DR. JONATHAN EBERHARD MACK M.D.
NPI 1275522625
Orthopaedic Surgery - Sports Medicine in Manchester, NH

Q: What is Jonathan Mack's NPI number?

The NPI number for Jonathan Mack is 1275522625. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Q: What is Jonathan Mack's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Mack was last updated on April 13, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 18, 2005PECOS EnrolledAccepts Medicare Assignment

185 QUEEN CITY AVE, ELLIOT ORTHOPAEDIC SURGERY SPECIALISTS, MANCHESTER, NH 03101(603) 625-1655(603) 626-4686 Get Directions Write a Review

NPPES record last updated: April 13, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Jonathan Eberhard Mack M.d. NPPES

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

DR. JONATHAN EBERHARD MACK M.D. (NPI 1275522625) is an individual sports medicine provider in Manchester, New Hampshire, licensed in Wisconsin (50942) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Elliot Hospital, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1999).

NPPES Registry Identity

NPI1275522625

Entity TypeIndividualMale

Primary Taxonomy207XX0005X

Provider Legal NameDR. JONATHAN EBERHARD MACKCredential: M.D.

Location Address185 QUEEN CITY AVE, ELLIOT ORTHOPAEDIC SURGERY SPECIALISTSManchester, NH 03101-7100

Mailing Address185 Queen City Ave, Elliot Orthopaedic Surgery SpecialistsManchester, NH 03101-7100 · (603) 625-1655 · Fax (603) 626-4686

Phone(603) 625-1655

Fax(603) 626-4686

Sole ProprietorNo

Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1999

Enumeration DateOctober 18, 2005

Last NPPES UpdateApril 13, 2011

✔ NPI 1275522625 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207XX0005X

Licenses✔ Licensed in WI · 50942✔ Licensed in AZ · 33787

Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

185 QUEEN CITY AVE, Manchester, NH 03101

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Other Identifiers 4

Medicare PIN103772200WI

Medicaid34952800WI

Medicare UPINI20967AZ

Medicare UPINI20967WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield and more.Insurance ›

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

Dr. Jonathan Eberhard Mack M.d. 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 ID5890759203

PECOS Enrollment IDI20110113000076

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 5

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

53 services33 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

37 services27 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.

31 services27 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

19 services19 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Elliot Hospital

Acute Care Hospitals · Manchester, NH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number300012

Location1 Elliot WayManchester, NH 03103 · Hillsborough County

Emergency services Birthing friendly

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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.

ELENA K FOSTER MD

Surgery (Vascular Surgery)

185 QUEEN CITY AVE
MANCHESTER, NH 03101

Hillsborough County (603) 627-1102

EMILIA LOUISE RAIMONDO DO

Psychiatry & Neurology (Neurology)

185 QUEEN CITY AVE
MANCHESTER, NH 03101

Hillsborough County (603) 663-4800

ELLIOT PROFESSIONAL SERVICES

Psychiatry & Neurology (Neurology)

185 QUEEN CITY AVE, ELLIOT NEUROLOGY ASSOCIATES
MANCHESTER, NH 03101

Hillsborough County (603) 669-0859

BRIAN M FARINA-CONNORS RN

Registered Nurse (Neuroscience)

185 QUEEN CITY AVE
MANCHESTER, NH 03101

Hillsborough County (603) 663-4800

JESSICA NIEWODOWSKI DO

Surgery (Trauma Surgery)

185 QUEEN CITY AVE
MANCHESTER, NH 03101

Hillsborough County (603) 627-1102

PAUL J SCIBETTA JR. DO

Orthopaedic Surgery

185 QUEEN CITY AVE
MANCHESTER, NH 03101

Hillsborough County (603) 625-1655

DR. MARY-LEE SOLE MD

Orthopaedic Surgery

185 QUEEN CITY AVE, ELLIOT ORTHOPAEDIC SURGERY SPECIALISTS
MANCHESTER, NH 03101

Hillsborough County (603) 625-1655

DR. ADAM JAMES VERNADAKIS M.D.

Plastic Surgery

185 QUEEN CITY AVE
MANCHESTER, NH 03101

Hillsborough County (603) 314-6450

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 Jonathan Mack's NPI number?

The NPI number for Jonathan Mack is 1275522625. It was assigned to this individual provider in the NPPES registry on October 18, 2005.

Where is Jonathan Mack located?

Jonathan Mack practices at 185 Queen City Ave Elliot Orthopaedic Surgery Specialists, Manchester, NH 03101. The listed phone number is (603) 625-1655.

What is Jonathan Mack's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Jonathan Mack enrolled in Medicare?

Yes. Jonathan Mack 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.

What insurance does Jonathan Mack accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and WellSense Health Plan list Jonathan Mack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jonathan Mack affiliated with any hospitals?

According to CMS data, Jonathan Mack is affiliated with Elliot Hospital.

When was this NPI record last updated?

The NPPES record for Jonathan Mack was last updated on April 13, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.