EDWARD G. MACKAY (M.D.) – Vascular Surgery Physician, NPI 1770548505

EDWARD G. MACKAY (M.D.) is a healthcare provider. based in Palm harbor, Florida. specializing in VASCULAR SURGERY, GENERAL SURGERY. They hold the professional credentials M.D.. They hold a License No. ME64157 (FL). The NPI Number for EDWARD G. MACKAY (M.D.) is 1770548505

Main info

Male
40 Years Of Experience
Accepts Medicare Assignment
Name
EDWARD G. MACKAY (M.D.)
NPI
1770548505
Phone
(727) 584-3669
Address
2863 ALT 19
Enumeration Date
17 April 2006
Last Update Date
31 October 2019

Doctor Profile

Medical School Name
UNIVERSITY OF FLORIDA COLLEGE OF MEDICINE
Secondary Phone
7277815652
Graduation Year
1986 (40 years ago)
PAC ID
5092702175
Group Practice PAC ID
5193064467
Professional Enrollment ID
I20040429000866
Address ID
FL346831926PA2863XALTX201
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

490 VASCULAR SURGERY in FL

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Provider Addresses for EDWARD G. MACKAY (M.D.)

  • Palm Harbor Fire Department, Palm Harbor Boulevard, Wall Springs, Palm Harbor, Pinellas County, Florida, 34683, United States

    PALM HARBOR, FL 346831926

    Phone: (727) 584-3669

    Fax: (727) 781-3792

    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 15 Open Payments records for all available years, with a total value of $417.

Total Amount is formed as General ($417) + Research ($0) + Ownership ($0) = $417.

Last reported payment date: 2024-11-06 • Largest payer in this snapshot: Bard Peripheral Vascular, Inc. ($245).

Total Amount

$417

General + Research + Ownership

Payments

15

Total payment records

General Amount

$417

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

1

Ownership records

Last Payment Date

2024-11-06

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: 2004-04-29

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
I20040429000866IVascular SurgeryFLTBD

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
93971Ultrasound study of one arm or leg veins with compression and maneuvers391249$0
99213Established patient office or other outpatient visit, 20-29 minutes299250$0
99212Established patient office or other outpatient visit, 10-19 minutes246159$0
93970Ultrasound study of arm or leg veins with compression and maneuvers233226$0
99203New patient office or other outpatient visit, 30-44 minutes194194$0
View full utilization report →

Insurance plans in this area (ZIP 34683)

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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: 5193064467View full group profile
NameSpecialtyState
Physician AssistantFL
Nurse PractitionerFL
Vascular SurgeryFL
Physician AssistantFL

Reviews

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Frequently asked questions

How do I look up EDWARD G. MACKAY (M.D.) by NPI?
Use NPI 1770548505 when you need to reference EDWARD G. MACKAY (M.D.) in forms, claims, or directories.
Is EDWARD G. MACKAY (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does EDWARD G. MACKAY (M.D.) list a primary specialty?
If you are matching referrals, note Vascular Surgery Physician for EDWARD G. MACKAY (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for EDWARD G. MACKAY (M.D.)?
The page summarizes Palm Harbor, Florida for EDWARD G. MACKAY (M.D.); expand the address list for detail.
Is EDWARD G. MACKAY (M.D.) a real provider?
This page reflects official NPPES data for NPI 1770548505. Always confirm identity and privileges with the practice and licensing boards.

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