Anthony Wayne Macasieb, D.O

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

9400294 Issued in NC

Practice address

930 W Wilson Ave
Mooresville, NC 28117-8811

Phone

(704) 663-7500

Fax

(704) 799-2613

NPI assigned

Jun 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Internal Medicine

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Trinity Health Care PAGroup PAC ID 6608817416, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gentiva Health Services Home health agency, Hickory, NC, CCN 347300
• Duke Health Lake Norman Hospital Hospital, Mooresville, NC, CCN 340129
• Novant Health Huntersville Medical Center Hospital, Huntersville, NC, CCN 340183

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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

• Trinity Health Care PA

  • Internal Medicine Physician
  • Mooresville, NC
  • NPI 1134184583
  Medicare reassignment Care Compare group NPD Authorized official

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

• Centerwell Certified Healthcare Corp.

  • Home Health Agency
  • Hickory, NC
  • NPI 1316974272
  Care Compare affiliation
• Duke Health Lake Norman Regional Medical Center, Inc.

  • General Acute Care Hospital
  • Mooresville, NC
  • NPI 1114731064
  Care Compare affiliation
• The Presbyterian Hospital

  • General Acute Care Hospital
  • Huntersville, NC
  • NPI 1346291309
  Care Compare affiliation

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203638400000",
    "number": "1154325660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "930 W WILSON AVE",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178811",
            "telephone_number": "704-663-7500",
            "fax_number": "704-799-2613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 W WILSON AVE",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178811",
            "telephone_number": "704-663-7500",
            "fax_number": "704-799-2613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACASIEB",
        "first_name": "ANTHONY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2008-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9400294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8953651",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lymphatic Health Center, PLLC
• Jamie Troy Lynn, D.C.
• Scott Edward Lynn, D.C.
• Kayla Ann Lynott
• M. Avey & Associates NC PC III
• Sherrie Lynne Macdermod, B.S.
• Jennifer Macdonald
• Spenser Macera
• Shannon Macminn, MS OTR/L
• Michael Joseph Madigan Jr., MD

• Internal Medicine Physician in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.