DR. ALEICIA RAE MACK D.O.
NPI 1629105879
Internal Medicine - Cardiovascular Disease in Oklahoma City, OK

Active since February 27, 2007PECOS EnrolledAccepts Medicare Assignment
82.03/100
CMS Quality Rating
3433 NW 56TH ST, STE 400, OKLAHOMA CITY, OK 73112(405) 947-3341(405) 945-3126 Get Directions Write a Review

NPPES record last updated: September 28, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Aleicia Rae Mack D.o. NPPES

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

DR. ALEICIA RAE MACK D.O. (NPI 1629105879) is an individual cardiovascular disease provider in Oklahoma City, Oklahoma, licensed in Wisconsin (53258-21) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Integris Baptist Medical Center, Inc, and is a graduate of Oklahoma State University College Of Osteopathic Medicine (2005).

NPPES Registry Identity

NPI1629105879
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameDR. ALEICIA RAE MACKCredential: D.O.
Location Address3433 NW 56TH ST, STE 400Oklahoma City, OK 73112-4455
Mailing AddressDept 96-0372Oklahoma City, OK 73196-0372 · (405) 951-4370 · Fax (405) 949-9120
Fax(405) 945-3126
Sole ProprietorNo
Medical School CMSOklahoma State University College Of Osteopathic MedicineGraduated 2005
Enumeration DateFebruary 27, 2007
Last NPPES UpdateSeptember 28, 2012
NPI 1629105879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in WI · 53258-21
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
3433 NW 56TH ST, Oklahoma City, OK 73112

Other Identifiers 1

Medicare PINOKA105059OK

Accepted Insurance

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. Aleicia Rae Mack D.o. 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 ID5698957389
PECOS Enrollment IDI20120911000486
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 27

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
715 services665 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
496 services327 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
392 services386 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
259 services214 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
143 services135 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
90 services90 patients

Hospital Affiliations CMS Care Compare 5

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

Integris Baptist Medical Center, Inc

Acute Care Hospitals · Oklahoma City, OK
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370028
Location3300 Northwest ExpresswayOklahoma City, OK 73112 · Oklahoma County
Emergency services Birthing friendly

Grady Memorial Hospital

Acute Care Hospitals · Chickasha, OK
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number370054
Location2220 Iowa StreetChickasha, OK 73018 · Grady County
Emergency services

Integris Canadian Valley Hospital

Acute Care Hospitals · Yukon, OK
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370211
Location1201 Health Center ParkwayYukon, OK 73099 · Canadian County
Emergency services Birthing friendly

Integris Health Edmond Hospital

Acute Care Hospitals · Edmond, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370236
Location4801 Integris ParkwayEdmond, OK 73034 · Oklahoma County
Emergency services Birthing friendly

Roger Mills Memorial Hospital

Critical Access Hospitals · Cheyenne, OK
OwnershipGovernment - Hospital District or Authority
CMS Certification Number371303
Location501 South L L Males AvenueCheyenne, OK 73628 · Roger Mills County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73112 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

82.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.05
Promoting Interoperability100
Improvement Activities40
Cost52.05

Referred Medical Equipment & Supplies CMS DME claims

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

Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606
DME-Other DME · category DE013N
1 supplier32 claims32 services$2,276.35 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.

Thoracic Surgery (Cardiothoracic Vascular Surgery)
3433 NW 56TH ST, STE 400
OKLAHOMA CITY, OK 73112
Dietitian, Registered
3433 NW 56TH ST, #970
OKLAHOMA CITY, OK 73112
Internal Medicine (Interventional Cardiology)
3433 NW 56TH ST, STE 400
OKLAHOMA CITY, OK 73112
Physician Assistant
3433 NW 56TH ST, STE 400
OKLAHOMA CITY, OK 73112
Orthopaedic Surgery
3433 NW 56TH ST, SUITE 950
OKLAHOMA CITY, OK 73112
Specialist
3433 NW 56TH ST, SUITE 600
OKLAHOMA CITY, OK 73112
Internal Medicine (Interventional Cardiology)
3433 NW 56TH ST, STE 400
OKLAHOMA CITY, OK 73112
Surgery
3433 NW 56TH ST, SUITE 820
OKLAHOMA CITY, OK 73112

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 Aleicia Mack's NPI number?

The NPI number for Aleicia Mack is 1629105879. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Aleicia Mack located?

Aleicia Mack practices at 3433 NW 56th St Ste 400, Oklahoma City, OK 73112. The listed phone number is (405) 947-3341.

What is Aleicia Mack's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Aleicia Mack enrolled in Medicare?

Yes. Aleicia Mack 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.

What insurance does Aleicia Mack accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Medica, Mending Health and UnitedHealthcare list Aleicia Mack as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Aleicia Mack affiliated with any hospitals?

According to CMS data, Aleicia Mack is affiliated with Integris Baptist Medical Center, Inc, Grady Memorial Hospital, Integris Canadian Valley Hospital, Integris Health Edmond Hospital and Roger Mills Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Aleicia Mack was last updated on September 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.