1. Home
  2. Directory
  3. Pennsylvania
  4. Pittsburgh
  5. Internal Medicine
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. TONY VINCENT MACEDONIA M.D.
NPI 1902192818
Internal Medicine in Pittsburgh, PA

Active since June 20, 2011PECOS Enrolled
78.53/100
CMS Quality Rating
UPMC MONTEFIORE HOSPITAL, 3459 5TH AVE NW 628, PITTSBURGH, PA 15213(412) 648-3098 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 3, 2026, Jul 15, 2020, Jul 8, 2019 and 1 more (4 updates tracked since 2019).

About Dr. Tony Vincent Macedonia M.d. NPPES

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

DR. TONY VINCENT MACEDONIA M.D. (NPI 1902192818) is an individual internal medicine provider in Pittsburgh, Pennsylvania, licensed in Colorado (DR.0061889) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1902192818
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. TONY VINCENT MACEDONIACredential: M.D.
Location AddressUPMC MONTEFIORE HOSPITAL, 3459 5TH AVE NW 628Pittsburgh, PA 15213
Mailing Address3600 Forbes Ave, Forbes Tower Plaza Level Suite 140Pittsburgh, PA 15213-3410 · (740) 632-0371
Phone(412) 648-3098
Sole ProprietorYes
Enumeration DateJune 20, 2011
Last NPPES UpdateSeptember 3, 20264 updates tracked since enumeration
NPPES CertifiedJuly 15, 2020
✔ NPI 1902192818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CO · DR.0061889
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
UPMC MONTEFIORE HOSPITAL, Pittsburgh, PA 15213
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Tony Vincent Macedonia M.d. 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

2

Medicare enrollment records show Tony Macedonia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Pittsburgh Physicians
0.2 mi
Internal Medicine
120 LYTTON AVE, SUITE 100A
Pittsburgh, PA 15213
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
NPI 1316076581 (412) 647-4545
Upmc Community Medicine Inc
0.2 mi
Internal Medicine
120 LYTTON AVE, 3RD FLOOR
Pittsburgh, PA 15213
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,182 clinicians in this Medicare group
NPI 1255467387 (412) 647-6333

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 15213 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

78.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.61
Promoting Interoperability100
Improvement Activities40
Cost53.82

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 Tony Macedonia's NPI number?

The NPI number for Tony Macedonia is 1902192818. It was assigned to this individual provider in the NPPES registry on June 20, 2011.

Where is Tony Macedonia located?

Tony Macedonia practices at Upmc Montefiore Hospital 3459 5th Ave NW 628, Pittsburgh, PA 15213. The listed phone number is (412) 648-3098.

What is Tony Macedonia's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Tony Macedonia enrolled in Medicare?

Yes. Tony Macedonia is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Tony Macedonia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tony Macedonia reassigns Medicare benefits to 2 organizations: University Of Pittsburgh Physicians (Pittsburgh, PA) and Upmc Community Medicine Inc (Pittsburgh, PA). 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 Tony Macedonia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tony Macedonia was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 57 days 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.