Active NPI 1225412521 Individual Practitioner Male Practitioner

Dr. James David Maciel , MD, MPH

Surgery • Riverside, CA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. James Maciel, MD, MPH is a certified Surgery practicing in Riverside, CA. With approximately 11 years of clinical experience since graduating from University Of California, Geffen School Of Medicine in 2015, Dr. Maciel delivers high-quality medical care to the local community at 5430 ARLINGTON AVE.

Dr. Maciel accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of muscle and/or tissue, 20.0 sq cm or less, removal of skin and tissue, 20.0 sq cm or less, residence visit for established patient with low level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5430 Arlington Ave

Riverside, CA 925042505

Telephone 9516892955

Fax 9517178758

Associated Practice Facility / Clinic

🏢 North Bristol Injury And Family Medical Center Facility NPI 1164956785

Medicare Profile & Education

Medical School

University Of California, Geffen School Of Medicine

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Riverside, CA

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs -10.7 yrs vs City Avg

City Avg: 21.7 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

57 Specialists

Practicing in Riverside, CA (3346 Statewide)

Telehealth Adoption Rate

1.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

48.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Maciel (11 Years) 11 Yrs

Riverside Specialty Average (21.7 Years) 21.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	423	105	$375.00	$240.60
11042 Removal of skin and tissue, 20.0 sq cm or less	359	119	$250.00	$119.72
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	350	145	$117.57	$79.32
17250 Application of chemical to stop tissue regrowth in wound	253	39	$175.00	$64.76
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	239	92	$100.00	$77.94
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	177	38	$150.00	$76.29
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	128	49	$100.00	$77.82
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	78	15	$67.18	$42.19
11042 Removal of skin and tissue, 20.0 sq cm or less	75	25	$250.00	$53.34
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	71	21	$375.00	$152.33
49450 Replacement of stomach or large bowel tube using fluoroscopic guidance with contrast, accessed through the skin	63	53	$1000.00	$662.62
11044 Removal of bone, 20.0 sq cm or less	59	18	$500.00	$329.16
99342 Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes	43	43	$233.72	$79.72
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	35	32	$150.00	$42.03
99347 Residence visit for established patient with straightforward medical decision making, per day, if using time, at least 15 minutes	29	26	$101.72	$46.26
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	23	23	$281.30	$136.70
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	19	18	$334.21	$138.46
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	16	14	$150.00	$42.12
10060 Simple or single drainage of skin abscess	13	13	$200.00	$90.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	446	91	$102.47	$79.00
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	277	46	$370.94	$245.32
11042 Removal of skin and tissue, 20.0 sq cm or less	237	72	$239.24	$130.85
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	158	66	$106.20	$79.28
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	124	25	$370.77	$153.20
11042 Removal of skin and tissue, 20.0 sq cm or less	113	35	$231.86	$51.60
17250 Application of chemical to stop tissue regrowth in wound	105	33	$173.73	$68.76
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	64	12	$124.14	$43.33
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	53	25	$190.00	$112.45
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	51	42	$137.71	$42.06
11044 Removal of bone, 20.0 sq cm or less	45	15	$501.87	$336.43
17250 Application of chemical to stop tissue regrowth in wound	36	14	$173.89	$29.61
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	35	33	$136.97	$42.30
11044 Removal of bone, 20.0 sq cm or less	33	12	$501.70	$234.43
49450 Replacement of stomach or large bowel tube using fluoroscopic guidance with contrast, accessed through the skin	28	25	$1000.00	$688.58
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	28	28	$304.64	$139.71
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	28	18	$190.00	$113.33
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	25	25	$189.00	$85.13
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	15	15	$189.00	$85.35
10060 Simple or single drainage of skin abscess	13	12	$191.54	$107.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	124	39	$170.00	$71.11
17250 Application of chemical to stop tissue regrowth in wound	87	26	$171.00	$61.47
11042 Removal of skin and tissue, 20.0 sq cm or less	83	38	$200.00	$137.07
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	79	41	$170.00	$71.81
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	62	26	$190.00	$93.82
11042 Removal of skin and tissue, 20.0 sq cm or less	60	25	$200.00	$59.68
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	57	15	$300.00	$251.08
17250 Application of chemical to stop tissue regrowth in wound	52	20	$171.00	$24.40
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	48	48	$189.00	$92.97
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	33	33	$189.00	$92.76
97597 Removal of tissue from wound, 20.0 sq cm or less	32	23	$145.50	$113.11
29581 Application of vein wound compression bandages on lower leg, ankle, and foot	23	11	$230.43	$136.36
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	13	13	$93.00	$45.62
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	11	11	$93.00	$45.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	87	61	$170.00	$73.04
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	67	40	$170.00	$73.29
11042 Removal of skin and tissue, 20.0 sq cm or less	61	34	$200.00	$59.06
17250 Application of chemical to stop tissue regrowth in wound	47	20	$171.00	$55.97
17250 Application of chemical to stop tissue regrowth in wound	46	24	$171.00	$24.99
