SUSANNE BLANCHETTE MACKIE-LEE (MD MPH) – Pediatrics Physician, NPI 1073504759
Pediatrics Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SUSANNE BLANCHETTE MACKIE-LEE (MD MPH)
8700 Sudley Rd
Prince William Hospital
Manassas, VA 201104418
Phone: (703) 369-8337
Fax: (703) 369-8868
Type: Location
Ward Building, 1300, Piccard Drive, Woodley Gardens, King Farm, Rockville, Montgomery County, Maryland, 20850, United States
STE 202
ROCKVILLE, MD 208504303
Phone: (301) 921-7900
Fax: (301) 921-7915
Type: Mailing
7500, Iron Bar Lane, Virginia Gateway, Gainesville, Prince William County, Virginia, 20155, United States
GAINESVILLE, VA 20155
Phone: (703) 753-6772
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 27 Open Payments records for all available years, with a total value of $514.
Total Amount is formed as General ($514) + Research ($0) + Ownership ($0) = $514.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Cranial Technologies, Inc ($125).
Total Amount
$514
General + Research + Ownership
Payments
27
Total payment records
General Amount
$514
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Cranial Technologies, Inc | $125 |
| Verrica Pharmaceuticals Inc. | $103 |
| PFIZER INC. | $88 |
| IRONSHORE PHARMACEUTICALS INC. | $79 |
| Merck Sharp & Dohme LLC | $38 |
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: 2004-05-14
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 |
|---|---|---|---|---|
| I20040514000644 | I | Pediatric Medicine | VA | 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 20110)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.