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PETER BOWMAN MACK MD
NPI 1922202225
Family Medicine in Charlotte, NC

Active since June 12, 2007PECOS Enrolled
6324 FAIRVIEW RD, SUITE 201, CHARLOTTE, NC 28210(704) 384-0588(704) 384-0580 Get Directions Write a Review

NPPES record last updated: October 28, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Peter Bowman Mack Md NPPES

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

PETER BOWMAN MACK MD (NPI 1922202225) is an individual family medicine provider in Charlotte, North Carolina, licensed in North Carolina (140928) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Novant Health Presbyterian Medical Center, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2007).

NPPES Registry Identity

NPI1922202225
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePETER BOWMAN MACKCredential: MD
Location Address6324 FAIRVIEW RD, SUITE 201Charlotte, NC 28210-3271
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-0588 · Fax (704) 384-0580
Phone(704) 384-0588
Fax(704) 384-0580
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2007
Enumeration DateJune 12, 2007
Last NPPES UpdateOctober 28, 2020
NPPES CertifiedOctober 28, 2020
✔ NPI 1922202225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NC · 140928✔ Licensed in NC · 200801862
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.
6324 FAIRVIEW RD, Charlotte, NC 28210
Open in Google Maps ↗

Other Identifiers 2

Other2008-01862NC · License
Medicaid5915838NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Peter Bowman Mack Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315062791
PECOS Enrollment IDI20100909000554
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.

Medicare Billing Reassignment

Medicare enrollment records show Peter Mack reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Novant Medical Group, Inc.
Same address
Cardiovascular Disease
6324 FAIRVIEW RD STE 400
Charlotte, NC 28210
  • Reassigned Medicare billing, North Carolina enrollment
  • Medicare enrollment name: Novant Health Medical Group, LLC
  • 2,998 clinicians in this Medicare group
NPI 1083251300 (980) 302-8659

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.

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.
100 services51 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
74 services64 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
64 services64 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.
57 services25 patients
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.
25 services14 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
24 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340053
Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County
Emergency services Birthing friendly

Novant Health Matthews Medical Center

Acute Care Hospitals · Matthews, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number340171
Location1500 Matthews Twnshp Prkwy Box 3310Matthews, NC 28106 · Mecklenburg County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28210 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
89%81 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
85%104 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
43%121 patients2/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
32%31 patients2/55-star benchmark: 98%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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
7 suppliers11 claims26 services$4.56 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$169.80 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.

LILLIAN M. TEIGLAND MD
Family Medicine
6324 FAIRVIEW RD, SUITE 201
CHARLOTTE, NC 28210
Mecklenburg County (704) 384-0588
DR. STEPHEN H POWELL MD
Internal Medicine
6324 FAIRVIEW RD, SUITE 310
CHARLOTTE, NC 28210
Mecklenburg County (704) 316-6565
JOHN W EVANS JR. MD
Radiology (Diagnostic Radiology)
6324 FAIRVIEW RD, SUITE 120 A
CHARLOTTE, NC 28210
Mecklenburg County (704) 362-8444
THE PRESBYTERIAN HOSPITAL
Internal Medicine (Geriatric Medicine)
6324 FAIRVIEW RD, SUITE 310
CHARLOTTE, NC 28210
Mecklenburg County (704) 316-6565
MECKLENBURG DIAGNOSTIC IMAGING LLC
Radiology (Diagnostic Radiology)
6324 FAIRVIEW RD, SUITE 120 A
CHARLOTTE, NC 28210
Mecklenburg County (704) 362-8444
NOVANT MEDICAL GROUP, INC
Obstetrics & Gynecology
6324 FAIRVIEW RD, SUITE 390
CHARLOTTE, NC 28210
Mecklenburg County (704) 316-5270
JULIE MEAD BOGGUSS FNP
Nurse Practitioner
6324 FAIRVIEW RD, SUITE 350
CHARLOTTE, NC 28210
Mecklenburg County (704) 384-8600
BRANDON TRAVIS MCCOY PA-C
Physician Assistant
6324 FAIRVIEW RD
CHARLOTTE, NC 28210
Mecklenburg County (704) 384-0588

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 Peter Mack's NPI number?

The NPI number for Peter Mack is 1922202225. It was assigned to this individual provider in the NPPES registry on June 12, 2007.

Where is Peter Mack located?

Peter Mack practices at 6324 Fairview Rd Suite 201, Charlotte, NC 28210. The listed phone number is (704) 384-0588.

What is Peter Mack's specialty?

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

Is Peter Mack enrolled in Medicare?

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

Which organization bills Medicare for Peter Mack's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Mack reassigns Medicare benefits to Novant Medical Group, Inc. (Charlotte, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Peter Mack's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Mack accept?

Health plans from Blue Cross and Blue Shield of NC and Cigna Healthcare list Peter 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 Peter Mack affiliated with any hospitals?

According to CMS data, Peter Mack is affiliated with Novant Health Presbyterian Medical Center and Novant Health Matthews Medical Center.

When was this NPI record last updated?

The NPPES record for Peter Mack was last updated on October 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.