11042 Removal of skin and tissue, 20.0 sq cm or less	43	24	$200.00	$140.39
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	35	35	$189.00	$94.79
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	32	16	$190.00	$97.96
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	26	19	$300.00	$164.46
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	22	22	$189.00	$94.57
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	18	12	$190.00	$96.95
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	17	17	$93.00	$46.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	1,613	388	$170.00	$74.29
11042 Removal of skin and tissue, 20.0 sq cm or less	664	188	$200.00	$128.86
17250 Application of chemical to stop tissue regrowth in wound	636	158	$171.54	$63.76
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	487	209	$170.00	$74.22
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	449	35	$130.11	$80.20
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	415	42	$60.14	$45.79
11042 Removal of skin and tissue, 20.0 sq cm or less	379	143	$200.00	$59.08
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	335	90	$290.52	$243.89
17250 Application of chemical to stop tissue regrowth in wound	334	92	$171.00	$24.08
11047 Removal of bone, each additional 20.0 sq cm or less	302	15	$228.00	$134.37
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	229	34	$59.74	$28.19
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	203	31	$127.00	$59.78
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	194	82	$286.21	$163.06
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	148	148	$189.00	$96.35
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	146	145	$189.00	$96.92
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	143	119	$93.00	$47.25
G0406 Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth	114	58	$82.52	$41.31
43762 Replacement of stomach stoma tube	109	86	$465.84	$263.80
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	104	69	$190.00	$97.84
11044 Removal of bone, 20.0 sq cm or less	97	29	$528.00	$343.77
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	54	36	$190.00	$97.56
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	50	48	$93.00	$47.22
11056 Removal of noncancer thickened skin growth, 2-4 growths	33	22	$122.00	$42.67
11044 Removal of bone, 20.0 sq cm or less	28	18	$528.00	$244.27
11056 Removal of noncancer thickened skin growth, 2-4 growths	28	17	$122.00	$12.76
49450 Replacement of stomach or large bowel tube using fluoroscopic guidance with contrast, accessed through the skin	24	20	$1355.00	$70.08
43762 Replacement of stomach stoma tube	12	12	$465.84	$40.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	900	198	$200.00	$127.14
11042 Removal of skin and tissue, 20.0 sq cm or less	887	228	$199.89	$60.10
17250 Application of chemical to stop tissue regrowth in wound	724	170	$184.46	$56.54
17250 Application of chemical to stop tissue regrowth in wound	690	164	$170.88	$20.55
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	637	68	$60.00	$27.65
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	613	223	$170.00	$73.17
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	600	55	$59.70	$43.67
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	529	57	$127.00	$58.24
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	454	132	$275.00	$158.59
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	416	211	$169.80	$73.41
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	288	287	$189.00	$95.18
11046 Removal of muscle and/or tissue, each additional 20.0 sq cm or less	278	28	$126.54	$77.13
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	265	85	$275.00	$245.38
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	181	180	$189.00	$94.91
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	139	86	$190.00	$96.74
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	137	85	$190.00	$96.61
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	136	114	$93.00	$46.80
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	114	107	$93.00	$46.90
11047 Removal of bone, each additional 20.0 sq cm or less	91	14	$228.00	$131.58
11044 Removal of bone, 20.0 sq cm or less	89	36	$528.00	$242.44
11047 Removal of bone, each additional 20.0 sq cm or less	75	18	$228.00	$103.32
11056 Removal of noncancer thickened skin growth, 2-4 growths	72	48	$122.00	$12.36
43762 Replacement of stomach stoma tube	71	62	$465.84	$254.28
11056 Removal of noncancer thickened skin growth, 2-4 growths	71	44	$122.00	$40.60
11044 Removal of bone, 20.0 sq cm or less	62	31	$528.00	$335.14
49450 Replacement of stomach or large bowel tube using fluoroscopic guidance with contrast, accessed through the skin	36	30	$1355.00	$69.54
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	16	16	$282.00	$137.28
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	14	14	$282.00	$137.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	236	13	$61.02	$27.26
11042 Removal of skin and tissue, 20.0 sq cm or less	177	84	$200.00	$119.66
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	150	19	$84.80	$43.26
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	123	78	$170.00	$72.78
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	92	56	$190.00	$97.03
17250 Application of chemical to stop tissue regrowth in wound	57	36	$171.00	$61.53
11042 Removal of skin and tissue, 20.0 sq cm or less	56	38	$200.00	$60.28
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	36	30	$170.00	$73.09
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	34	33	$189.00	$96.92
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	27	16	$275.00	$246.41
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	27	19	$190.00	$97.07
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	23	23	$189.00	$96.37
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	17	11	$180.00	$88.20
99483 Assessment of and care planning for patient with impaired thought processing, typically 50 minutes	17	17	$484.00	$260.11
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	14	14	$93.00	$47.04
17250 Application of chemical to stop tissue regrowth in wound	12	12	$171.00	$28.61

