KRISTIN L MACK DO
NPI 1447539507
Family Medicine in Malone, NY

Q: What is Kristin Mack's NPI number?

The NPI number for Kristin Mack is 1447539507. It was assigned to this individual provider in the NPPES registry on August 8, 2011. The provider is also known as Kristin Michelle Lake.

Q: What is Kristin Mack's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Kristin Mack was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since August 08, 2011PECOS EnrolledAccepts Medicare Assignment

125 FINNEY BLVD, MALONE, NY 12953(518) 481-8160(518) 481-8161 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2026, Dec 31, 2025, Dec 22, 2025 and 7 more (10 updates tracked since 2018).

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About Kristin L Mack Do NPPES

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

KRISTIN L MACK DO (NPI 1447539507) is an individual family medicine provider in Malone, New York, licensed in New York (272786) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS, is affiliated with Glens Falls Hospital, and maintains a secondary practice location in Malone.

NPPES Registry Identity

NPI1447539507

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameKRISTIN L MACKCredential: DO

Location Address125 FINNEY BLVDMalone, NY 12953-1067

Mailing Address125 Finney BlvdMalone, NY 12953-1067 · (518) 481-8160 · Fax (518) 481-8161

Phone(518) 481-8160

Fax(518) 481-8161

Sole ProprietorNo

Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2011

Enumeration DateAugust 8, 2011

Last NPPES UpdateMarch 24, 202610 updates tracked since enumeration

NPPES CertifiedMarch 24, 2026

✔ NPI 1447539507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 272786

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

125 FINNEY BLVD, Malone, NY 12953

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Other Names 1

Former Name (1)Kristin Michelle Lake

Secondary Practice Location 1

Location 131 6th StMalone, NY 12953-1246 · Phone (518) 483-3261 · Fax (518) 483-3383

Other Identifiers 1

Medicaid03861103NY

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

Kristin L Mack Do 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 ID4789802299

PECOS Enrollment IDI20140826000147

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 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.

Hemoglobin a1c level 83036

Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.

48 services32 patients

Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005

An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.

14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Glens Falls Hospital

Acute Care Hospitals · Glens Falls, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330191

Location100 Park StreetGlens Falls, NY 12801 · Warren County

Emergency services Birthing friendly

Elizabethtown Community Hospital

Critical Access Hospitals · Elizabethtown, NY

OwnershipVoluntary non-profit - Private

CMS Certification Number331302

Location75 Park StreetElizabethtown, NY 12932 · Essex County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12953 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers34 claims84 services$5.76 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

5 suppliers13 claims18 services$1.04 avg. paid by Medicare

Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314

DME-Orthotic Devices · category DF000N

1 supplier12 claims12 services$23.43 avg. paid by Medicare

Urinary catheter anchoring device, leg strap, each A4334

DME-Orthotic Devices · category DF000N

1 supplier12 claims12 services$4.73 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

1 supplier12 claims12 services$9.33 avg. paid by Medicare

Ostomy skin barrier, pectin-based, paste, per ounce A4406

DME-Orthotic Devices · category DF010N

2 suppliers13 claims58 services$5.54 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

EMMA TOWER

Case Manager/Care Coordinator