Individual provider Active NPI

David L Maccabee, MD

  • Surgery Physician
  • Hood River, OR
National Provider Identifier
1114018033
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD23129 Issued in OR
Practice address
514 State St Ste a
Hood River, OR 97031-2074
Phone
(541) 436-3880
Fax
(541) 436-3881
NPI assigned
Sep 27, 2006
Last updated
Dec 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD23129 OR Primary

Addresses

Primary practice location

514 State St Ste a
Hood River, OR 97031-2074

Mailing address

514 State St Ste a
Hood River, OR 97031-2074
Phone (541) 436-3880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040526001650 OR Practitioner - General Surgery 9234110172 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of California, Davis School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good Shepherd Health Care SystemGroup PAC ID 9133033764, 125 clinicians

Practice addresses (Care Compare)

610 NW 11TH St
Hermiston, OR 97838-6601
Phone (541) 667-3400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy50
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux90
Varicose vein removal1-10
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
53885CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Silverton Health CurrentSince Jan 28, 2019 Accepting new patients
Silverton Health Current Accepting new patients
Mendy S Maccabee MD Consultant LLC CurrentSince Nov 24, 2019 Accepting new patients
Silverton Health CurrentSince Jan 28, 2019 Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients

Locations

342 Fairview St
Silverton, OR 97381
Phone (503) 525-7660

Interoperability endpoints

  • Direct secure messaging: dmaccabee549796@direct.peacehealth.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1114018033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 STATE ST STE A",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970312074",
            "telephone_number": "541-436-3880",
            "fax_number": "541-436-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 STATE ST STE A",
            "city": "HOOD RIVER",
            "state": "OR",
            "postal_code": "970312074",
            "telephone_number": "541-436-3880",
            "fax_number": "541-436-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCABEE",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD23129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hood River, OR

Sources for this page

Verify at the official NPI Registry.