TODD MACKILLOP PA
NPI 1164511572
Physician Assistant in Wilmington, NC

Q: What is Todd Mackillop's NPI number?

The NPI number for Todd Mackillop is 1164511572. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Q: What is Todd Mackillop's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Todd Mackillop was last updated on May 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 12, 2006PECOS Enrolled

615 SHIPYARD BLVD, WILMINGTON, NC 28412(910) 343-0145(910) 202-9966 Get Directions Write a Review

NPPES record last updated: May 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 20, 2022, Jan 27, 2022, Nov 17, 2021 and 45 more (48 updates tracked since 2016).

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About Todd Mackillop Pa NPPES

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

TODD MACKILLOP PA (NPI 1164511572) is an individual physician assistant in Wilmington, North Carolina, licensed in North Carolina (0010-03623) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Rocky Point.

NPPES Registry Identity

NPI1164511572

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameTODD MACKILLOPCredential: PA

Location Address615 SHIPYARD BLVDWilmington, NC 28412-6431

Mailing Address615 Shipyard BlvdWilmington, NC 28412-6431 · (910) 343-0145 · Fax (910) 202-9966

Phone(910) 343-0145

Fax(910) 202-9966

Sole ProprietorNo

Enumeration DateOctober 12, 2006

Last NPPES UpdateMay 20, 202248 updates tracked since enumeration

NPPES CertifiedMay 20, 2022

✔ NPI 1164511572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in NC · 0010-03623

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

615 SHIPYARD BLVD, Wilmington, NC 28412

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Secondary Practice Location 1

Location 17910 US Hwy 117 SRocky Point, NC 28457-9431 · Phone (910) 259-0668

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Todd Mackillop Pa 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 28412 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

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COASTAL HORIZONS CENTER, INC.

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