MICHAEL DEAN MACK (D.O.) – Emergency Medicine Physician, NPI 1225216997
Emergency Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
483 EMERGENCY MEDICINE in IA
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Provider Addresses for MICHAEL DEAN MACK (D.O.)
4578 ASHTON CIR
CRESTVIEW, FL 325362258
Phone: (515) 290-2100
Type: Mailing
4480, Utica Ridge Road, Bettendorf, Scott County, Iowa, 52722, United States
BETTENDORF, IA 527221644
Phone: (563) 742-4850
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: 2016-07-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20160721001199 | I | Emergency Medicine | IA | TBD |
| I20160726000337 | I | Emergency Medicine | IL | 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.
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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 217 | 212 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 146 | 145 | $0 |
| 99291 | Critical care, first 30-74 minutes | 48 | 48 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 39 | 38 | $0 |
Insurance plans in this area (ZIP 32536)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | OH | |
| Interventional Cardiology, Cardiovascular Disease (Cardiology), Pediatric Medicine | IA | |
| Nurse Practitioner | IL | |
| - | IL | |
| Pulmonary Disease, Internal Medicine, Critical Care (Intensivists) | WI | |
| Neurology, Psychiatry | IN | |
| Internal Medicine | MI | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | IL | |
| Emergency Medicine | IL |
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