2026 NPPES data Gynecology Physician NPI 1952447997 MD
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JOSE MACEDA, MD

Gynecology Physician in KING OF PRUSSIA, Pennsylvania. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
831
Medicare Part D claims · 248 beneficiaries · Gynecology Physician avg: 295
Industry payments
$1.3K
35 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

JOSE MACEDA, MD filed 831 Medicare Part D claims in 2023 as a Gynecology Physician in KING OF PRUSSIA, Pennsylvania.

831
Part D claims, 2023
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

JOSE MACEDA, MD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

831 Top 27% higher than 73% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). This entry sits in this band. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Medicare Part D Prescriber Public Use File · 2023

Board certification likely (heuristic — not verified)

JOSE MACEDA, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about JOSE MACEDA, MD?

Quality data not reported

NPI registry status

Active

Issued 01/29/2007

NPI 1952447997

Primary specialty

Gynecology Physician

Niche

3,902 US NPIs in this specialty

Medicare Part D claims

831 182% vs specialty avg

2023 prescription claims

Specialty avg: 295

Specialty distribution in Pennsylvania

How Gynecology Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Gynecology Physician share within Pennsylvania

1. Gynecology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gynecology Physician share within Pennsylvania

Specialty board-certification context

Estimated specialty board-certified rate — Gynecology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Gynecology Physician ABMS/AOA estimate

Est. board-certified rate (Gynecology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Gynecology Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

JOSE MACEDA, MD appears in the CMS NPPES registry as a Gynecology Physician provider holding MD credentials at 120 VALLEY GREEN LN STE 610, KING OF PRUSSIA, PA, 19406, with a listed phone of (484) 685-3045. NPI 1952447997 was issued on 01/29/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MACEDA most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 831 prescription claims written by this provider, covering 248 Medicare beneficiaries and totaling roughly $176K in drug spend, with an opioid prescribing rate of 3.7%. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Gynecology Physician is a narrow specialty nationwide, with 3,902 enrolled providers across 53 states and an average of 295 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

120 VALLEY GREEN LN STE 610
KING OF PRUSSIA, PA 19406

Provider Details

NPI 1952447997
Specialty Gynecology Physician
Credentials MD
Gender Male
NPI Issued 01/29/2007

Hospital and facility affiliations

Facilities where JOSE MACEDA, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

REGIONAL WOMENS HEALTH GROUP LLC
KING OF PRUSSIA, PA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for JOSE MACEDA, MD. Source: openpaymentsdata.cms.gov.

Total received

$1.3K

Largest payer

ABBVIE INC.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Pennsylvania PA-BOM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to JOSE MACEDA, MD. To verify JOSE MACEDA, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

831
Total Claims
$176K
Total Drug Cost
248
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,265
Total Day Supply
30,799
Generic Drug Cost
$28K
Opioid Claims
31 (3.7% rate)
Antibiotic Claims
235

Patient Demographics

Average Patient Age
74.0 years
Avg HCC Risk Score
1.16
Gender Split
100% female / 0% male
Age Distribution
<65: 16, 65-74: 113, 75-84: 95, 85+: 24

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What JOSE MACEDA, MD prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Myrbetriq
Mirabegron
114
Ciprofloxacin Hcl
89
Methenamine Hippurate
84
Sulfamethoxazole-Trimethoprim
Sulfamethoxazole/Trimethoprim
60
Gemtesa
Vibegron
56
Nitrofurantoin Mono-Macro
Nitrofurantoin Monohyd/M-Cryst
46
Oxybutynin Chloride Er
Oxybutynin Chloride
44
Tolterodine Tartrate Er
Tolterodine Tartrate
38
Tramadol Hcl
27
Fesoterodine Fumarate Er
Fesoterodine Fumarate
25

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Gynecology Physician Overview

How JOSE MACEDA, MD fits within the Gynecology Physician landscape nationally.

3,902
Gynecology Physician Providers in US
53
States with Gynecology Physician
295
Avg Claims per Provider

JOSE MACEDA, MD's 831 claims are above the specialty average of 295.

Nearby Gynecology Physician Providers in Pennsylvania

Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as MACEDA.

Compare Gynecology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JOSE MACEDA, MD's specialty?
JOSE MACEDA, MD specializes in Gynecology Physician and practices in KING OF PRUSSIA, Pennsylvania. Credentials: MD.
How much does JOSE MACEDA, MD prescribe under Medicare Part D?
In 2023, JOSE MACEDA, MD wrote 831 Medicare Part D claims totaling $176K in drug costs for 248 beneficiaries.
Where is JOSE MACEDA, MD located?
JOSE MACEDA, MD is located at 120 VALLEY GREEN LN STE 610, KING OF PRUSSIA, PA, 19406. Phone: (484) 685-3045.
What is JOSE MACEDA, MD's NPI number?
JOSE MACEDA, MD's National Provider Identifier (NPI) is 1952447997, issued on 01/29/2007.
Does JOSE MACEDA, MD prescribe opioids?
Yes, JOSE MACEDA, MD had 31 opioid claims in 2023 with an opioid prescribing rate of 3.7%.
How many Gynecology Physician providers are there in the US?
There are 3,902 Gynecology Physician providers across 53 states in the US. The average Gynecology Physician provider writes 295 Medicare Part D claims per year.
What drugs does JOSE MACEDA, MD prescribe most often?
Based on 2023 Medicare Part D data, JOSE MACEDA, MD's most frequently prescribed drugs include Myrbetriq, Ciprofloxacin Hcl, Methenamine Hippurate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JOSE MACEDA, MD accept Medicare?
JOSE MACEDA, MD appears in CMS Medicare data with 831 Part D claims and 248 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JOSE MACEDA, MD's credentials?
JOSE MACEDA, MD's NPI is 1952447997 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology