2026 NPPES data Otolaryngology Physician NPI 1942473921 M.D.
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KATHLEEN MACISAAC, M.D.

Otolaryngology Physician in LEXINGTON, Virginia. 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
216
Medicare Part D claims · 47 beneficiaries · Otolaryngology Physician avg: 509
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

KATHLEEN MACISAAC, M.D. filed 216 Medicare Part D claims in 2023 as a Otolaryngology Physician in LEXINGTON, Virginia, prescribing 87% generic.

216
Part D claims, 2023
87%
generic prescribing

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.

KATHLEEN MACISAAC, M.D.'s Medicare Part D volume vs every U.S. prescriber

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

216 49th percentile higher than 49% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 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-eligible specialty (heuristic — not verified)

KATHLEEN MACISAAC, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about KATHLEEN MACISAAC, M.D.?

Quality data not reported

NPI registry status

Active

Issued 04/10/2008

NPI 1942473921

Primary specialty

Otolaryngology Physician

Mid-sized

10,895 US NPIs in this specialty

Medicare Part D claims

216 58% vs specialty avg

2023 prescription claims

Specialty avg: 509

Specialty distribution in Virginia

How Otolaryngology Physician compares to other specialties among Virginia providers

Virginia providers

Otolaryngology Physician share within Virginia

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

Specialty board-certification context

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

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

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

0%100%78%
Est. board-certified rate (Otolaryngology 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).

KATHLEEN MACISAAC, M.D. appears in the CMS NPPES registry as a Otolaryngology Physician provider holding M.D. credentials at 129 S RANDOLPH ST UNIT 6, LEXINGTON, VA, 24450, with a listed phone of (540) 527-7323. NPI 1942473921 was issued on 04/10/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MACISAAC 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 216 prescription claims written by this provider, covering 47 Medicare beneficiaries and totaling roughly $24K in drug spend, split 13% brand-name and 87% generic by claim count. 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.

Otolaryngology Physician is a mid-sized specialty nationwide, with 10,895 enrolled providers across 54 states and an average of 509 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

129 S RANDOLPH ST UNIT 6
LEXINGTON, VA 24450

Provider Details

NPI 1942473921
Specialty Otolaryngology Physician
Credentials M.D.
Gender Female
NPI Issued 04/10/2008

Brand vs generic prescribing mix · Typical

KATHLEEN MACISAAC, M.D. — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 216 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

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

216
Total Claims
$24K
Total Drug Cost
47
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
473
Total Day Supply
13,816
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$16K
Generic Drug Cost
$5K

Patient Demographics

Average Patient Age
70.1 years
Avg HCC Risk Score
0.65

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Liothyronine Sodium
28
Levothyroxine Sodium
13
Armour Thyroid
"Thyroid
N/A

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

Otolaryngology Physician Overview

How KATHLEEN MACISAAC, M.D. fits within the Otolaryngology Physician landscape nationally.

10,895
Otolaryngology Physician Providers in US
54
States with Otolaryngology Physician
509
Avg Claims per Provider

KATHLEEN MACISAAC, M.D.'s 216 claims are below the specialty average of 509.

Nearby Otolaryngology Physician Providers in Virginia

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

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

Frequently Asked Questions

What is KATHLEEN MACISAAC, M.D.'s specialty?
KATHLEEN MACISAAC, M.D. specializes in Otolaryngology Physician and practices in LEXINGTON, Virginia. Credentials: M.D..
How much does KATHLEEN MACISAAC, M.D. prescribe under Medicare Part D?
In 2023, KATHLEEN MACISAAC, M.D. wrote 216 Medicare Part D claims totaling $24K in drug costs for 47 beneficiaries.
Where is KATHLEEN MACISAAC, M.D. located?
KATHLEEN MACISAAC, M.D. is located at 129 S RANDOLPH ST UNIT 6, LEXINGTON, VA, 24450. Phone: (540) 527-7323.
What is KATHLEEN MACISAAC, M.D.'s NPI number?
KATHLEEN MACISAAC, M.D.'s National Provider Identifier (NPI) is 1942473921, issued on 04/10/2008.
Does KATHLEEN MACISAAC, M.D. prescribe more brand-name or generic drugs?
KATHLEEN MACISAAC, M.D.'s prescribing is 13% brand-name and 87% generic drugs by claim count, with $16K in brand drug costs.
How many Otolaryngology Physician providers are there in the US?
There are 10,895 Otolaryngology Physician providers across 54 states in the US. The average Otolaryngology Physician provider writes 509 Medicare Part D claims per year.
What drugs does KATHLEEN MACISAAC, M.D. prescribe most often?
Based on 2023 Medicare Part D data, KATHLEEN MACISAAC, M.D.'s most frequently prescribed drugs include Liothyronine Sodium, Levothyroxine Sodium, Armour Thyroid. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KATHLEEN MACISAAC, M.D. accept Medicare?
KATHLEEN MACISAAC, M.D. appears in CMS Medicare data with 216 Part D claims and 47 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KATHLEEN MACISAAC, M.D.'s credentials?
KATHLEEN MACISAAC, M.D.'s NPI is 1942473921 with credentials M.D.. 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