) 327-5461
Tmcone
2,410 mi
Multi-Specialty
5301 E GRANT RD
Tucson, AZ 85712
  • Reassigned Medicare billing, Arizona enrollment
  • 196 clinicians in this Medicare group
NPI 1467310417 (520) 324-2308

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MARGARET ELIZABETH KASPER PA-C
Physician Assistant
489 STATE ST
BANGOR, ME 04401
Penobscot County (207) 973-4949
DARA H KNAPP PA
Physician Assistant
489 STATE ST
BANGOR, ME 04401
Penobscot County (207) 973-7000
JAIME LEE NAUGHTON CRNA
Nurse Anesthetist, Certified Registered
489 STATE ST
BANGOR, ME 04401
Penobscot County (207) 973-4519
YASMANI LEYVA ECHEVARRIA CRNA
Nurse Anesthetist, Certified Registered
489 STATE ST
BANGOR, ME 04401
Penobscot County (207) 973-7000
KATE LUCILLE BLANCHARD PA-C
Physician Assistant (Surgical)
489 STATE ST
BANGOR, ME 04401
Penobscot County (207) 973-7000
DR. JAMES W BERRY M.D.
Family Medicine
489 STATE ST
BANGOR, ME 04401
Penobscot County (207) 973-7000
JENNIFER LYNN MCKEON CRNP
Nurse Practitioner
489 STATE ST, VASCULAR CARE OF MAINE
BANGOR, ME 04401
Penobscot County (207) 973-6670
DR. LEONARD C MONEKE MD
Hospitalist
489 STATE ST
BANGOR, ME 04401
Penobscot County (207) 973-7000

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.

Which organizations bill Medicare for Macario Lichauco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Macario Lichauco reassigns Medicare benefits to 3 organizations: Pediatric Academic Association, Inc. (Columbus, OH), Tmc Medical Network (Tucson, AZ) and Tmcone (Tucson, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Macario Lichauco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Macario Lichauco accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, CareSource and Cigna HealthCare of Arizona, Inc 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.