npidexNPI registry + Medicare data

JOSE MARCAL, M.D.

Gastroenterology Physician · STONEHAM, MA

Individual Active NPI 1538116223

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
202445914,207$1,132,364$416,357$334,136
202346612,444$1,044,002$372,624$298,161
202244912,168$997,723$361,738$287,027

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare148$274$231
G0105Colorectal cancer screening; colonoscopy on individual at high risk97$199$199
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope83$129$92
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more61$202$150
45380Biopsy of large bowel using a flexible endoscope44$140$113
99204New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more42$183$132
99214Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more35$144$114
43235Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope20$130$89
G0121Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk18$195$195

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Gastroenterology Physician207RG0100X✓49328MA

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.