Doctor profile · Federal record
Dr. Jose Marcal, M.D.
Gastroenterology Physician (CMS: Gastroenterology) · Stoneham, MA
- NPI 1538116223
- Accepts Medicare
- MIPS 75.1 / 100 · 2023
- 50 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3 Woodland RD, Suite 306
Stoneham, MA 021801702
(781) 665-3380
fax (781) 665-4162 - Mailing address
-
91 Montvale Ave
Stoneham, MA 021803623
Credentials & registration
- NPI registered
- May 2006 — 20 yrs on file
- Profile last updated
- November 6, 2012
- Year of graduation
- 1976 — 50 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State license (1)
- Massachusetts #49328
- Medicaid
- MA #0191558
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1538116223. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
622
Distinct HCPCS
10
Medicare allowed
$109,160
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 121 | 121 | $268 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 96 | 91 | $128 | |
G0105 |
Colorectal cancer screening; colonoscopy on individual at high risk | 74 | 74 | $195 | |
45380 |
Biopsy of large bowel using a flexible endoscope | 53 | 53 | $153 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 53 | 34 | $84 | |
99215 |
Established patient office or other outpatient visit, 40-54 minutes | 52 | 49 | $193 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 47 | 47 | $182 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 36 | 36 | $134 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 29 | 29 | $138 | |
43235 |
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 24 | 24 | $122 |
In context: peer comparison
Among 6 peers in this city , average services per provider: 64. This provider delivers 9.7× the peer median.Open Payments
Industry payments received
All-time total
$306
Transactions
11
Manufacturers
9
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| GENZYME CORPORATION | 2 | $75.82 | |
| Phathom Pharmaceuticals, Inc. | 2 | $57.77 | |
| PFIZER INC. | 1 | $27.94 | |
| IRONWOOD PHARMACEUTICALS, INC | 1 | $27.63 | |
| Madrigal Pharmaceuticals | 1 | $26.95 | |
| ABBVIE INC. | 1 | $23.70 | |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | 1 | $23.54 | |
| QOL Medical, LLC | 1 | $22.51 | |
| Takeda Pharmaceuticals U.S.A., Inc. | 1 | $19.87 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
526
Patients
236
Total drug cost
$33,248
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Omeprazole | Generic | 173 | 67 | $4,250 |
| Sod Sulf-Potass Sulf-Mag Sulf (Sodium, Potassium,mag Sulfates) | Brand | 89 | 87 | $6,948 |
| Famotidine | Generic | 53 | 20 | $652 |
| Gavilyte-G (Peg3350/Sod Sulf,bicarb,cl/Kcl) | Brand | 47 | 47 | $751 |
| Pantoprazole Sodium | Generic | 39 | 15 | $1,014 |
| Budesonide Ec (Budesonide) | Brand | 32 | 0 | $6,512 |
| Mesalamine Er (Mesalamine) | Brand | 31 | 0 | $5,652 |
| Sucralfate | Generic | 20 | 0 | $452 |
| Nystatin | Generic | 18 | 0 | $121 |
| Esomeprazole Magnesium | Generic | 13 | 0 | $1,016 |
Hospital affiliations
Frequently asked questions
What is Dr. Jose Marcal's medical specialty?
Dr. Jose Marcal practices Gastroenterology Physician in Stoneham, MA.
Where does Dr. Jose Marcal practice?
Dr. Jose Marcal practices at 3 Woodland RD, Stoneham, MA 021801702. Office phone: 7816653380.
What is Dr. Jose Marcal's NPI?
Dr. Jose Marcal's National Provider Identifier (NPI) is 1538116223, issued by NPPES.
Does Dr. Jose Marcal accept Medicare assignment?
Yes. Dr. Jose Marcal accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jose Marcal commonly perform?
Top Medicare-reported procedures in 2023: Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS 45385); Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS 43239); Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS G0105). Source: CMS Medicare Physician & Other Practitioners file.