Active NPI
Jessie H Macvicar, MD
- Surgery Physician
- Brockton, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 206882
- Practice address
- 1 Pearl St
Suite 2000
Brockton, MA 02301 - Phone
- (508) 584-4104
- Fax
- (508) 584-2053
- NPI assigned
- Nov 8, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 206882 | MA | Primary |
Addresses
Primary practice location
1 Pearl St
Suite 2000
Brockton, MA 02301
Mailing address
960 Massachusetts Avenue
FL 2
Boston, MA 02118-2690
Other practice location 1
15 Roche Brothers Way
Suite 210
North Easton, MA 02356
Phone (781) 297-8001
Other practice location 2
736 Cambridge St.
Brighton, MA 02135
Phone (617) 789-2442
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110005045A | Medicaid | MA | |
| 0161730 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100929000905 | MA | Practitioner - General Surgery | 4385713999 |
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Georgetown University School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
110 Liberty St
Brockton, MA 02301-5521
720 Harrison Ave
Boston, MA 02118-2376
960 Massachusetts Ave
FL 2
Boston, MA 02118-2690
960 Massachusetts Ave
Suite 2
Boston, MA 02118-2620
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.83 of 100
- Quality
- 70.13
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.97
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 37 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signature Healthcare Medical Group Inc | Surgery | Current | Accepting new patients |
Locations
680 Centre St
Brockton, MA 02302
Phone (508) 941-7400
110 Liberty St
Ste 2A
Brockton, MA 02301
Phone (508) 894-0766
1 Pearl St
Brockton, MA 02301
Phone (508) 586-3600
1 Pearl St
Ste 2000
Brockton, MA 02301
Phone (508) 584-4104
110 Liberty St
Brockton, MA 02301
Interoperability endpoints
- jessie.macvicar@direct.signature.masshiway.net
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Brockton, MA
- NPI 1508804949
Surgery
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brockton, MA
- NPI 1871329110
-
- General Acute Care Hospital
- Brockton, MA
- NPI 1063431286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780358400000",
"number": "1912988874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 MASSACHUSETTS AVENUE",
"address_2": "FL 2",
"city": "BOSTON",
"state": "MA",
"postal_code": "021182690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PEARL ST",
"address_2": "SUITE 2000",
"city": "BROCKTON",
"state": "MA",
"postal_code": "02301",
"telephone_number": "508-584-4104",
"fax_number": "508-584-2053"
}
],
"practiceLocations": [
{
"address_1": "15 Roche Brothers Way",
"address_2": "Suite 210",
"address_purpose": "LOCATION",
"city": "North Easton",
"state": "MA",
"postal_code": "02356",
"country_code": "US",
"telephone_number": "781-297-8001",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "736 Cambridge St.",
"address_purpose": "LOCATION",
"city": "Brighton",
"state": "MA",
"postal_code": "02135",
"country_code": "US",
"telephone_number": "617-789-2442",
"fax_number": "617-202-4349",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MACVICAR",
"first_name": "JESSIE",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-08",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "206882",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110005045A",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0161730",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; 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.