DR. JOSE S MACEDA MD
NPI 1952447997
Obstetrics & Gynecology - Urogynecology and Reconstructive Pelvic Surgery in King Of Prussia, PA

Q: What is Jose Maceda's NPI number?

The NPI number for Jose Maceda is 1952447997. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Q: What is Jose Maceda's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Q: When was this NPI record last updated?

The NPPES record for Jose Maceda was last updated on February 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.

Active since January 29, 2007PECOS EnrolledAccepts Medicare Assignment

120 VALLEY GREEN LN STE 610, KING OF PRUSSIA, PA 19406(484) 685-3045(484) 685-3046 Get Directions Write a Review

NPPES record last updated: February 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 15, 2025, Dec 27, 2024, Jun 30, 2021 (3 updates tracked since 2021).

On this page

About Dr. Jose S Maceda Md NPPES

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

DR. JOSE S MACEDA MD (NPI 1952447997) is an individual urogynecology and reconstructive pelvic surgery provider in King Of Prussia, Pennsylvania, licensed in Pennsylvania (MD073265L) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Phoenixville Hospital, and maintains a secondary practice location in Chester.

NPPES Registry Identity

NPI1952447997

Entity TypeIndividualMale

Primary Taxonomy207VF0040X

Provider Legal NameDR. JOSE S MACEDACredential: MD

Location Address120 VALLEY GREEN LN STE 610King Of Prussia, PA 19406-2080

Mailing AddressPo Box 22581New York, NY 10087-2581 · (610) 482-4795 · Fax (856) 528-3117

Phone(484) 685-3045

Fax(484) 685-3046

Sole ProprietorNo

Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1998

Enumeration DateJanuary 29, 2007

Last NPPES UpdateFebruary 15, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 15, 2025

✔ NPI 1952447997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Urogynecology and Reconstructive Pelvic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207VF0040X

License✔ Licensed in PA · MD073265L

Definition

A subspecialist in Urogynecology and Reconstructive Pelvic Surgery is a physician in Urology or Obstetrics and Gynecology who, by virtue of education and training, is prepared to provide consultation and comprehensive management of women with complex benign pelvic conditions, lower urinary tract disorders, and pelvic floor dysfunction. Comprehensive management includes those diagnostic and therapeutic procedures necessary for the total care of the patient with these conditions and complications resulting from them.

Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License MD073265L (PA)

120 VALLEY GREEN LN STE 610, King Of Prussia, PA 19406

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Secondary Practice Location 1

Location 11 Medical Center Blvd, Vivacqua pavilion #240Chester, PA 19013-3902 · Phone (610) 619-8510 · Fax (610) 619-8511

Other Identifiers 1

Medicaid101402560PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jose S Maceda Md 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 ID4789619313

PECOS Enrollment IDI20051003000016

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

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

Regional Womens Health Group LLC

3.6 mi

Obstetrics & Gynecology

450 CRESSON BLVD STE 300
Phoenixville, PA 19460

Reassigned Medicare billing, Pennsylvania enrollment
226 clinicians in this Medicare group

NPI 1750880118 (856) 669-6050

Prospect Health Access Network, Inc.

11 mi

Obstetrics & Gynecology

2100 KEYSTONE AVE, SUITE 707
Drexel Hill, PA 19026

Reassigned Medicare billing, Pennsylvania enrollment
654 clinicians in this Medicare group

NPI 1255786729 (610) 626-7070

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

Areas of Expertise CMS Part B claims 22

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.

Injection, onabotulinumtoxina, 1 unit J0585

Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.

2,300 services14 patients

Urinalysis, manual test 81002

A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.

219 services154 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

212 services146 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

172 services131 patients

Electronic assessment of bladder emptying 51741

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

135 services115 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.

135 services101 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

121 services55 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

120 services109 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

74 services74 patients

Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings 51784

This procedure involves the use of non-invasive devices to record the electrical activity of muscles at specific body openings. It's helpful in understanding muscle function and can assist in diagnosing certain conditions.

70 services70 patients

Insertion of device into abdomen with pressure and urine flow rate study 51797

This procedure involves placing a small device into your abdomen to monitor pressure and urine flow rates. It helps in understanding how well your body is processing and eliminating liquid waste. It's a safe procedure, typically performed under local anesthesia.

69 services69 patients

Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies 51729

This procedure helps to measure the pressure inside your bladder while passing fluid. It checks how well your bladder and the tube that carries fluid from your bladder are working. It's important for diagnosing issues with fluid flow and storage.

