ANDREW MACKINNON MD
NPI 1619720877
Psychiatry & Neurology - Neurology in Philadelphia, PA

Q: What is Andrew Mackinnon's NPI number?

The NPI number for Andrew Mackinnon is 1619720877. It was assigned to this individual provider in the NPPES registry on April 8, 2024.

Q: What is Andrew Mackinnon's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Mackinnon was last updated on May 14, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 08, 2024PECOS Enrolled

901 WALNUT ST FL 4, PHILADELPHIA, PA 19107(215) 955-9425(215) 503-2452 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 14, 2025, Apr 8, 2024 (2 updates tracked since 2024).

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About Andrew Mackinnon Md NPPES

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

ANDREW MACKINNON MD (NPI 1619720877) is an individual neurology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT231569) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619720877

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameANDREW MACKINNONCredential: MD

Location Address901 WALNUT ST FL 4Philadelphia, PA 19107-5214

Mailing Address901 Walnut St Fl 4Philadelphia, PA 19107-5214 · (215) 955-9425 · Fax (215) 503-2452

Phone(215) 955-9425

Fax(215) 503-2452

Sole ProprietorNo

Enumeration DateApril 8, 2024

Last NPPES UpdateMay 14, 20252 updates tracked since enumeration

NPPES CertifiedMay 14, 2025

✔ NPI 1619720877 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in PA · MT231569

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

901 WALNUT ST FL 4, Philadelphia, PA 19107

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrew Mackinnon Md 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 19107 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

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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.

LEAH SHABO MD

Student in an Organized Health Care Education/Training Program