Medical Specialties & State Licenses

CMS Verified: 2025-05-15

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CA A146204

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Secondary Practice Locations

317 W La Habra Blvd Ste 201

La Habra, CA 906315497

Phone: 5623819349

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Wilfredo Martinez , PA

Physician Assistant

NPI 1033255922

Physician Assistant

Michael Estrada , PA

Physician Assistant

NPI 1275517617

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events

📍

Updated Practice Location April 15, 2025

Registered at 5430 ARLINGTON AVE, RIVERSIDE, CA 925042505 (Tel: 9516892955)

📍

Updated Business Mailing Address April 15, 2025

Registered at 5430 ARLINGTON AVE, RIVERSIDE, CA 925042505 (Tel: 9516892955)

📍

Updated Practice Location February 20, 2023

Registered at 222 N PACIFIC COAST HWY STE 1420, EL SEGUNDO, CA 902455648 (Tel: 8778783289)

📍

Updated Business Mailing Address February 20, 2023

Registered at 222 N PACIFIC COAST HWY STE 1420, EL SEGUNDO, CA 902455648 (Tel: 8778783289)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2023

Surgery (License #A146204 in CA)

📍

Updated Practice Location October 04, 2018

Registered at 222 N PACIFIC COAST HWY, EL SEGUNDO, CA 902455648 (Tel: 8778783289)

📍

Updated Business Mailing Address October 04, 2018

Registered at 25165 LEMONGRASS ST, CORONA, CA 928833118 (Tel: 7144584617)

👤

Provider Name / Credentials Updated October 04, 2018

Recorded as JAMES MACIEL, MD, MPH

✅

NPI Profile Active July 16, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location July 16, 2015

Registered at 1000 W. CARSON ST. BOX 461, HARBOR-UCLA MEDICAL CENTER, TORRANCE, CA 90509 (Tel: 3102222700)

📍

Updated Business Mailing Address July 16, 2015

Registered at 1000 W. CARSON ST. BOX 461, HARBOR-UCLA MEDICAL CENTER, TORRANCE, CA 90509 (Tel: 3102222700)

👤

Provider Name / Credentials Updated July 16, 2015

Recorded as JAMES MACIEL

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2015

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration July 16, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1225412521

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 16, 2015

Last Update: May 15, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5430 Arlington Ave

Riverside, CA 925042505

Phone: 9516892955

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.