Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1427080563 Individual Practitioner Female Practitioner

Dr. Susan Tara Mackey , DC, PA-C

Physician Assistant • Patchogue, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Susan Mackey, DC, PA-C is a certified Physician Assistant practicing in Patchogue, NY. With approximately 11 years of clinical experience since completing medical education in 2015, Dr. Mackey delivers high-quality medical care to the local community at 77 MEDFORD AVE.

Dr. Mackey is affiliated with New York University and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, chiropractic manipulative treatment, 1-2 spinal regions. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

77 Medford Ave

Patchogue, NY 117721281

Telephone 6317581910
Fax 6317582371
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Patchogue, NY

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs +3.3 yrs vs City Avg
City Avg: 7.7 Yrs
State Avg: 12.0 Yrs
Regional Practice Density
81 Specialists

Practicing in Patchogue, NY (15701 Statewide)

Telehealth Adoption Rate
2.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
83.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mackey (11 Years) 11 Yrs
Patchogue Specialty Average (7.7 Years) 7.7 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
37 16 $671.89 $128.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
11 11 $1155.00 $168.61

Medical Specialties & State Licenses

CMS Verified: 2024-04-18
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NY 018994-1

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.

Chiropractor

NUCC Taxonomy Code: 111N00000X

State License NY X007538-1

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
6I020569Y06 (NY)
Commercial Insurance / Payer ID Wc
C07538-4 (NY)
Commercial Insurance / Payer ID Wc
C0753YM (NY)
Commercial Insurance / Payer ID Acn
605796
Commercial Insurance / Payer ID Mdc
929118N
Commercial Insurance / Payer ID Oxford
P735820
Commercial Insurance / Payer ID Ghi
859940
Commercial Insurance / Payer ID Cigna
8675557
Commercial Insurance / Payer ID Aetna
2124488
Commercial Insurance / Payer ID Vytra
80315

Hospital & Practice Group Affiliations

New York University

111 Broadway, New York, NY 100061901

Phone: 2122639700

New York University

77 Medford Ave, Patchogue, NY 117721281

Phone: 6317581910

New York University

877 E Main St, Riverhead, NY 119012521

Phone: 6317270660

Secondary Practice Locations

12 Deer Dr

Sound Beach, NY 117891328

Phone: 6317441845

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Danielle Bousquet

Physical Therapist

NPI 1063717833
NPI 1083195895

Doctor of Physical Therapy

Dr. Justine Hoffmann , DPT

Physical Therapist

NPI 1114318219

Doctor of Physical Therapy

Dr. Daniel Stern , DPT

Physical Therapist

NPI 1275242604

Doctor of Physical Therapy

Laura Buck , NP

Nurse Practitioner - Adult Health

NPI 1346524519

Nurse Practitioner

Emma Sarrett , MS, CCC-SLP

Speech-Language Pathologist

NPI 1376110619

Master of Science, Speech-Language Pathologist (Certificate of Clinical Competence)

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location April 18, 2024

Registered at 77 MEDFORD AVE, PATCHOGUE, NY 117721281 (Tel: 6317581910)

📍
Updated Business Mailing Address April 18, 2024

Registered at 77 MEDFORD AVE, PATCHOGUE, NY 117721281 (Tel: 6317581910)

📍
Updated Practice Location May 31, 2018

Registered at 181 BELLEMEADE RD STE 6, EAST SETAUKET, NY 117333495 (Tel: 6314442599)

📍
Updated Business Mailing Address May 31, 2018

Registered at 181 BELLEMEADE RD STE 6, EAST SETAUKET, NY 117333495 (Tel: 6314442599)

👤
Provider Name / Credentials Updated May 31, 2018

Recorded as SUSAN MACKEY, D.C., P.A.-C

NPI Profile Active October 14, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location October 14, 2015

Registered at 2500 NESCONSET HIGHWAY, BUILDING 9B, STONY BROOK, NY 11790 (Tel: 6316890049)

📍
Updated Business Mailing Address October 14, 2015

Registered at 2500 NESCONSET HIGHWAY, BUILDING 9B, STONY BROOK, NY 11790 (Tel: 6316890049)

👤
Provider Name / Credentials Updated October 14, 2015

Recorded as SUSAN MACKEY, D.C.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2015

Chiropractor (License #X007538-1 in NY)

🟢
Initial NPI Registration & Enumeration July 07, 2006

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: 1427080563
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2006
Last Update: April 18, 2024
Sole Proprietor: Yes

Mailing Address

77 Medford Ave

Patchogue, NY 117721281

Phone: 6317581910

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.