Victor Avila Macias, MD
NPI 1386265288 · Family Medicine Physician · Utica, NY
Enrolled with Medicare as Practitioner - Hospitalist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Victor Avila Macias, MD is a Family Medicine Physician provider in Utica, NY (NPI 1386265288).
Provider details
- NPI number
- 1386265288
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 325202 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
6 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
893 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 388 | $74 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 330 | $112 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 130 | $108 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 30 | $164 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 15 | $115 |
Typical Medicare-allowed amounts for these services range $74–$164 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 18 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Metoprolol Tartrate | 42 | 18 |
| Furosemide | 39 | 20 |
| Metoprolol Succinate | 30 | — |
| Apixabanbrand: Eliquis | 27 | 16 |
| Amlodipine Besylate | 23 | — |
| Clopidogrel Bisulfatebrand: Clopidogrel | 22 | — |
| Carvedilol |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$32 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 120 Hobart StUtica, NY 13501-4308Phone: (315) 798-1149Fax: (315) 734-3565
Registry dates
- Enumerated
- 2020-05-01
- Last updated
- 2024-05-31
- Certified
- 2024-05-31
Frequently asked questions
- What is Victor Avila Macias's NPI number?
- Victor Avila Macias's National Provider Identifier (NPI) is 1386265288, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Victor Avila Macias's specialty?
- Victor Avila Macias is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Victor Avila Macias located?
- Victor Avila Macias's practice location on file with NPPES is 111 Hospital Dr, Utica, NY 13502-2517.
- What is Victor Avila Macias's phone number?
- The practice phone number listed in the NPPES registry for Victor Avila Macias is (315) 917-9966.
- Does Victor Avila Macias accept Medicare?
- Victor Avila Macias is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Victor Avila Macias's NPI active?
- Yes — Victor Avila Macias's NPI (1386265288) is active in the NPPES registry as of the last update on 2024-05-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.