DR. THOMAS J MACK (DPM) – Podiatrist, NPI 1548265689

DR. THOMAS J MACK (DPM) is a healthcare provider. based in Stickney, Illinois. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. 016-003-689 (IL). The NPI Number for DR. THOMAS J MACK (DPM) is 1548265689

Main info

Male
Sole Proprietor
42 Years Of Experience
Accepts Medicare Assignment
Name
DR. THOMAS J MACK (DPM)
NPI
1548265689
Phone
(708) 387-0633
Address
6721 WEST 40TH STREET
Enumeration Date
16 June 2005
Last Update Date
29 April 2020

Doctor Profile

Medical School Name
WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
7082378918
Graduation Year
1984 (42 years ago)
PAC ID
9436207057
Group Practice PAC ID
4183798127
Professional Enrollment ID
I20090507000606
Address ID
IL604592051BU5635XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,038 PODIATRY in IL

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Provider Addresses for DR. THOMAS J MACK (DPM)

  • 40th Street, Stickney, Stickney Township, Cook County, Illinois, 60402, United States

    STICKNEY, IL 604024171

    Phone: (708) 387-0633

    Fax: (708) 387-0638

    Type: Location

  • 5635 State Rd

    Burbank, IL 604592051

    Phone: (708) 424-9200

    Type: Location

  • 21041 W SNOWBERRY LN

    PLAINFIELD, IL 605446413

    Phone: (630) 390-8360

    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.

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: 2009-05-07

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
I20090507000606IPodiatryILTBD

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
11721Removal of fingernails or toenails, 6 or more nails7628$0
99203New patient office or other outpatient visit, 30-44 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 60402)

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Provider's Procedures

DR. THOMAS J MACK (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYIL11056Removal of 2 to 4 thickened skin growths8354

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: 4183798127View full group profile
NameSpecialtyState
Emergency Medicine, General PracticeIL
Internal MedicineIL
Nurse PractitionerIL
-IL

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. THOMAS J MACK (DPM)?
DR. THOMAS J MACK (DPM) — NPI 1548265689 — is the standard way to identify this listing.
Can I rely on DR. THOMAS J MACK (DPM) being an active provider?
As of the registry snapshot, DR. THOMAS J MACK (DPM) is marked active.
What is DR. THOMAS J MACK (DPM)'s specialty?
The listing groups DR. THOMAS J MACK (DPM) with Podiatrist. Clinical services aligned with this taxonomy classification.
Where should I expect DR. THOMAS J MACK (DPM) on a map?
Expect Stickney, Illinois as a primary anchor for DR. THOMAS J MACK (DPM) unless the record lists multiple sites.
Why does DR. THOMAS J MACK (DPM) have multiple addresses?
3 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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