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Active NPI 1548265689 Individual Practitioner Male Practitioner

Dr. Thomas J Mack , DPM

Podiatrist • Stickney, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Mack, DPM is a certified Podiatrist practicing in Stickney, IL. With approximately 42 years of clinical experience since graduating from William M. Scholl College Of Podiatric Medicine in 1984, Dr. Mack delivers high-quality medical care to the local community at 6721 WEST 40TH STREET.

Dr. Mack is affiliated with Stickney Public Health District and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of fingernails or toenails, new patient outpatient office visit, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6721 West 40th Street

Stickney, IL 604024171

Telephone 7083870633
Fax 7083870638
Associated Practice Facility / Clinic
🏢 Brookfield Podiatry Center Facility NPI 1245415850

Medicare Profile & Education

Medical School

William M. Scholl College Of Podiatric Medicine

Graduation Year

1984

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Podiatrist in Stickney, IL

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
42 Yrs Matches City Avg
City Avg: 42.0 Yrs
State Avg: 29.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Stickney, IL (647 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
6.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mack (42 Years) 42 Yrs
Stickney Specialty Average (42.0 Years) 42.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
11721 Removal of fingernails or toenails, 6 or more nails
46 18 $48.85 $45.77

Medical Specialties & State Licenses

CMS Verified: 2020-04-29
Podiatrist Primary Specialty

NUCC Taxonomy Code: 213E00000X

State License IL 016-003-689

A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
016003689 (IL)

Hospital & Practice Group Affiliations

Stickney Public Health District

5635 State Rd, Burbank, IL 604592051

Phone: 7082378918

Secondary Practice Locations

5635 State Rd

Burbank, IL 604592051

Phone: 7084249200

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Business Mailing Address April 29, 2020

Registered at 21041 W SNOWBERRY LN, PLAINFIELD, IL 605446413 (Tel: 6303908360)

📍
Updated Practice Location January 30, 2019

Registered at 6721 WEST 40TH STREET, STICKNEY, IL 604024171 (Tel: 7083870633)

📍
Updated Business Mailing Address January 30, 2019

Registered at 15 VALLEY VIEW DRIVE, LEMONT, IL 604394485 (Tel: 6303908360)

NPI Profile Active April 21, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location April 21, 2011

Registered at 3704 GRAND BLVD, BROOKFIELD, IL 605131624 (Tel: 7083870633)

📍
Updated Business Mailing Address April 21, 2011

Registered at 3704 GRAND BLVD, BROOKFIELD, IL 605131624 (Tel: 7083870633)

👤
Provider Name / Credentials Updated April 21, 2011

Recorded as THOMAS MACK, DPM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2011

Podiatrist (License #016-003-689 in IL)

🟢
Initial NPI Registration & Enumeration June 16, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548265689
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2005
Last Update: April 29, 2020
Sole Proprietor: Yes

Mailing Address

21041 W Snowberry Ln

Plainfield, IL 605446413

Phone: 6303908360

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.