Active NPI 1528241080 Individual Practitioner Male Practitioner

Dr. Shady Macaron , MD

Surgery • Waterbury, CT

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Shady Macaron, MD is a certified Surgery practicing in Waterbury, CT. With approximately 25 years of clinical experience since completing medical education in 2001, Dr. Macaron delivers high-quality medical care to the local community at 56 FRANKLIN ST.

Dr. Macaron is affiliated with Trinity Health Of New England Provider Network Organization Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

56 Franklin St

Waterbury, CT 067061253

Telephone 2037096000

Associated Practice Facility / Clinic

🏢 Scovill Medical Group, Pc Facility NPI 1114929379

Medicare Profile & Education

Medical School

Other

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Waterbury, CT

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs -0.3 yrs vs City Avg

City Avg: 25.3 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

12 Specialists

Practicing in Waterbury, CT (388 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Macaron (25 Years) 25 Yrs

Waterbury Specialty Average (25.3 Years) 25.3 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	113	45	$237.51	$120.66
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	90	82	$434.80	$176.14
99213 Established patient office or other outpatient visit, typically 15 minutes	58	45	$164.93	$93.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	49	34	$252.84	$133.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$363.38	$173.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$249.69	$116.57
49650 Repair of groin hernia using an endoscope	15	15	$2703.07	$579.59
99238 Hospital discharge day management, 30 minutes or less	11	11	$166.00	$82.52
99239 Hospital discharge day management, more than 30 minutes	11	11	$241.18	$117.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	115	41	$229.00	$121.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	77	54	$237.00	$133.19
99213 Established patient office or other outpatient visit, typically 15 minutes	74	49	$161.00	$95.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	71	70	$434.00	$179.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	31	31	$242.00	$118.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$355.00	$167.51
99238 Hospital discharge day management, 30 minutes or less	21	21	$166.00	$84.13
49650 Repair of groin hernia using an endoscope	14	14	$2369.57	$533.79
47562 Removal of gallbladder using an endoscope	11	11	$3112.00	$698.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	92	59	$237.00	$137.32
99213 Established patient office or other outpatient visit, typically 15 minutes	78	40	$161.00	$97.31
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	77	27	$158.00	$74.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	71	65	$434.00	$204.05
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	55	25	$229.00	$106.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$355.00	$179.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$242.00	$119.77
99238 Hospital discharge day management, 30 minutes or less	19	19	$166.00	$75.42
49650 Repair of groin hernia using an endoscope	16	16	$2303.75	$498.02
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	12	$305.00	$193.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$294.00	$142.22
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$435.00	$219.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	139	54	$158.00	$75.71
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	66	66	$435.00	$238.59
99221 Initial hospital inpatient care per day, typically 30 minutes	65	55	$218.52	$106.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	47	$237.00	$140.12
99213 Established patient office or other outpatient visit, typically 15 minutes	50	38	$161.00	$92.57
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	43	40	$294.00	$143.27
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	36	$319.12	$182.48
49650 Repair of groin hernia using an endoscope	21	21	$2194.05	$502.11
99238 Hospital discharge day management, 30 minutes or less	18	18	$166.00	$76.46
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$355.00	$180.87
47562 Removal of gallbladder using an endoscope	15	15	$2829.00	$700.92
99219 Hospital observation care, typically 50 minutes	14	14	$290.00	$141.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$234.00	$88.83
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	13	11	$409.00	$118.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	126	50	$158.00	$78.36
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	64	64	$451.50	$224.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	64	44	$237.00	$119.13
99221 Initial hospital inpatient care per day, typically 30 minutes	60	55	$221.50	$110.91
99213 Established patient office or other outpatient visit, typically 15 minutes	54	37	$161.00	$81.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	50	44	$317.70	$154.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	38	38	$294.00	$149.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$234.00	$82.45
99238 Hospital discharge day management, 30 minutes or less	20	18	$166.00	$79.71
99219 Hospital observation care, typically 50 minutes	15	15	$290.00	$147.17
47562 Removal of gallbladder using an endoscope	12	12	$2829.00	$736.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	187	58	$158.00	$77.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	102	58	$238.67	$116.03
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	93	93	$457.00	$220.89
99213 Established patient office or other outpatient visit, typically 15 minutes	68	44	$161.00	$79.86
99221 Initial hospital inpatient care per day, typically 30 minutes	57	51	$224.00	$108.74
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	44	40	$322.00	$157.39
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	26	$300.52	$146.45
99238 Hospital discharge day management, 30 minutes or less	15	14	$165.53	$78.41
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$1626.00	$142.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$234.00	$81.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	166	56	$158.00	$74.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	92	62	$237.43	$110.41
99213 Established patient office or other outpatient visit, typically 15 minutes	88	49	$161.00	$76.10
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	58	58	$457.00	$215.12
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	49	46	$301.00	$140.79
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	42	38	$326.19	$148.11
99221 Initial hospital inpatient care per day, typically 30 minutes	36	33	$224.00	$104.59
99238 Hospital discharge day management, 30 minutes or less	21	21	$159.00	$75.57
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	21	$1626.00	$149.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$234.00	$79.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$242.00	$112.84
99219 Hospital observation care, typically 50 minutes	11	11	$298.00	$140.08
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	11	11	$3580.00	$1140.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	174	77	$155.66	$74.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	107	33	$155.74	$72.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	65	54	$222.20	$109.88
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	39	39	$391.85	$211.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	34	$292.86	$138.47
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	16	$1050.94	$140.16
99238 Hospital discharge day management, 30 minutes or less	16	16	$154.19	$73.48
99221 Initial hospital inpatient care per day, typically 30 minutes	16	13	$224.00	$102.80
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$353.75	$167.58
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	11	11	$2491.00	$1157.82

Medical Specialties & State Licenses

CMS Verified: 2021-10-28

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CT 045869

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Connecticare

045869 (CT)

Commercial Insurance / Payer ID Rr Medicare

PENDING (CT)

Commercial Insurance / Payer ID Aetna

969161

Hospital & Practice Group Affiliations

Trinity Health Of New England Provider Network Organization Inc

56 Franklin St, Waterbury, CT 067061253

Phone: 2037096000

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Joseph Scuderi , MD

Internal Medicine

NPI 1043292253

Doctor of Medicine (M.D.)

Dr. Katherine Lipinski , MD

Student in an Organized Health Care Education/Training Program

NPI 1053050492

Doctor of Medicine (M.D.)

Andrea Davis-Steele , FNP

Nurse Practitioner - Family

NPI 1053144428

Family Nurse Practitioner

Dr. Armin Sami , MD

Student in an Organized Health Care Education/Training Program

NPI 1053250233

Doctor of Medicine (M.D.)

Dr. Carolina Borz Baba , MD

Internal Medicine

NPI 1053602094

Doctor of Medicine (M.D.)

Dr. Kevin Duignan , MD

Emergency Medicine

NPI 1053940684

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 15, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 15, 2014

Registered at 56 FRANKLIN ST, WATERBURY, CT 067061253 (Tel: 2037096000)

📍

Updated Business Mailing Address July 15, 2014

Registered at 56 FRANKLIN ST, WATERBURY, CT 067061253 (Tel: 2037096000)

👤

Provider Name / Credentials Updated July 15, 2014

Recorded as SHADY MACARON, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2014

Surgery (License #045869 in CT)

🟢

Initial NPI Registration & Enumeration December 07, 2007

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: 1528241080

Entity Type:

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

Enumeration Date: December 07, 2007

Last Update: October 28, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

56 Franklin St

Waterbury, CT 067061253

Phone: 2037096000

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

⚠️ Medical Disclaimer

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