WILLIAM P MACK (M.D.) – Ophthalmic Plastic and Reconstructive Surgery Physician, NPI 1679570816

WILLIAM P MACK (M.D.) is a healthcare provider. based in Tampa, Florida. specializing in OPHTHALMOLOGY. They hold the professional credentials M.D.. They hold a License No. ME65603 (FL). The NPI Number for WILLIAM P MACK (M.D.) is 1679570816

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
WILLIAM P MACK (M.D.)
NPI
1679570816
Phone
(813) 875-5437
Address
3109 W. AZEELE STREET
Enumeration Date
1 July 2005
Last Update Date
5 December 2017

Doctor Profile

Medical School Name
UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Secondary Phone
8138755437
Graduation Year
1991 (35 years ago)
PAC ID
4587683115
Group Practice PAC ID
6305865924
Professional Enrollment ID
I20051115000126
Address ID
FL336093016TA3109XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,548 OPHTHALMOLOGY in FL

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Provider Addresses for WILLIAM P MACK (M.D.)

  • 3109, West Azeele Street, Palma Ceia Pines, West Tampa, Tampa, Hillsborough County, Florida, 33609, United States

    TAMPA, FL 33609

    Phone: (813) 875-5437

    Fax: (813) 873-9373

    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)

CMS reports 23 Open Payments records for all available years, with a total value of $1,490.

Total Amount is formed as General ($1,490) + Research ($0) + Ownership ($0) = $1,490.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: ABBVIE INC. ($343).

Total Amount

$1,490

General + Research + Ownership

Payments

23

Total payment records

General Amount

$1,490

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

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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: 2005-11-15

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
I20051115000126IOphthalmologyFLTBD

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
92285Photography of content of eyes445349$0
92081Exam of visual field with limited testing139137$0
99213Established patient office or other outpatient visit, 20-29 minutes13193$0
99204New patient office or other outpatient visit, 45-59 minutes9898$0
99203New patient office or other outpatient visit, 30-44 minutes9191$0
View full utilization report →

Insurance plans in this area (ZIP 33609)

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Provider's Procedures

WILLIAM P MACK (M.D.) performs procedures in OPHTHALMOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYFL14060Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips1212
OPHTHALMOLOGYFL92012Eye and medical examination for diagnosis and treatment, established patient10677
OPHTHALMOLOGYFL92083Measurement of field of vision during daylight conditions5831

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: 6305865924View full group profile
NameSpecialtyState
O P H T H A L M O L O G YFL

Reviews

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Frequently asked questions

Does WILLIAM P MACK (M.D.) have a public NPI I can cite?
Public records show WILLIAM P MACK (M.D.) under NPI 1679570816.
Is WILLIAM P MACK (M.D.) currently accepting referrals based on NPI status?
Registry metadata lists WILLIAM P MACK (M.D.) as active.
What does the directory say WILLIAM P MACK (M.D.) does?
Insurance directories may phrase it differently, but here WILLIAM P MACK (M.D.) maps to Ophthalmic Plastic and Reconstructive Surgery Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to WILLIAM P MACK (M.D.)?
WILLIAM P MACK (M.D.) shows a connection to Tampa, Florida in registry-derived data.
Who maintains WILLIAM P MACK (M.D.)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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