STUART G MACK (PA) – Physician Assistant, NPI 1982044616

STUART G MACK (PA) is a healthcare provider. based in Barbourville, Kentucky. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA1815 (KY). The NPI Number for STUART G MACK (PA) is 1982044616

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
STUART G MACK (PA)
NPI
1982044616
Phone
(606) 546-9287
Address
215 N ALLISON AVE
Enumeration Date
26 June 2013
Last Update Date
7 December 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6065464060
Graduation Year
2013 (13 years ago)
PAC ID
2961644281
Group Practice PAC ID
7416867387
Professional Enrollment ID
I20130815000191
Address ID
KY409067917BA315XXDRXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

1,728 PHYSICIAN ASSISTANT in KY

Provider Addresses for STUART G MACK (PA)

  • 215 N ALLISON AVE

    PO BOX 1150

    BARBOURVILLE, KY 409061336

    Phone: (606) 546-9287

    Fax: (606) 546-9363

    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 34 Open Payments records for all available years, with a total value of $628.

Total Amount is formed as General ($628) + Research ($0) + Ownership ($0) = $628.

Last reported payment date: 2024-12-16 • Largest payer in this snapshot: ABBVIE INC. ($243).

Total Amount

$628

General + Research + Ownership

Payments

34

Total payment records

General Amount

$628

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-16

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: 2013-08-15

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
I20130815000191IPhysician AssistantKYTBD

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
87426Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus1716$0
U00022019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc1514$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)1111$0
View full utilization report →

Insurance plans in this area (ZIP 40906)

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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: 7416867387View full group profile
NameSpecialtyState
Physician AssistantKY
Physician AssistantKY
Nurse PractitionerKY
Nurse PractitionerKY
Nurse PractitionerKY
O P T O M E T R YKY
Nurse PractitionerKY
Nurse PractitionerKY
Emergency MedicineKY
Physician AssistantKY

Reviews

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Frequently asked questions

What is the registry number for STUART G MACK (PA)?
The registry entry for STUART G MACK (PA) shows NPI 1982044616.
Does the public listing show STUART G MACK (PA) as active?
STUART G MACK (PA)'s NPI record reflects an active status in NPPES.
Which specialty label fits STUART G MACK (PA)?
NPPES ties STUART G MACK (PA) to Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to STUART G MACK (PA)?
STUART G MACK (PA) is associated with Barbourville, Kentucky in the same public data insurers reference.
Can I export STUART G MACK (PA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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