Jose Marcal, M.D.
NPI 1538116223 · Gastroenterology Physician · Stoneham, MA
Enrolled with Medicare as Practitioner - Gastroenterology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jose Marcal, M.D. is a Gastroenterology Physician provider in Stoneham, MA (NPI 1538116223).
Provider details
- NPI number
- 1538116223
- Entity type
- Individual
- Primary specialty
- Gastroenterology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 49328 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
548 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) |
|---|---|---|
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 148 | $274 |
| Colorectal Cancer Screening; Colonoscopy on Individual at High RiskG0105 | 97 | $199 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 83 | $129 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 61 | $202 |
| Biopsy of Large Bowel Using a Flexible Endoscope45380 | 44 | $140 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Omeprazole | 204 | 87 |
| Sodium, Potassium,mag Sulfatesbrand: Sod Sulf-Potass Sulf-Mag Sulf | 87 | 87 |
| Famotidine | 51 | 21 |
| Pantoprazole Sodium | 40 | 16 |
| Budesonidebrand: Budesonide Ec | 34 | 13 |
| Nystatin | 30 | 15 |
| Mesalaminebrand: Mesalamine Er | 29 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$306 across 11 records (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
Registry dates
- Enumerated
- 2006-05-28
- Last updated
- 2012-11-06
Frequently asked questions
- What is Jose Marcal's NPI number?
- Jose Marcal's National Provider Identifier (NPI) is 1538116223, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jose Marcal's specialty?
- Jose Marcal is listed in the NPPES registry with a primary specialty of Gastroenterology Physician (Allopathic & Osteopathic Physicians).
- Where is Jose Marcal located?
- Jose Marcal's practice location on file with NPPES is 3 Woodland Rd, Stoneham, MA 02180-1702.
- What is Jose Marcal's phone number?
- The practice phone number listed in the NPPES registry for Jose Marcal is (781) 665-3380.
- Does Jose Marcal accept Medicare?
- Jose Marcal is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jose Marcal's NPI active?
- Yes — Jose Marcal's NPI (1538116223) is active in the NPPES registry as of the last update on 2012-11-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.