ANNE KIM MACKOW (M.D./ M.P.H.) – Pediatric Surgery Physician, NPI 1790767036
Pediatric Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for ANNE KIM MACKOW (M.D./ M.P.H.)
University Hospitals Cleveland Medical Center, 11100, Euclid Avenue, University Circle, Cleveland, Cuyahoga County, Ohio, 44106, United States
RM RBC122, MAILSTOP 6015
CLEVELAND, OH 44106
Phone:
Type: Mailing
1 CHILDRENS PLZ
DAYTON, OH 454041815
Phone: (937) 641-4000
Fax: (937) 641-4500
Type: Location
3333 W Tech Rd
Miamisburg, OH 453420955
Phone: (937) 641-4000
Fax: (937) 641-4500
Type: Location
3535 Southern Blvd
Kettering, OH 454291221
Phone: (937) 641-3000
Type: Location
PO BOX 933432
CLEVELAND, OH 441930039
Phone: (937) 641-3000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $144.
Total Amount is formed as General ($144) + Research ($0) + Ownership ($0) = $144.
Last reported payment date: 2024-08-20 • Largest payer in this snapshot: Boston Scientific Corporation ($144).
Total Amount
$144
General + Research + Ownership
Payments
1
Total payment records
General Amount
$144
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $144 |
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: 2013-09-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (982 days ago).
Enrollment records
1
Earliest due date
2023-09-30
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 |
|---|---|---|---|---|
| I20130912000384 | I | General Surgery | OH | 2023-09-30 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 44106)
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