NPIMap

Individual provider Active NPI

David B Macisaac, DO

  • Family Medicine Physician
  • Wexford, PA
National Provider Identifier
1437181336
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS012396 Issued in PA
Practice address
2000 Corporate Dr
Suite 100
Wexford, PA 15090-7611
Phone
(724) 940-9190
Fax
(724) 940-9195
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS012396 PA Primary

Addresses

Primary practice location

2000 Corporate Dr
Suite 100
Wexford, PA 15090-7611

Mailing address

2000 Corporate Dr
Suite 100
Wexford, PA 15090-7611
Phone (724) 940-9190

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040524000788 PA Practitioner - Family Practice 5698766996 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2000 Corporate Dr
Wexford, PA 15090-7609
Phone (724) 940-9190

2000 Corporate Dr
Suite 100
Wexford, PA 15090-7605

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS012396PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Macisaac Family Medicine Family Medicine CurrentSince Jan 1, 2005 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
M. Randy Dalbow,M.D.,P.C. Past Accepting new patients

Locations

125 Warrendale Bayne Rd
Ste 200
Warrendale, PA 15086
Phone (724) 940-9190

2000 Corporate Dr
Ste 100
Wexford, PA 15090
Phone (724) 935-9696

Organizations & group practices 3

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.

Hospital & facility affiliations 12

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392163200000",
    "number": "1437181336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 CORPORATE DR",
            "address_2": "SUITE 100",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907611",
            "telephone_number": "724-940-9190",
            "fax_number": "724-940-9195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 CORPORATE DR",
            "address_2": "SUITE 100",
            "city": "WEXFORD",
            "state": "PA",
            "postal_code": "150907611",
            "telephone_number": "724-940-9190",
            "fax_number": "724-940-9195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACISAAC",
        "first_name": "DAVID",
        "middle_name": "B",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2014-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS012396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wexford, PA

Sources for this page

Verify at the official NPI Registry.