DR. SUSAN TARA MACKEY D.C., P.A.-C
NPI 1427080563
Physician Assistant in Patchogue, NY
About Dr. Susan Tara Mackey D.c., P.a.-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SUSAN TARA MACKEY D.C., P.A.-C (NPI 1427080563) is an individual physician assistant in Patchogue, New York, licensed in New York (018994-1) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sound Beach, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 10
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. Susan Tara Mackey D.c., P.a.-c 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.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11772 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
PATCHOGUE, NY 11772
PATCHOGUE, NY 11772
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 Susan Mackey's NPI number?
The NPI number for Susan Mackey is 1427080563. It was assigned to this individual provider in the NPPES registry on July 7, 2006.
Where is Susan Mackey located?
Susan Mackey practices at 77 Medford Ave, Patchogue, NY 11772. The listed phone number is (631) 758-1910.
What is Susan Mackey's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Susan Mackey enrolled in Medicare?
Yes. Susan Mackey 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.
When was this NPI record last updated?
The NPPES record for Susan Mackey was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Dr. Susan Tara Mackey, D.C., P.A.-C · NPI 1427080563
Physician Assistant physician in Patchogue, New York. Individual provider, active in the CMS NPPES registry since July 7, 2006.
## Identity
- **NPI:** 1427080563 (Entity type: Individual)
- **Enumerated:** July 7, 2006
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 018994-1 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 77 MEDFORD AVE, Patchogue, NY 11772-1281
- **Phone:** (631) 758-1910 · **Fax:** (631) 758-2371
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** April 18, 2024
- **Other identifiers:** Other P735820; Other C07538-4 (NY); Other C0753YM (NY); and 7 more
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Source: [NPI Profile](https://npiprofile.com/npi/1427080563) · Data from the CMS NPPES public registry.