SUSANNE J PATRICK-MACKINNON (MD) – Neurology Physician, NPI 1477500783

SUSANNE J PATRICK-MACKINNON (MD) is a healthcare provider. based in Fairhaven, Massachusetts. specializing in NEUROLOGY. They hold the professional credentials MD. They hold a License No. MD09030 (RI). The NPI Number for SUSANNE J PATRICK-MACKINNON (MD) is 1477500783

Main info

Female
36 Years Of Experience
Accepts Medicare Assignment
Name
SUSANNE J PATRICK-MACKINNON (MD)
NPI
1477500783
Phone
(508) 973-2000
Address
200 MILL RD
Enumeration Date
30 May 2006
Last Update Date
17 February 2016

Doctor Profile

Medical School Name
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL
Secondary Phone
4018453800
Graduation Year
1990 (36 years ago)
PAC ID
6002986882
Group Practice PAC ID
2567455082
Professional Enrollment ID
I20101119000702
Address ID
RI028402272NE19XXXSTXX302
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

173 NEUROLOGY in RI

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Provider Addresses for SUSANNE J PATRICK-MACKINNON (MD)

  • 200, Mill Road, Nasketucket, Fairhaven, Bristol County, Massachusetts, 02719, United States

    SUITE 180

    FAIRHAVEN, MA 027195252

    Phone: (508) 973-2000

    Fax: (508) 973-2001

    Type: Mailing

  • 2444, East Main Road, Portsmouth, Newport County, Rhode Island, 02871, United States

    PORTSMOUTH, RI 028714025

    Phone: (401) 683-1048

    Fax: (401) 683-1239

    Type: Location

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: 2010-11-19

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
I20101119000702INeurologyRITBD

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
99213Established patient office or other outpatient visit, 20-29 minutes364244$0
99214Established patient office or other outpatient visit, 30-39 minutes7357$0
99204New patient office or other outpatient visit, 45-59 minutes6363$0
99212Established patient office or other outpatient visit, 10-19 minutes3935$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 02719)

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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: 2567455082View full group profile

Reviews

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Frequently asked questions

Does SUSANNE J PATRICK-MACKINNON (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — SUSANNE J PATRICK-MACKINNON (MD) uses 1477500783.
Is SUSANNE J PATRICK-MACKINNON (MD) listed as active for patients and plans?
The listing shows SUSANNE J PATRICK-MACKINNON (MD) as active in the NPI system.
What taxonomy line describes SUSANNE J PATRICK-MACKINNON (MD)?
For research purposes, treat SUSANNE J PATRICK-MACKINNON (MD) as Neurology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect SUSANNE J PATRICK-MACKINNON (MD) on a map?
Expect Fairhaven, Massachusetts as a primary anchor for SUSANNE J PATRICK-MACKINNON (MD) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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