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DOUGLAS TIMOTHY MACK MD
NPI 1861993552
Otolaryngology in Apo, AA

Active since February 27, 2018PECOS Enrolled

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 10, 2024, Jul 11, 2023, Jul 5, 2023 and 4 more (7 updates tracked since 2018).

About Douglas Timothy Mack Md NPPES

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

DOUGLAS TIMOTHY MACK MD (NPI 1861993552) is an individual otolaryngology provider in Apo, AA, licensed in Nebraska (32380) and active in the NPI registry since February 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Duluth.

NPPES Registry Identity

NPI1861993552
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDOUGLAS TIMOTHY MACKCredential: MD
Location Address4076 NEELY RD.Apo, AA 99703
Mailing Address4076 Neely RoadFort Wainwright, TX 99703 · (907) 361-5172
Phone(907) 361-5172
Sole ProprietorNo
Enumeration DateFebruary 27, 2018
Last NPPES UpdateJune 17, 20267 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
✔ NPI 1861993552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in NE · 32380✔ Licensed in MN · 78320
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
4076 NEELY RD., Apo, AA 99703
Open in Google Maps ↗

Secondary Practice Location 1

Location 1400 E 3rd StDuluth, MN 55805-1951 · Phone (218) 786-8364

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Douglas Timothy Mack 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 99703 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
$168.20 typical visit price
range $71.33 – $222.64
Typical copayment $42.05 (range $17.83 – $55.66)
Most-billed visit code 99204
Established Patient
$90.40 typical visit price
range $21.84 – $181.48
Typical copayment $22.60 (range $5.46 – $45.37)
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 5

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

GINA WULFF RDN
Dietitian, Registered (Nutrition, Obesity and Weight Management)
4076 NEELY RD., UNIT 3
FORT WAINWRIGHT, AK 99703
Fairbanks North Star Borough (907) 361-5247
LEVI DANIEL FISHER PA-C
Physician Assistant
4076 NEELY RD.
FORT WAINWRIGHT, AK 99703
Fairbanks North Star Borough (719) 440-6166
DR. BRITTENY RANDALL MD
Obstetrics & Gynecology (Gynecology)
4076 NEELY RD.
FT WAINWRIGHT, AK 99703
Fairbanks North Star Borough (907) 361-5172
LINDSAY CAROLYN CLOUGH MD
Internal Medicine
4076 NEELY RD.
FORT WAINWRIGHT, AK 99703
Fairbanks North Star Borough (907) 361-5646
KAITLYN E. GAMBER PA-C
Physician Assistant
4076 NEELY RD.
FORT WAINWRIGHT, AK 99703
Fairbanks North Star Borough (907) 361-4000

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 Douglas Mack's NPI number?

The NPI number for Douglas Mack is 1861993552. It was assigned to this individual provider in the NPPES registry on February 27, 2018.

Where is Douglas Mack located?

Douglas Mack practices at 4076 Neely Rd., Apo, AA 99703. The listed phone number is (907) 361-5172.

What is Douglas Mack's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Douglas Mack enrolled in Medicare?

Yes. Douglas Mack is registered in the Medicare PECOS enrollment system.

What insurance does Douglas Mack accept?

Health plans from Medica list Douglas 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.

When was this NPI record last updated?

The NPPES record for Douglas Mack was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.