Todd Macauley, DO
NPI 1669859203 · Family Medicine Physician · Newport Beach, CA
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Todd Macauley, DO is a Family Medicine Physician provider in Newport Beach, CA (NPI 1669859203).
Provider details
- NPI number
- 1669859203
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- Yes
- License
- 20A15678 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
11 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
263 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 143 | $139 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 33 | $180 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 24 | $140 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 22 | $194 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 17 | $98 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 24 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 84 | 33 |
| Rosuvastatin Calcium | 74 | 30 |
| Losartan Potassium | 60 | 25 |
| Metformin Hcl | 57 | 21 |
| Amlodipine Besylate | 57 | 22 |
| Levothyroxine Sodium | 40 | 16 |
| Lisinopril |
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-05-04
- Last updated
- 2026-05-01
- Certified
- 2026-05-01
Frequently asked questions
- What is Todd Macauley's NPI number?
- Todd Macauley's National Provider Identifier (NPI) is 1669859203, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Todd Macauley's specialty?
- Todd Macauley is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Todd Macauley located?
- Todd Macauley's practice location on file with NPPES is 471 Old Newport Blvd Ste 302, Newport Beach, CA 92663-4244.
- What is Todd Macauley's phone number?
- The practice phone number listed in the NPPES registry for Todd Macauley is (949) 415-4883.
- Does Todd Macauley accept Medicare?
- Todd Macauley is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Todd Macauley's NPI active?
- Yes — Todd Macauley's NPI (1669859203) is active in the NPPES registry as of the last update on 2026-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.