DERRICK ANTHONY MACKAVICH (D.O.) – Anesthesiology Physician, NPI 1043326317
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DERRICK ANTHONY MACKAVICH (D.O.)
Advocate Trinity Hospital, 2320, East 93rd Street, Pill Hill, Calumet Heights, Chicago, Hyde Park Township, Cook County, Illinois, 60617, United States
ADVOCATE TRINITY HOSPITAL
CHICAGO, IL 606173983
Phone: (773) 967-2000
Fax: (773) 967-2000
Type: Location
West Henderson Street, Kilbourn Park, Irving Park, Chicago, Jefferson Township, Cook County, Illinois, 60641, United States
CHICAGO, IL 606572103
Phone: (773) 327-5058
Fax: (773) 327-5058
Type: Mailing
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.
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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: 2004-04-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040420001734 | I | Anesthesiology | 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 |
|---|---|---|---|---|
| 00142 | Anesthesia for lens surgery | 259 | 254 | $0 |
| 00140 | Anesthesia for other procedure on eye | 31 | 30 | $0 |
| 00145 | Anesthesia for retinal surgery | 16 | 16 | $0 |
Insurance plans in this area (ZIP 60617)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology, Interventional Pain Management | IL | |
| - | IL | |
| A N E S T H E S I O L O G Y | IL | |
| A N E S T H E S I O L O G Y | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| Anesthesiology, Interventional Pain Management | IL | |
| A N E S T H E S I O L O G Y | MI |
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