DR. SUSAN E MACKINNON (MD) – Neurological Surgery Physician, NPI 1811913130
Neurological Surgery Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
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
| Company | Amount |
|---|---|
| AXOGEN | $135 |
| ABBVIE INC. | $37 |
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100125000476 | I | Plastic And Reconstructive Surgery | MO | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 49 | 41 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 41 | 41 | $0 |
| 99205 | New patient office or other outpatient visit, 60-74 minutes | 23 | 23 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 21 | 19 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 15 | 13 | $0 |
Insurance plans in this area (ZIP 63110)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PLASTIC AND RECONSTRUCTIVE SURGERY | MO | 64721 | Release and/or relocation of median nerve of hand | 23 | 21 |
Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| - | MO | |
| - | FL | |
| - | MO | |
| Diagnostic Radiology | IL | |
| - | IL | |
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO |
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