STEPHANIE ANNETTE MACKEY (M.D.) – Dermatology Physician, NPI 1205834249

STEPHANIE ANNETTE MACKEY (M.D.) is a healthcare provider. based in Lancaster, Pennsylvania. specializing in DERMATOLOGY. They hold the professional credentials M.D.. They hold a License No. MD055612L (PA). The NPI Number for STEPHANIE ANNETTE MACKEY (M.D.) is 1205834249

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
STEPHANIE ANNETTE MACKEY (M.D.)
NPI
1205834249
Phone
(717) 413-7721
Address
1027 HUNTERS PATH
Enumeration Date
13 July 2005
Deactivation Date
21 March 2006
Reactivation Date
30 March 2006
Last Update Date
2 March 2023

Doctor Profile

Medical School Name
PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
5704590029
Graduation Year
1992 (34 years ago)
PAC ID
1759564545
Group Practice PAC ID
6406154756
Professional Enrollment ID
I20110401000276
Address ID
PA182491010SU8XXXXSXXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

808 DERMATOLOGY in PA

Provider Addresses for STEPHANIE ANNETTE MACKEY (M.D.)

  • 1027 HUNTERS PATH

    LANCASTER, PA 176011744

    Phone: (717) 413-7721

    Type: Mailing

  • 800, New Holland Avenue, Lancaster, Lancaster County, Pennsylvania, 17602, United States

    SUITE A

    LANCASTER, PA 176022179

    Phone: (717) 431-7546

    Fax: (717) 431-7550

    Type: Mailing

  • 8 Brookhill Square South

    Sugarloaf, PA 182491824

    Phone: (570) 459-0029

    Fax: (570) 454-5757

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 193 Open Payments records for all available years, with a total value of $6,629.

Total Amount is formed as General ($6,629) + Research ($0) + Ownership ($0) = $6,629.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: PFIZER INC. ($2,713).

Total Amount

$6,629

General + Research + Ownership

Payments

193

Total payment records

General Amount

$6,629

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

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: 2011-04-01

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
I20110401000276IDermatologyPATBD

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
17003Destruction of precancer skin growth, 2-14 growths6417$0
11102Biopsy of related skin growth, first growth6254$0
11103Biopsy of related skin growth, each additional growth4128$0
99203New patient office or other outpatient visit, 30-44 minutes3939$0
17000Destruction of precancer skin growth, 1 growth3329$0
View full utilization report →

Insurance plans in this area (ZIP 17601)

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Provider's Procedures

STEPHANIE ANNETTE MACKEY (M.D.) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYPA17003Destruction of 2-14 skin growths323100

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: 6406154756View full group profile
NameSpecialtyState
Physician AssistantPA
Nurse PractitionerPA
Nurse PractitionerNJ
Nurse PractitionerPA
-PA
Physician AssistantPA
Nurse PractitionerPA
Nurse PractitionerPA
-PA
Nurse PractitionerPA

Reviews

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Frequently asked questions

What is the 10-digit NPI for STEPHANIE ANNETTE MACKEY (M.D.)?
STEPHANIE ANNETTE MACKEY (M.D.) — NPI 1205834249 — is the standard way to identify this listing.
Does CMS list STEPHANIE ANNETTE MACKEY (M.D.) as active?
Yes — STEPHANIE ANNETTE MACKEY (M.D.) is active in the NPI listing used on this page.
What is STEPHANIE ANNETTE MACKEY (M.D.)'s specialty?
The listing groups STEPHANIE ANNETTE MACKEY (M.D.) with Dermatology Physician. Clinical services aligned with this taxonomy classification.
Does STEPHANIE ANNETTE MACKEY (M.D.) list a practice location?
Patients near Lancaster, Pennsylvania may find STEPHANIE ANNETTE MACKEY (M.D.) in results; validate coverage separately.
How many locations tie to this NPI?
5 practice locations appear in the available data.

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