DEVON MACKEY DO
NPI 1366132482
Family Medicine in Sparta, NJ
About Devon Mackey Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEVON MACKEY DO (NPI 1366132482) is an individual family medicine provider in Sparta, New Jersey, licensed in New Jersey (25MB13199900) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Summit, and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Devon Mackey Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Devon Mackey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Newton, NJ 07860
- Reassigned Medicare billing, New Jersey enrollment
- 48 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07871 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SPARTA, NJ 07871
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 Devon Mackey's NPI number?
The NPI number for Devon Mackey is 1366132482. It was assigned to this individual provider in the NPPES registry on May 11, 2023.
Where is Devon Mackey located?
Devon Mackey practices at 89 Sparta Ave, Sparta, NJ 07871. The listed phone number is (973) 729-2121.
What is Devon Mackey's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Devon Mackey enrolled in Medicare?
Yes. Devon Mackey is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Devon Mackey's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Devon Mackey reassigns Medicare benefits to Premier Health Associates LLC (Newton, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Devon Mackey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Devon Mackey was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.
# Devon Mackey, DO · NPI 1366132482
Family Medicine physician in Sparta, New Jersey. Individual provider, active in the CMS NPPES registry since May 11, 2023.
## Identity
- **NPI:** 1366132482 (Entity type: Individual)
- **Enumerated:** May 11, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 25MB13199900 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 89 SPARTA AVE, Sparta, NJ 07871-1777
- **Phone:** (973) 729-2121
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Premier Health Associates LLC (NPI 1043257991, Newton, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** August 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1366132482) · Data from the CMS NPPES public registry.