BRODIE MACKINTOSH MD
NPI 1063303899
Family Medicine in Springfield, IL

Q: What is Brodie Mackintosh's NPI number?

The NPI number for Brodie Mackintosh is 1063303899. It was assigned to this individual provider in the NPPES registry on July 10, 2025.

Q: What is Brodie Mackintosh's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Brodie Mackintosh was last updated on July 10, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 10, 2025PECOS Enrolled

520 N 4TH ST, SPRINGFIELD, IL 62702(217) 545-8000 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Brodie Mackintosh Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRODIE MACKINTOSH MD (NPI 1063303899) is an individual family medicine provider in Springfield, Illinois, licensed in Illinois (125085849) and active in the NPI registry since July 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063303899

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameBRODIE MACKINTOSHCredential: MD

Location Address520 N 4TH STSpringfield, IL 62702-5238

Mailing Address520 N 4th StSpringfield, IL 62702-5238 · (217) 545-8000

Phone(217) 545-8000

Sole ProprietorNo

Enumeration DateJuly 10, 2025

NPPES CertifiedJuly 10, 2025

✔ NPI 1063303899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 125085849

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

520 N 4TH ST, Springfield, IL 62702

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Brodie Mackintosh Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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