GREGORY F MACISAAC (MD) – Family Medicine Physician, NPI 1104895473

GREGORY F MACISAAC (MD) is a healthcare provider. based in Palm coast, Florida. specializing in Family Medicine Physician. They hold the professional credentials MD. They hold a License No. 0101057756 (VA). The NPI Number for GREGORY F MACISAAC (MD) is 1104895473

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY F MACISAAC (MD)
NPI
1104895473
Phone
(386) 445-4750
Address
120 CYPRESS EDGE DR
Enumeration Date
17 March 2006
Last Update Date
12 February 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1987 (39 years ago)
PAC ID
6305819012
Group Practice PAC ID
1759371594
Professional Enrollment ID
I20140423002279
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for GREGORY F MACISAAC (MD)

  • Parkway Medical Plaza, 120, Cypress Edge Drive, Palm Coast, Flagler County, Florida, 32164, United States

    SUITE 210

    PALM COAST, FL 321648453

    Phone: (386) 445-4750

    Fax: (386) 445-4751

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32164)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1759371594View full group profile

Reviews

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Frequently asked questions

Does GREGORY F MACISAAC (MD) have a public NPI I can cite?
Public records show GREGORY F MACISAAC (MD) under NPI 1104895473.
Is GREGORY F MACISAAC (MD)'s NPI status active today?
Active status means GREGORY F MACISAAC (MD)'s NPI record is not deactivated in the public file.
What does the directory say GREGORY F MACISAAC (MD) does?
Insurance directories may phrase it differently, but here GREGORY F MACISAAC (MD) maps to Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit GREGORY F MACISAAC (MD) in Palm Coast, Florida?
For routing, start with Palm Coast, Florida for GREGORY F MACISAAC (MD), then verify phone and hours locally.
Can I export GREGORY F MACISAAC (MD)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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