MACK DRAKE (DO) – Surgical Critical Care Physician, NPI 1114160629
Surgical Critical Care Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
935 GENERAL SURGERY in VA
Provider Addresses for MACK DRAKE (DO)
PO BOX 3548
AUGUSTA, GA 309143548
Phone: (706) 863-9595
Fax: (706) 868-8375
Type: Mailing
7101 JAHNKE RD
RICHMOND, VA 232254017
Phone: (706) 863-9595
Fax: (706) 868-8375
Type: Location
Box Street, Port Charlotte, Charlotte County, Florida, 33948, United States
CHARLOTTE, NC 282751069
Phone:
Type: Mailing
517, Moye Boulevard, Village Grove, Greenville, Pitt County, North Carolina, 27834, United States
GREENVILLE, NC 27834
Phone: (252) 847-4299
Fax: (252) 847-8208
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 46 Open Payments records for all available years, with a total value of $13,842.
Total Amount is formed as General ($13,842) + Research ($0) + Ownership ($0) = $13,842.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Avita Medical Americas, Llc ($11,530).
Total Amount
$13,842
General + Research + Ownership
Payments
46
Total payment records
General Amount
$13,842
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Avita Medical Americas, Llc | $11,530 |
| Vericel Corporation | $901 |
| Integra LifeSciences Corporation | $604 |
| Avita Medical Americas, LLC | $402 |
| Kerecis Limited | $208 |
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: 2020-11-09
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20160907001968 | I | General Surgery | KY | TBD |
| I20170712003208 | I | General Surgery | GA | TBD |
| I20201109000115 | I | General Surgery | VA | 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 |
|---|---|---|---|---|
| 15003 | Preparation of skin graft site of trunk, arms, or legs, each additional 100.0 sq cm or 1% body area for infants and children, or less | 118 | 12 | $0 |
| 15002 | Preparation of skin graft site of trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less | 43 | 24 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 31 | 22 | $0 |
| 15004 | Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less | 28 | 16 | $0 |
| 15271 | Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less | 22 | 15 | $0 |
Insurance plans in this area (ZIP 30914)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VA | |
| Nurse Practitioner | GA | |
| Physician Assistant | GA | |
| Physician Assistant | SC | |
| Critical Care (Intensivists), General Surgery | MO | |
| Physician Assistant | GA | |
| Physician Assistant | VA | |
| Physician Assistant | CO |
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