ANNIE SEAPAN MACK (MD) – Pediatrics Physician, NPI 1932125184
Pediatrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,474 INTERNAL MEDICINE in OR
Provider Addresses for ANNIE SEAPAN MACK (MD)
9800 SE SUNNYSIDE RD
CLACKAMAS, OR 970159750
Phone: (800) 813-2000
Type: Location
9555 SW BARNES RD STE 255
PORTLAND, OR 972256654
Phone: (503) 908-1590
Fax: (503) 723-2862
Type: Location
3158, Southwest 87th Avenue, Portland, Metro, Washington County, Oregon, 97225, United States
PORTLAND, OR 972083158
Phone: (503) 215-6494
Type: Mailing
5050, Northeast Hoyt Street, North Tabor, Portland, Metro, Multnomah County, Oregon, 97213, United States
SUITE 454
PORTLAND, OR 972132984
Phone: (503) 215-6405
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
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: 2010-08-04
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 |
|---|---|---|---|---|
| I20100804000670 | I | Internal Medicine | OR | 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 |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 137 | 70 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 82 | 54 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 80 | 57 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 60 | 54 | $0 |
| G0008 | Administration of influenza virus vaccine | 29 | 28 | $0 |
Insurance plans in this area (ZIP 97015)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Family Practice | OR | |
| Hospitalist, Internal Medicine | OR | |
| - | OR | |
| - | OR | |
| Internal Medicine | OR | |
| Internal Medicine | FL | |
| Family Practice | OK | |
| Internal Medicine | OR |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.