DR. SUSAN E MACKINNON (MD) – Neurological Surgery Physician, NPI 1811913130

DR. SUSAN E MACKINNON (MD) is a healthcare provider. based in Saint louis, Missouri. specializing in PLASTIC AND RECONSTRUCTIVE SURGERY. They hold the professional credentials MD. They hold a License No. 102027 (MO). The NPI Number for DR. SUSAN E MACKINNON (MD) is 1811913130

Main info

Female
51 Years Of Experience
Accepts Medicare Assignment
Name
DR. SUSAN E MACKINNON (MD)
NPI
1811913130
Phone
(314) 362-7388
Address
660 S EUCLID AVE
Enumeration Date
14 July 2006
Last Update Date
17 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3143627388
Graduation Year
1975 (51 years ago)
PAC ID
8325130461
Group Practice PAC ID
9830008770
Professional Enrollment ID
I20100125000476
Address ID
MO631101032SA4921XPLXX344
Telehealth
Yes

Contacts

FHIR Endpoint
https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

162 PLASTIC AND RECONSTRUCTIVE SURGERY in MO

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Provider Addresses for DR. SUSAN E MACKINNON (MD)

  • 660, South Euclid Avenue, Central West End, City of Saint Louis, Missouri, 63110, United States

    MSC 8238-43-1150

    SAINT LOUIS, MO 631101010

    Phone: (314) 362-7388

    Fax: (314) 367-0225

    Type: Mailing

  • PO BOX 7412011

    CHICAGO, IL 606742011

    Phone: (314) 362-7388

    Fax: (833) 301-0853

    Type: Mailing

  • Siteman Cancer Center, 4921, Parkview Place, BJC, City of Saint Louis, Missouri, 63110, United States

    DIV SURG PLASTICS, STE 6G

    SAINT LOUIS, MO 631101032

    Phone: (314) 362-7388

    Fax: (833) 301-0853

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $171.

Total Amount is formed as General ($171) + Research ($0) + Ownership ($0) = $171.

Last reported payment date: 2024-04-04 • Largest payer in this snapshot: AXOGEN ($135).

Total Amount

$171

General + Research + Ownership

Payments

2

Total payment records

General Amount

$171

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
AXOGEN$135
ABBVIE INC.$37
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: 2010-01-25

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
I20100125000476IPlastic And Reconstructive SurgeryMOTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes4941$0
99204New patient office or other outpatient visit, 45-59 minutes4141$0
99205New patient office or other outpatient visit, 60-74 minutes2323$0
99213Established patient office or other outpatient visit, 20-29 minutes2119$0
99215Established patient office or other outpatient visit, 40-54 minutes1513$0
View full utilization report →

Insurance plans in this area (ZIP 63110)

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Provider's Procedures

DR. SUSAN E MACKINNON (MD) performs procedures in PLASTIC AND RECONSTRUCTIVE SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PLASTIC AND RECONSTRUCTIVE SURGERYMO64721Release and/or relocation of median nerve of hand2321

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: 9830008770View full group profile

Reviews

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Frequently asked questions

What federal number belongs to DR. SUSAN E MACKINNON (MD)?
The federal identifier for DR. SUSAN E MACKINNON (MD) is NPI 1811913130.
Is DR. SUSAN E MACKINNON (MD) currently active in the NPI registry?
CMS-published data lists DR. SUSAN E MACKINNON (MD) as an active registrant.
Does DR. SUSAN E MACKINNON (MD) list a primary specialty?
If you are matching referrals, note Neurological Surgery Physician for DR. SUSAN E MACKINNON (MD). Clinical services aligned with this taxonomy classification.
What location shows for DR. SUSAN E MACKINNON (MD)?
We surface Saint Louis, Missouri for DR. SUSAN E MACKINNON (MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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