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MR. IAN V MACKEY M.S., P.A.-C
NPI 1720109424
Physician Assistant in Skokie, IL

Active since April 02, 2007Opted out of Medicare · through Feb 22, 2028
9669 KENTON AVE STE 209, SKOKIE, IL 60076(847) 679-8000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Ian V Mackey M.s., P.a.-c NPPES

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

MR. IAN V MACKEY M.S., P.A.-C (NPI 1720109424) is an individual physician assistant in Skokie, Illinois and active in the NPI registry since April 2007. He has opted out of Medicare through February 22, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1720109424
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. IAN V MACKEYCredential: M.S., P.A.-C
Location Address9669 KENTON AVE STE 209Skokie, IL 60076-1226
Mailing Address9669 Kenton Ave Ste 209Skokie, IL 60076-1226
Phone(847) 679-8000
Sole ProprietorNo
Enumeration DateApril 2, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1720109424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
9669 KENTON AVE STE 209, Skokie, IL 60076
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mr. Ian V Mackey M.s., P.a.-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 22, 2016 through February 22, 2028.

Opt-Out Effective DateFebruary 22, 2016
Opt-Out In Effect ThroughFebruary 22, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60076 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

Other Providers at the Same Location NPPES

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

JOANN OLSEN M.D.
Psychiatry & Neurology (Psychosomatic Medicine)
9669 KENTON AVE STE 209
SKOKIE, IL 60076
Cook County (847) 677-0560

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 Ian Mackey's NPI number?

The NPI number for Ian Mackey is 1720109424. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Where is Ian Mackey located?

Ian Mackey practices at 9669 Kenton Ave Ste 209, Skokie, IL 60076. The listed phone number is (847) 679-8000.

What is Ian Mackey's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Ian Mackey enrolled in Medicare?

No. Ian Mackey has opted out of Medicare through February 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Ian Mackey was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.