DAVID R MACK (MD) – Psychiatry Physician, NPI 1811041056

Psychiatry Physician

DAVID R MACK (MD) is a healthcare provider. based in Anchorage, Alaska. specializing in PSYCHIATRY. They hold the professional credentials MD. They hold a License No. MEDS 7369 (AK). The NPI Number for DAVID R MACK (MD) is 1811041056

Main info

Male

25 Years Of Experience

Name

DAVID R MACK (MD)

NPI

1811041056

Phone

(907) 302-8205

Address

505 W NORTHERN LIGHTS BLVD

Enumeration Date

23 January 2007

Last Update Date

2 April 2017

Doctor Profile

Medical School Name

OTHER

Secondary Phone

9077703656

Graduation Year

2001 (25 years ago)

PAC ID

2668400318

Group Practice PAC ID

2567794217

Professional Enrollment ID

I20111005000158

Address ID

AK995181168AN401XXRDXX502

Telehealth

Yes

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience52

Completeness75

Years active:19State licenses:1Digital endpointsOther names

113 PSYCHIATRY in AK

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Provider Addresses for DAVID R MACK (MD)

505, West Northern Lights Boulevard, Anchorage, Alaska, 99503, United States
ANCHORAGE, AK 995032552
Phone: (907) 302-8205
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-10-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

Medicare enrolled
On CMS revalidation list
Due date assigned
Revalidate in PECOS

CMS enrollment records

Enrollment ID	Type	Specialty	State	Due date
I20111005000158	I	Psychiatry	AK	TBD

What to do next

No action required while the due date shows TBD.
Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCS	Description	Services	Beneficiaries	Medicare allowed
99214	Established patient office or other outpatient visit, 30-39 minutes	118	23	$0

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Insurance plans in this area (ZIP 99503)

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Provider's Procedures

DAVID R MACK (MD) performs procedures in PSYCHIATRY. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
PSYCHIATRY	AK	90792	Psychiatric diagnostic evaluation with medical services	31	28

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 2567794217View full group profile

Name	Specialty	State
AMITY SCOVILLE	Clinical Social Worker	AK
MICHAEL W DE MOLINA (MS, LPC, CDCS, MAC)	Mental Health Counselor	AK
BETSY LOUISE DOUDS-PACZAN (PA-S)	Physician Assistant	AK