TIMOTHY A MACKIE (PA) – Surgical Physician Assistant, NPI 1689655466

TIMOTHY A MACKIE (PA) is a healthcare provider. based in Denver, Colorado. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 1718 (CO). The NPI Number for TIMOTHY A MACKIE (PA) is 1689655466

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
TIMOTHY A MACKIE (PA)
NPI
1689655466
Phone
(303) 338-4545
Address
2045 N FRANKLIN ST
Enumeration Date
9 November 2005
Last Update Date
3 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7207335260
Graduation Year
2000 (26 years ago)
PAC ID
0648225920
Group Practice PAC ID
9638208549
Professional Enrollment ID
I20050319000012
Address ID
CO801047419CA4404XLNXX302

Contacts

SOAP Endpoint
https://careepiceast.kp.org:14430/Interconnect-prodcom/wcf/epic.community.hie/xcpdrespondinggateways
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

4,161 PHYSICIAN ASSISTANT in CO

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Provider Addresses for TIMOTHY A MACKIE (PA)

  • 2045, Franklin Street, City Park West, Denver, Denver County, Colorado, 80205, United States

    DENVER, CO 802055437

    Phone: (303) 338-4545

    Type: Mailing

  • 2695 ROCKY MOUNTAIN AVE STE 150

    LOVELAND, CO 805389071

    Phone: (970) 624-4451

    Fax: (970) 490-4199

    Type: Mailing

  • 13631 COLORADO BLVD

    THORNTON, CO 806027051

    Phone: (303) 252-2960

    Fax: (303) 252-2964

    Type: Location

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: 2005-03-19

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
I20050319000012IPhysician AssistantCOTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes128122$0
99203New patient office or other outpatient visit, 30-44 minutes5353$0
0241URespiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected4444$0
99214Established patient office or other outpatient visit, 30-39 minutes3737$0
81003Automated urinalysis test3633$0
View full utilization report →

Insurance plans in this area (ZIP 80205)

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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: 9638208549View full group profile

Reviews

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Frequently asked questions

What is the registry number for TIMOTHY A MACKIE (PA)?
The registry entry for TIMOTHY A MACKIE (PA) shows NPI 1689655466.
Should I treat TIMOTHY A MACKIE (PA) as an active provider?
Patients and plans typically see TIMOTHY A MACKIE (PA) as active in the national extract.
How should patients interpret TIMOTHY A MACKIE (PA)'s specialty?
The extract shows Surgical Physician Assistant for TIMOTHY A MACKIE (PA). Clinical services aligned with this taxonomy classification.
Is TIMOTHY A MACKIE (PA) tied to Denver, Colorado?
If you are local to Denver, Colorado, TIMOTHY A MACKIE (PA) may be relevant to your search.
Can I export TIMOTHY A MACKIE (PA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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