DR. RONALD A. MACK D.O.
NPI 1447211164
Pediatrics in Fort Eustis, VA

Q: What is Ronald Mack's NPI number?

The NPI number for Ronald Mack is 1447211164. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Q: What is Ronald 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 Ronald Mack was last updated on December 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 31, 2006PECOS Enrolled

576 JEFFERSON AVE, FORT EUSTIS, VA 23604(757) 314-7727 Get Directions Write a Review

NPPES record last updated: December 22, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Ronald A. Mack D.o. NPPES

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

DR. RONALD A. MACK D.O. (NPI 1447211164) is an individual pediatrics provider in Fort Eustis, Virginia, licensed in Pennsylvania (OS010189L) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1447211164

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. RONALD A. MACKCredential: D.O.

Location Address576 JEFFERSON AVEFort Eustis, VA 23604-1373

Mailing Address576 Jefferson AveFort Eustis, VA 23604-1373 · (757) 314-7727

Phone(757) 314-7727

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateMarch 31, 2006

Last NPPES UpdateDecember 22, 2022

NPPES CertifiedDecember 22, 2022

✔ NPI 1447211164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in PA · OS010189L

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.

576 JEFFERSON AVE, Fort Eustis, VA 23604

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ronald A. Mack D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5395726160

PECOS Enrollment IDI20260610001775

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.

Medicare Billing Reassignment

Medicare enrollment records show Ronald Mack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Anuvia Medical Center

791 mi

Primary Care

190 NE 199TH ST STE 102
Miami, FL 33179

Reassigned Medicare billing, Florida enrollment
4 clinicians in this Medicare group

NPI 1801349121 (786) 589-7840

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 23604 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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 20

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

MS. SAMANTHA NICHOLE ROBERT LPTA

Physical Therapy Assistant

576 JEFFERSON AVE, MCDONALD ARMY HEALTH CENTER
FORT EUSTIS, VA 23604

Newport News City (757) 314-7616

KATHRYN GRACE MCCARN PT, DPT

Physical Therapist