DR. MACK E MCCAIN (M.D.) – Gastroenterology Physician, NPI 1558321190
Gastroenterology Physician
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Profile Insights
NPPES metrics only — not quality of care.
978 GASTROENTEROLOGY in IL
Provider Addresses for DR. MACK E MCCAIN (M.D.)
2601 W Main St
Carbondale, IL 629011031
Phone: (618) 351-7300
Fax: (618) 457-7890
Type: Location
Carbondale Post Office, Main Street, Carbondale, Osage County, Kansas, 66414, United States
CARBONDALE, IL 629023988
Phone: (618) 457-5200
Type: Mailing
404, Lincoln Drive, Eden Park, Herrin, Williamson County, Illinois, 62948, United States
HERRIN, IL 62948
Phone: (618) 993-0056
Fax: (618) 993-0752
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $421.
Total Amount is formed as General ($421) + Research ($0) + Ownership ($0) = $421.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Madrigal Pharmaceuticals ($158).
Total Amount
$421
General + Research + Ownership
Payments
11
Total payment records
General Amount
$421
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2009-08-28
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 |
|---|---|---|---|---|
| I20090828000494 | I | Gastroenterology | 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 |
|---|---|---|---|---|
| 43239 | Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 165 | 164 | $0 |
| 45380 | Biopsy of large bowel using a flexible endoscope | 153 | 150 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 126 | 58 | $0 |
| 45385 | Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 101 | 99 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 96 | 72 | $0 |
Insurance plans in this area (ZIP 62901)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| GASTROENTEROLOGY | MO | 45378 | Diagnostic examination of large bowel using an endoscope | 62 | 61 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | IL | |
| Nurse Practitioner | IL | |
| Clinical Psychologist | IL | |
| Nurse Practitioner | IL | |
| - | FL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| P O D I A T R Y | IL | |
| Hospitalist, Family Practice | TX | |
| - | IL |
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