DR. DAVID W MACOMBER (MD) – Internal Medicine Physician, NPI 1023190543

DR. DAVID W MACOMBER (MD) is a healthcare provider. based in Minneapolis, Minnesota. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 41985 (MN). The NPI Number for DR. DAVID W MACOMBER (MD) is 1023190543

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID W MACOMBER (MD)
NPI
1023190543
Phone
(612) 884-0999
Address
516 DELAWARE STREET SE, CLINIC 3A
Enumeration Date
20 October 2006
Last Update Date
26 October 2012

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
6126727422
Graduation Year
1996 (30 years ago)
PAC ID
0446384713
Group Practice PAC ID
9133423304
Professional Enrollment ID
I20100823000683
Address ID
MN554554800MI909XXSEXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,636 INTERNAL MEDICINE in MN

Provider Addresses for DR. DAVID W MACOMBER (MD)

  • 516 DELAWARE STREET SE, CLINIC 3A

    UNIVERSITY OF MINNESOTA PHYSICIANS

    MINNEAPOLIS, MN 55455

    Phone: (612) 884-0999

    Type: Location

  • 420 DELAWARE STREET SE, MMC 741

    UNIVERSITY OF MINNESOTA PHYSICIANS

    MINNEAPOLIS, MN 55455

    Phone: (612) 884-0999

    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: 2010-08-23

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
I20100823000683IInternal MedicineMNTBD

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
J0897Injection, denosumab, 1 mg66011$0
99214Established patient office or other outpatient visit, 30-39 minutes479236$0
99215Established patient office or other outpatient visit, 40-54 minutes213129$0
G0008Administration of influenza virus vaccine7574$0
90662Influenza vaccine split virus, preservative free6261$0
View full utilization report →

Insurance plans in this area (ZIP 55455)

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Provider's Procedures

DR. DAVID W MACOMBER (MD) performs procedures in INTERNAL MEDICINE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEMN90670Pneumococcal vaccine for injection into muscle1414

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: 9133423304View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YMN
N E U R O S U R G E R YOH
G A S T R O E N T E R O L O G YMN
Diagnostic RadiologyMN
-MN
Registered Dietitian Or Nutrition ProfessionalMN
Internal Medicine, GastroenterologyMN
A N E S T H E S I O L O G YMN
Physician AssistantMN
-MN

Reviews

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Frequently asked questions

How do I look up DR. DAVID W MACOMBER (MD) by NPI?
Use NPI 1023190543 when you need to reference DR. DAVID W MACOMBER (MD) in forms, claims, or directories.
Does this profile mean DR. DAVID W MACOMBER (MD) is currently active?
Yes — DR. DAVID W MACOMBER (MD) appears active in the national provider directory.
Can you summarize DR. DAVID W MACOMBER (MD)'s specialty in plain language?
Clinically, the directory lists DR. DAVID W MACOMBER (MD) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. DAVID W MACOMBER (MD)?
The page summarizes Minneapolis, Minnesota for DR. DAVID W MACOMBER (MD); expand the address list for detail.
Is DR. DAVID W MACOMBER (MD) a real provider?
This page reflects official NPPES data for NPI 1023190543. Always confirm identity and privileges with the practice and licensing boards.

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