Individual provider Active NPI

Edward G. Mackay, M.D.

  • Vascular Surgery Physician
  • Palm Harbor, FL
National Provider Identifier
1770548505
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME64157 Issued in FL
Practice address
2863 Alt 19
Palm Harbor, FL 34683-1926
Phone
(727) 584-3669
Fax
(727) 781-3792
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X ME64157 FL Primary

Addresses

Primary practice location

2863 Alt 19
Palm Harbor, FL 34683-1926

Mailing address

2863 Alt 19
Palm Harbor, FL 34683-1926
Phone (727) 584-3669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040429000866 FL Practitioner - Vascular SurgeryPractitioner - General Surgery 5092702175 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
University of Florida College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edward G Mackay, MD and Associates, LLCGroup PAC ID 5193064467, 5 clinicians

Practice addresses (Care Compare)

2863 Alt
Suite 19
Palm Harbor, FL 34683-1926
Phone (727) 781-5652

Hospital & facility affiliations

  • Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127
  • Mease Countryside Hospital Hospital, Safety Harbor, FL, CCN 100265
  • St Anthonys Hospital Hospital, Saint Petersburg, FL, CCN 100067

Merit-based Incentive Payment System (MIPS)

Final score
90.52 of 100Reported as group
Quality
97.35
Promoting interoperability
100
Improvement activities
40
Cost
71.05

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Edward G Mackay, MD and Associates, LLC Vascular Surgery CurrentSince Jan 7, 2019 Accepting new patients

Locations

2051 West Bay Dr
Largo, FL 33770
Phone (727) 581-8346

2863 Alt 19
Palm Harbor, FL 34683
Phone (727) 781-5652

2863 Alt 19
Ofc
Palm Harbor, FL 34683

7601 Dr Martin Luther King Jr St N
Ste C2
St Petersburg, FL 33702
Phone (727) 520-7995

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572480000000",
    "number": "1770548505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2863 ALT 19",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346831926",
            "telephone_number": "727-584-3669",
            "fax_number": "727-781-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2863 ALT 19",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346831926",
            "telephone_number": "727-584-3669",
            "fax_number": "727-781-3792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACKAY",
        "first_name": "EDWARD",
        "middle_name": "G.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2019-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME64157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.