CRAIG JOSEPH MCMACKIN MD
NPI 1194941195
Internal Medicine - Cardiovascular Disease in Newtown, PA

Active since April 18, 2007PECOS EnrolledAccepts Medicare Assignment
104 PHEASANT RUN, SUITE 128, NEWTOWN, PA 18940(215) 860-3344(215) 860-8950 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 18, 2021, Nov 15, 2018 (2 updates tracked since 2018).

About Craig Joseph Mcmackin Md NPPES

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

CRAIG JOSEPH MCMACKIN MD (NPI 1194941195) is an individual cardiovascular disease provider in Newtown, Pennsylvania, licensed in New Jersey (25MA08429600) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Capital Health Medical Center - Hopewell, and is a graduate of Temple University School Of Medicine (2000).

NPPES Registry Identity

NPI1194941195
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameCRAIG JOSEPH MCMACKINCredential: MD
Location Address104 PHEASANT RUN, SUITE 128Newtown, PA 18940-3439
Mailing Address104 Pheasant Run, Suite 128Newtown, PA 18940-3439 · (215) 860-3344 · Fax (215) 860-8950
Fax(215) 860-8950
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2000
Enumeration DateApril 18, 2007
Last NPPES UpdateMay 18, 20212 updates tracked since enumeration
NPPES CertifiedApril 1, 2021
NPI 1194941195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses Licensed in NJ · 25MA08429600 Licensed in PA · MD434347
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

104 PHEASANT RUN, Newtown, PA 18940

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Craig Joseph Mcmackin Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759375934
PECOS Enrollment IDI20080807000009, I20081024000053
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.

Areas of Expertise CMS Part B claims 23

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
655 services474 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
550 services400 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
153 services126 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
147 services103 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
147 services94 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
144 services141 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Capital Health Medical Center - Hopewell

Acute Care Hospitals · Pennington, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310044
LocationOne Capital WayPennington, NJ 08534 · Mercer County
Emergency services Birthing friendly

Capital Health Regional Medical Center

Acute Care Hospitals · Trenton, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310092
Location750 Brunswick AveTrenton, NJ 08638 · Mercer County
Emergency services

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

St Mary Medical Center

Acute Care Hospitals · Langhorne, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390258
LocationLanghorne-Newtown RdLanghorne, PA 19047 · Bucks County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18940 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

Pediatrics
104 PHEASANT RUN, NEWTOWN PAVILLION, SUITE 105
NEWTOWN, PA 18940
Nurse Practitioner (Adult Health)
104 PHEASANT RUN, SUITE 128
NEWTOWN, PA 18940
Dermatology
104 PHEASANT RUN, SUITE 123
NEWTOWN, PA 18940
Optometrist
104 PHEASANT RUN, ST.114
NEWTOWN, PA 18940
Plastic Surgery
104 PHEASANT RUN, SUITE 123
NEWTOWN, PA 18940
Nurse Practitioner (Adult Health)
104 PHEASANT RUN, SUITE 128
NEWTOWN, PA 18940
Plastic Surgery
104 PHEASANT RUN, SUITE123
NEWTOWN, PA 18940
Internal Medicine (Clinical Cardiac Electrophysiology)
104 PHEASANT RUN
NEWTOWN, PA 18940

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Craig Mcmackin's NPI number?

The NPI number for Craig Mcmackin is 1194941195. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Where is Craig Mcmackin located?

Craig Mcmackin practices at 104 Pheasant Run Suite 128, Newtown, PA 18940. The listed phone number is (215) 860-3344.

What is Craig Mcmackin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Craig Mcmackin enrolled in Medicare?

Yes. Craig Mcmackin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Craig Mcmackin affiliated with any hospitals?

According to CMS data, Craig Mcmackin is affiliated with Capital Health Medical Center - Hopewell, Capital Health Regional Medical Center, Hospital Of Univ Of Pennsylvania and St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Craig Mcmackin was last updated on May 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.