JOSE MANUEL JR. MARCAL (M.D.) – Gastroenterology Physician, NPI 1538116223
Gastroenterology Physician
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Profile Insights
NPPES metrics only — not quality of care.
828 GASTROENTEROLOGY in MA
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Provider Addresses for JOSE MANUEL JR. MARCAL (M.D.)
91, Montvale Avenue, Nobility Hill Historic District, Lindenwood, Stoneham, Middlesex County, Massachusetts, 02180, United States
STONEHAM, MA 021803623
Phone: (781) 438-5565
Fax: (781) 438-5588
Type: Mailing
Medical Arts Building, 3, Woodland Road, Stoneham, Middlesex County, Massachusetts, 02180, United States
SUITE 306
STONEHAM, MA 021801702
Phone: (781) 665-3380
Fax: (781) 665-4162
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $400.
Total Amount is formed as General ($400) + Research ($0) + Ownership ($0) = $400.
Last reported payment date: 2024-11-14 • Largest payer in this snapshot: GENZYME CORPORATION ($135).
Total Amount
$400
General + Research + Ownership
Payments
14
Total payment records
General Amount
$400
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GENZYME CORPORATION | $135 |
| Phathom Pharmaceuticals, Inc. | $58 |
| Ferring Pharmaceuticals Inc. | $35 |
| PFIZER INC. | $28 |
| IRONWOOD PHARMACEUTICALS, INC | $28 |
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: 2005-09-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20050917000020 | I | Gastroenterology | MA | 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 |
|---|---|---|---|---|
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 121 | 121 | $0 |
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 96 | 91 | $0 |
| G0105 | Colorectal cancer screening; colonoscopy on individual at high risk | 74 | 74 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 53 | 53 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 53 | 34 | $0 |
Insurance plans in this area (ZIP 02180)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | MA | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 43 | 42 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | MI | |
| - | MA | |
| G A S T R O E N T E R O L O G Y | NY | |
| Gastroenterology, Internal Medicine | MA | |
| G A S T R O E N T E R O L O G Y | MA | |
| Gastroenterology, Internal Medicine | MA | |
| Internal Medicine | MA | |
| G A S T R O E N T E R O L O G Y | MA | |
| G A S T R O E N T E R O L O G Y | MA | |
| - | MA |
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