DR. MACK ARTHUR WHITEHEAD (DO) – Psychiatry Physician, NPI 1578067906
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
607 PSYCHIATRY in CO
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Provider Addresses for DR. MACK ARTHUR WHITEHEAD (DO)
684 BUENA VISTA BLVD UNIT 802
WASHINGTON, UT 847801515
Phone: (435) 313-5718
Type: Mailing
130, North Academy Boulevard, Colorado Springs, El Paso County, Colorado, 80909, United States
COLORADO SPRINGS, CO 809175152
Phone: (719) 344-6894
Type: Location
PO BOX 270
PROVO, UT 846030270
Phone: (801) 344-4400
Fax: (801) 344-4225
Type: Mailing
1300 E CENTER ST
PROVO, UT 846063554
Phone: (801) 344-4400
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $149.
Total Amount is formed as General ($149) + Research ($0) + Ownership ($0) = $149.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($55).
Total Amount
$149
General + Research + Ownership
Payments
6
Total payment records
General Amount
$149
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2022-12-08
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 |
|---|---|---|---|---|
| I20221208003283 | I | Psychiatry | UT | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84780)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | UT | |
| - | UT | |
| - | UT | |
| P S Y C H I A T R Y | VA | |
| - | UT | |
| - | UT | |
| Clinical Social Worker | UT | |
| Clinical Social Worker | UT | |
| - | UT | |
| - | UT |
Reviews
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