JOHN B MACK (MD) – Surgery Physician, NPI 1801826151
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,644 GENERAL SURGERY in TX
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Provider Addresses for JOHN B MACK (MD)
Band Box Place, Dallas, Dallas County, Texas, 75244, United States
DALLAS, TX 752610393
Phone: (903) 232-8501
Fax: (903) 232-8226
Type: Mailing
707, Hollybrook Drive, Longview, Gregg County, Texas, 75605, United States
LONGVIEW, TX 756052410
Phone: (903) 753-4666
Fax: (903) 753-6634
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $80.
Total Amount is formed as General ($80) + Research ($0) + Ownership ($0) = $80.
Last reported payment date: 2024-04-16 • Largest payer in this snapshot: Davol Inc. ($21).
Total Amount
$80
General + Research + Ownership
Payments
4
Total payment records
General Amount
$80
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Davol Inc. | $21 |
| Hologic Sales and Service, LLC | $21 |
| Medtronic, Inc. | $20 |
| Pacira Pharmaceuticals Incorporated | $18 |
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: 2004-05-20
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 |
|---|---|---|---|---|
| I20040520001354 | I | General Surgery | TX | 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 |
|---|---|---|---|---|
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 189 | 189 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 181 | 142 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 51 | 49 | $0 |
| 19301 | Partial removal of breast | 44 | 38 | $0 |
| 47563 | Removal of gallbladder with x-ray study of bile ducts using an endoscope | 35 | 35 | $0 |
Insurance plans in this area (ZIP 75261)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Family Practice | TX | |
| - | TX | |
| Emergency Medicine, Hospitalist | TX | |
| P O D I A T R Y | TX | |
| P A T H O L O G Y | TX | |
| Family Practice | TX | |
| - | TX | |
| - | TX |
Reviews
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