LAMAR OCTAVIUS MACK (MD) – Vascular Surgery Physician, NPI 1093970535

LAMAR OCTAVIUS MACK (MD) is a healthcare provider. based in Visalia, California. specializing in VASCULAR SURGERY. They hold the professional credentials MD. They hold a License No. A123815 (CA). The NPI Number for LAMAR OCTAVIUS MACK (MD) is 1093970535

Main info

Male
Sole Proprietor
20 Years Of Experience
Accepts Medicare Assignment
Name
LAMAR OCTAVIUS MACK (MD)
NPI
1093970535
Phone
(559) 625-4118
Address
820 S AKERS ST
Enumeration Date
24 July 2008
Last Update Date
11 February 2021

Doctor Profile

Medical School Name
UNIVERSITY OF NORTH CAROLINA AT CHAPEL HILL SCHOOL OF MEDICINE
Secondary Phone
5596246520
Graduation Year
2006 (20 years ago)
PAC ID
6901046218
Group Practice PAC ID
6608778790
Professional Enrollment ID
I20130710000550
Address ID
CA932778346VI820XXSTXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:17State licenses:1Digital endpointsOther names

674 VASCULAR SURGERY in CA

Provider Addresses for LAMAR OCTAVIUS MACK (MD)

  • 820 S AKERS ST

    STE 120

    VISALIA, CA 932778306

    Phone: (559) 625-4118

    Fax: (559) 625-6004

    Type: Location

  • 116, North Akers Street, Visalia, Tulare County, California, 93291, United States

    VISALIA, CA 932915121

    Phone: (559) 625-4118

    Type: Location

  • 820, South Akers Street, Visalia, Tulare County, California, 93277, United States

    STE 120

    VISALIA, CA 932778306

    Phone: (559) 625-4118

    Fax: (559) 625-6004

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 58 Open Payments records for all available years, with a total value of $17,151.

Total Amount is formed as General ($17,151) + Research ($0) + Ownership ($0) = $17,151.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Bard Peripheral Vascular, Inc. ($11,360).

Total Amount

$17,151

General + Research + Ownership

Payments

58

Total payment records

General Amount

$17,151

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2013-07-10

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

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130710000550IVascular SurgeryCATBD

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes281154$0
93925Ultrasound of leg arteries or artery grafts11684$0
99213Established patient office or other outpatient visit, 20-29 minutes9873$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes9448$0
99215Established patient office or other outpatient visit, 40-54 minutes7746$0
View full utilization report →

Insurance plans in this area (ZIP 93277)

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Provider's Procedures

LAMAR OCTAVIUS MACK (MD) performs procedures in VASCULAR SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
VASCULAR SURGERYCA93926Ultrasound study of arteries and arterial grafts of one leg or limited2121
VASCULAR SURGERYCA93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers8066

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: 6608778790View full group profile

Reviews

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Frequently asked questions

What federal number belongs to LAMAR OCTAVIUS MACK (MD)?
The federal identifier for LAMAR OCTAVIUS MACK (MD) is NPI 1093970535.
Is LAMAR OCTAVIUS MACK (MD) active in the national directory?
LAMAR OCTAVIUS MACK (MD)'s public NPI profile is in an active state.
What kind of provider is LAMAR OCTAVIUS MACK (MD)?
The page reflects Vascular Surgery Physician for LAMAR OCTAVIUS MACK (MD). Clinical services aligned with this taxonomy classification.
Where does public data place LAMAR OCTAVIUS MACK (MD)?
The snapshot lists Visalia, California for LAMAR OCTAVIUS MACK (MD); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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