LOREN C MACEY (M.D.) – Diagnostic Radiology Physician, NPI 1477593283
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LOREN C MACEY (M.D.)
190 E Bannock St
Boise, ID 837126241
Phone: (208) 381-2094
Type: Location
3401 N Broad St
Philadelphia, PA 191405103
Phone: (215) 707-7237
Type: Location
St. Luke's Boise Medical Center, 190, East Bannock Street, Downtown, Boise, Ada County, Idaho, 83712, United States
BOISE, ID 837126241
Phone: (208) 381-2094
Type: Location
PO BOX 9696
BOISE, ID 837074696
Phone: (208) 472-8118
Fax: (208) 344-1926
Type: Mailing
3401 N BROAD ST
PHILADELPHIA, PA 191405103
Phone: (215) 707-7237
Type: Location
629D LOWTHER RD
LEWISBERRY, PA 173399527
Phone:
Type: Mailing
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-06-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20171009000332 | I | Diagnostic Radiology | PA | TBD |
| I20200629000792 | I | Diagnostic Radiology | NM | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 77067 | Screening mammography | 61 | 61 | $0 |
| 77063 | Screening 3d breast mammography | 60 | 60 | $0 |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | 26 | 26 | $0 |
| 77066 | Diagnostic mammography of both breasts | 17 | 17 | $0 |
| 76642 | Limited ultrasound scan of 1 breast | 16 | 16 | $0 |
Insurance plans in this area (ZIP 83712)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | CT | |
| Interventional Radiology, Diagnostic Radiology | NM | |
| Diagnostic Radiology | WA | |
| Physician Assistant | NM | |
| Diagnostic Radiology | DE | |
| Diagnostic Radiology, Interventional Radiology | NM | |
| Diagnostic Radiology | CO | |
| Diagnostic Radiology | NM | |
| - | NM | |
| Diagnostic Radiology | MN |
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