BENNETT W. MACK MD
NPI 1275155400
Pediatrics in Greenville, SC

Q: What is Bennett Mack's NPI number?

The NPI number for Bennett Mack is 1275155400. It was assigned to this individual provider in the NPPES registry on May 11, 2020.

Q: What is Bennett Mack's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Bennett Mack was last updated on July 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 11, 2020PECOS Enrolled

20 MEDICAL RIDGE DR, GREENVILLE, SC 29605(648) 522-5220(864) 522-5296 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 6, 2023, May 11, 2020 (2 updates tracked since 2020).

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About Bennett W. Mack Md NPPES

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

BENNETT W. MACK MD (NPI 1275155400) is an individual pediatrics provider in Greenville, South Carolina, licensed in South Carolina (LL83976) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275155400

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameBENNETT W. MACKCredential: MD

Location Address20 MEDICAL RIDGE DRGreenville, SC 29605-4267

Mailing Address300 E Mcbee Ave Fl 4Greenville, SC 29601-2842 · (864) 522-8603

Phone(648) 522-5220

Fax(864) 522-5296

Sole ProprietorNo

Enumeration DateMay 11, 2020

Last NPPES UpdateJuly 6, 20232 updates tracked since enumeration

NPPES CertifiedJuly 6, 2023

✔ NPI 1275155400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in SC · LL83976

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

20 MEDICAL RIDGE DR, Greenville, SC 29605

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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)

Bennett W. Mack 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 29605 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$95.12 typical visit price

range $16.96 – $133.52

Typical copayment $23.78 (range $4.24 – $33.38)

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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