64 services64 patients

Insertion of lower leg neurostimulator electrode 64566

The insertion of a lower leg neurostimulator electrode is a procedure where a small device is placed under your skin. This device sends mild electrical signals to nerves in the lower leg, helping to manage chronic pain. It's a safe, minimally invasive procedure.

44 services12 patients

Repair of herniated rectum into vaginal wall 57250

This procedure involves correcting a physical condition where part of the rectum bulges into the vaginal area. It's done by repositioning the rectum and strengthening the tissue between the two areas to prevent recurrence.

43 services43 patients

Surgical repair of vaginal defect using an endoscope 57425

This procedure involves the use of a special instrument, an endoscope, to help fix an issue within your body. It's a minimally invasive method, meaning less discomfort and quicker recovery compared to traditional surgery.

36 services36 patients

Fitting and insertion of vaginal support device 57160

A vaginal support device is a medical tool used to provide support to pelvic organs. During the procedure, a healthcare professional will gently place the device into the appropriate area. This is typically done in a clinical setting and can help with various health conditions.

35 services27 patients

Pessary, reusable, non rubber, any type A4562

A pessary is a device placed in the body to support areas that have dropped due to age or childbirth. It's made of non-rubber material. It's inserted and removed by a healthcare professional. Regular check-ups are needed to ensure comfort and proper function.

35 services27 patients

Creation of sling around urethra in female to control leakage 57288

This procedure involves creating a supportive loop around a tube in your lower body that carries liquid waste. This helps manage any unwanted leakage, providing you with better control and comfort.

34 services34 patients

Partial removal of uterus, tubes, and/or ovaries with retention of cervix using an endoscope, 250.0 g or less 58542

This is a minimally invasive procedure where a small device (endoscope) is used to remove part of the uterus and/or related structures, while leaving the cervix intact. The procedure is performed on a uterus weighing 250.0 g or less.

23 services23 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

23 services23 patients

Exam with injections of chemical for destruction of bladder using an endoscope 52287

This procedure involves the use of a thin, flexible tube with a light (endoscope) for internal examination. A chemical is then injected to help eliminate specific issues in the bladder. It's a standard and safe process.

21 services14 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Phoenixville Hospital

Acute Care Hospitals · Phoenixville, PA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number390127

Location140 Nutt RoadPhoenixville, PA 19460 · Chester County

Emergency services Birthing friendly

Bryn Mawr Hospital

Acute Care Hospitals · Bryn Mawr, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390139

Location130 South Bryn Mawr AveBryn Mawr, PA 19010 · Montgomery County

Emergency services Birthing friendly

Paoli Hospital

Acute Care Hospitals · Paoli, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390153

Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County

Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390179

Location701 East Marshall StreetWest Chester, PA 19380 · Chester County

Emergency services Birthing friendly

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390195

Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19406 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$74.47 typical visit price

range $19.30 – $147.29

Typical copayment $18.61 (range $4.82 – $36.82)

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.

Other Providers at the Same Location NPPES 2

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

DR. GINA MARIE CUNNINGHAM PT, DPT

Physical Therapist

120 VALLEY GREEN LN STE 610
KING OF PRUSSIA, PA 19406

Montgomery County (484) 685-3045

TESS CROUSS M.D.

Obstetrics & Gynecology

120 VALLEY GREEN LN STE 610
KING OF PRUSSIA, PA 19406

Montgomery County (484) 685-3045

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 Jose Maceda's NPI number?

The NPI number for Jose Maceda is 1952447997. It was assigned to this individual provider in the NPPES registry on January 29, 2007.

Where is Jose Maceda located?

Jose Maceda practices at 120 Valley Green Ln Ste 610, King Of Prussia, PA 19406. The listed phone number is (484) 685-3045.

What is Jose Maceda's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Urogynecology and Reconstructive Pelvic Surgery, with taxonomy code 207VF0040X.

Is Jose Maceda enrolled in Medicare?

Yes. Jose Maceda 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.

Which organizations bill Medicare for Jose Maceda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Maceda reassigns Medicare benefits to 2 organizations: Regional Womens Health Group LLC (Phoenixville, PA) and Prospect Health Access Network, Inc. (Drexel Hill, 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 Jose Maceda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Maceda accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Jose Maceda 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 Jose Maceda affiliated with any hospitals?

According to CMS data, Jose Maceda is affiliated with Phoenixville Hospital, Bryn Mawr Hospital, Paoli Hospital, Chester County Hospital and Main Line Hospital Lankenau.

When was this NPI record last updated?

The NPPES record for Jose Maceda was last updated on February 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.