Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DEBORAH LYNN MACK M.D.
NPI 1407813744
Pediatrics in Indianapolis, IN

Q: What is Deborah Mack's NPI number?

The NPI number for Deborah Mack is 1407813744. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Q: What is Deborah 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 Deborah Mack was last updated on August 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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 April 28, 2006PECOS Enrolled

8111 S EMERSON AVE FL 5, INDIANAPOLIS, IN 46237(317) 528-8930(317) 528-8932 Get Directions Write a Review

NPPES record last updated: August 21, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

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About Deborah Lynn Mack M.d. NPPES

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

DEBORAH LYNN MACK M.D. (NPI 1407813744) is an individual pediatrics provider in Indianapolis, Indiana, licensed in Indiana (01051109A) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1407813744

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDEBORAH LYNN MACKCredential: M.D.

Location Address8111 S EMERSON AVE FL 5Indianapolis, IN 46237-8601

Mailing AddressPo Box 781076Detroit, MI 48278-1008 · (317) 528-4800 · Fax (317) 865-1479

Phone(317) 528-8930

Fax(317) 528-8932

Sole ProprietorNo

Enumeration DateApril 28, 2006

Last NPPES UpdateAugust 21, 2026

NPPES CertifiedAugust 21, 2026

✔ NPI 1407813744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in IN · 01051109A

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.

Also ListedPediatrics · Hospice and Palliative MedicineTaxonomy 2080H0002X · License 01051109A (IN)

8111 S EMERSON AVE FL 5, Indianapolis, IN 46237

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Secondary Practice Locations 2

Location 18111 S Emerson Ave Fl 5Indianapolis, IN 46237-8601 · Phone (317) 528-8930 · Fax (317) 528-8932

Location 2720 Eskenazi AveIndianapolis, IN 46202-5187 · Phone (317) 278-5316

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deborah Lynn Mack M.d. 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 46237 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

$82.04 typical visit price

range $53.07 – $161.76

Typical copayment $20.51 (range $13.26 – $40.44)

Most-billed visit code 99203

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

Other Providers at the Same Location NPPES 14

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

AMY DECKER

Nurse Practitioner (Family)