NPIMap

Individual provider Active NPI

Gordon Andrew Macbeth, M.D.

  • Vascular Surgery Physician
  • Marysville, CA
National Provider Identifier
1629185228
Registry record updated Jan 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
G59779 Issued in CA
Practice address
414 G St Ste 221
Marysville, CA 95901-5670
Phone
(530) 749-6650
Fax
(530) 749-6653
NPI assigned
Aug 23, 2006
Last updated
Jan 14, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X G59779 CA Primary

Addresses

Primary practice location

414 G St Ste 221
Marysville, CA 95901-5670

Mailing address

414 G St Ste 221
Marysville, CA 95901-5670
Phone (530) 749-6650

Other identifiers 2

IdentifierTypeStateIssuer
1629185228MedicaidCA
00G597790OtherCABLUE SHIELD PIN #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20041019001312 CA Practitioner - Vascular SurgeryPractitioner - General Surgery 6002877487 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
University of Arizona College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

414 G St
Suite 112
Marysville, CA 95901-5669
Phone (530) 674-8031

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)12
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince Aug 4, 2019 Accepting new patients
Rideout Medical Associates, Inc. CurrentSince Dec 1, 2012 Accepting new patients
Adventist Health Physicians Network CurrentSince Aug 4, 2019 Accepting new patients
Sutter Gould Medical Foundation Past Accepting new patients
Rideout Memorial Hospital Past Accepting new patients

Locations

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

414 G St
Ste 112
Marysville, CA 95901
Phone (530) 674-8031

414 G St
Ste 221
Marysville, CA 95901
Phone (530) 741-3800

726 4th St
Marysville, CA 95901
Phone (530) 491-9491

1007 Live Oak Blvd
Ste B2
Yuba City, CA 95991
Phone (530) 671-8718

1531 Plumas Ct
Ste B
Yuba City, CA 95991
Phone (530) 674-2434

Organizations & group practices 6

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 3

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358121600000",
    "number": "1629185228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 G ST STE 221",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959015670",
            "telephone_number": "530-749-6650",
            "fax_number": "530-749-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 G ST STE 221",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959015670",
            "telephone_number": "530-749-6650",
            "fax_number": "530-749-6653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACBETH",
        "first_name": "GORDON",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-23",
        "last_updated": "2013-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "G59779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629185228",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN #",
            "identifier": "00G597790",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, CA

Sources for this page

Verify at the official NPI Registry.