ANDREW MACKO (PAC) – Physician Assistant, NPI 1477520906
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
774 PHYSICIAN ASSISTANT in RI
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Provider Addresses for ANDREW MACKO (PAC)
1150, New London Avenue, Cranston, Providence County, Rhode Island, 02920, United States
CRANSTON, RI 029203036
Phone: (401) 270-3232
Fax: (401) 383-9480
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 22 Open Payments records for all available years, with a total value of $459.
Total Amount is formed as General ($459) + Research ($0) + Ownership ($0) = $459.
Last reported payment date: 2024-09-27 • Largest payer in this snapshot: Vanda Pharmaceuticals Inc. ($103).
Total Amount
$459
General + Research + Ownership
Payments
22
Total payment records
General Amount
$459
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-27
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Vanda Pharmaceuticals Inc. | $103 |
| ABBVIE INC. | $92 |
| AstraZeneca Pharmaceuticals LP | $69 |
| PFIZER INC. | $64 |
| Exact Sciences Corporation | $41 |
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: 2005-02-09
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 |
|---|---|---|---|---|
| I20050209000230 | I | Physician Assistant | RI | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 36 | 26 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 25 | 20 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 11 | 11 | $0 |
Insurance plans in this area (ZIP 02920)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | RI | |
| Family Practice, Emergency Medicine | RI | |
| Family Practice, Internal Medicine, Emergency Medicine | RI | |
| Emergency Medicine | RI | |
| Orthopedic Surgery | RI |
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