DR. KATHLEEN A MACISAAC M.D.
NPI 1942473921
Otolaryngology in Lexington, VA

Active since April 10, 2008Opted out of Medicare · through Aug 10, 2028
129 S RANDOLPH ST UNIT 6, LEXINGTON, VA 24450(540) 527-7323(540) 242-3442 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Kathleen A Macisaac M.d. NPPES

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

DR. KATHLEEN A MACISAAC M.D. (NPI 1942473921) is an individual otolaryngology provider in Lexington, Virginia, licensed in Virginia (0101277495) and active in the NPI registry since April 2008. She has opted out of Medicare through August 10, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1942473921
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameDR. KATHLEEN A MACISAACCredential: M.D.
Location Address129 S RANDOLPH ST UNIT 6Lexington, VA 24450-2328
Mailing Address129 S Randolph St Unit 6Lexington, VA 24450-2328 · (540) 527-7323 · Fax (540) 242-3442
Fax(540) 242-3442
Sole ProprietorYes
Enumeration DateApril 10, 2008
Last NPPES UpdateOctober 15, 2024
NPPES CertifiedOctober 15, 2024
✔ NPI 1942473921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in VA · 0101277495✔ Licensed in FL · ME49513✔ Licensed in FL · ME0049513
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
129 S RANDOLPH ST UNIT 6, Lexington, VA 24450

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Dr. Kathleen A Macisaac M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 10, 2020 through August 10, 2028.

Opt-Out Effective DateAugust 10, 2020
Opt-Out In Effect ThroughAugust 10, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24450 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Kathleen Macisaac's NPI number?

The NPI number for Kathleen Macisaac is 1942473921. It was assigned to this individual provider in the NPPES registry on April 10, 2008.

Where is Kathleen Macisaac located?

Kathleen Macisaac practices at 129 S Randolph St Unit 6, Lexington, VA 24450. The listed phone number is (540) 527-7323.

What is Kathleen Macisaac's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Kathleen Macisaac enrolled in Medicare?

No. Kathleen Macisaac has opted out of Medicare through August 10, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Kathleen Macisaac was last updated on October 15, 2024. 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.