JESSIE H MACVICAR (MD) – Surgery Physician, NPI 1912988874

JESSIE H MACVICAR (MD) is a healthcare provider. based in Brockton, Massachusetts. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. 206882 (MA). The NPI Number for JESSIE H MACVICAR (MD) is 1912988874

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
JESSIE H MACVICAR (MD)
NPI
1912988874
Phone
(508) 894-0400
Address
110 LIBERTY ST
Enumeration Date
8 November 2005
Last Update Date
2 June 2026

Doctor Profile

Medical School Name
GEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1996 (30 years ago)
PAC ID
4385713999
Professional Enrollment ID
I20100929000905
Address ID
MA023023308BR680XXSTXX300
Data current as of
10 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

1,028 GENERAL SURGERY in MA

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Provider Addresses for JESSIE H MACVICAR (MD)

  • 110, Liberty Street, Marshall Corner, Brockton, Plymouth County, Massachusetts, 02357, United States

    BROCKTON, MA 023015521

    Phone: (508) 894-0400

    Fax: (508) 565-0157

    Type: Mailing

  • 960 MASSACHUSETTS AVENUE

    FL 2

    BOSTON, MA 021182690

    Phone:

    Type: Mailing

  • 1 PEARL ST

    SUITE 2000

    BROCKTON, MA 02301

    Phone: (508) 584-4104

    Fax: (508) 584-2053

    Type: Location

  • 736 Cambridge St.

    Brighton, MA 02135

    Phone: (617) 789-2442

    Fax: (617) 202-4349

    Type: Location

  • 15 Roche Brothers Way

    Suite 210

    North Easton, MA 02356

    Phone: (781) 297-8001

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $111.

Total Amount is formed as General ($111) + Research ($0) + Ownership ($0) = $111.

Last reported payment date: 2024-06-06 • Largest payer in this snapshot: Boston Scientific Corporation ($111).

Total Amount

$111

General + Research + Ownership

Payments

1

Total payment records

General Amount

$111

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-06

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-09-29

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100929000905IGeneral SurgeryMATBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes142126$0
99203New patient office or other outpatient visit, 30-44 minutes2828$0
99204New patient office or other outpatient visit, 45-59 minutes2121$0
99214Established patient office or other outpatient visit, 30-39 minutes1917$0
38525Biopsy or removal of deep lymph nodes of underarm1414$0
View full utilization report →

Insurance plans in this area (ZIP 02301)

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Reviews

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Frequently asked questions

Does JESSIE H MACVICAR (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — JESSIE H MACVICAR (MD) uses 1912988874.
Can I rely on JESSIE H MACVICAR (MD) being an active provider?
As of the registry snapshot, JESSIE H MACVICAR (MD) is marked active.
What is JESSIE H MACVICAR (MD) best known for clinically?
Directory data describes JESSIE H MACVICAR (MD) with Surgery Physician. Clinical services aligned with this taxonomy classification.
Where should I expect JESSIE H MACVICAR (MD) on a map?
Expect Brockton, Massachusetts as a primary anchor for JESSIE H MACVICAR (MD) unless the record lists multiple sites.
Why does JESSIE H MACVICAR (MD) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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