Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1447745450 Individual Practitioner Male Practitioner

Dr. Micah James Roland Mack , DO

Internal Medicine • Bellevue, WA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Micah Mack, DO is a certified Internal Medicine practicing in Bellevue, WA. With approximately 8 years of clinical experience since graduating from At Still University Of Health Sciences, College Of Osteo Med, Kirksville in 2018, Dr. Mack delivers high-quality medical care to the local community at 11695 NE 4TH ST.

Dr. Mack maintains professional affiliations with Select Outpatient Services Inc, Virginia Mason Medical Center, Select Rehabilitation, Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

11695 Ne 4th St

Bellevue, WA 980045268

Telephone 4256371855
Fax 2063447970
Associated Practice Facility / Clinic
🏢 Virginia Mason Medical Center Facility NPI 1699702050

Medicare Profile & Education

Medical School

At Still University Of Health Sciences, College Of Osteo Med, Kirksville

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Bellevue, WA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs -16.6 yrs vs City Avg
City Avg: 24.6 Yrs
State Avg: 23.4 Yrs
Regional Practice Density
115 Specialists

Practicing in Bellevue, WA (3169 Statewide)

Telehealth Adoption Rate
35.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
63.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mack (8 Years) 8 Yrs
Bellevue Specialty Average (24.6 Years) 24.6 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
420 255 $330.00 $140.39
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
307 192 $47.00 $17.42
36415 Insertion of needle into vein for collection of blood sample
193 161 $25.13 $8.65
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
169 96 $161.01 $26.78
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
116 116 $286.84 $141.38
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
76 58 $463.00 $197.36
85610 Blood test, clotting time
44 25 $46.80 $4.20
99213 Established patient office or other outpatient visit, typically 15 minutes
24 23 $235.00 $100.54
99422 Online digital evaluation and management service for an established patient for up to 7 days, total time 11-20 minutes
20 18 $84.00 $31.81
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing
18 18 $322.06 $7.35
G0008 Administration of influenza virus vaccine
18 18 $99.00 $35.62
90653 Vaccine for influenza for injection into muscle
17 17 $105.00 $81.82
93793 Anticoagulant management of patient taking warfarin
12 12 $34.00 $12.42
99421 Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes
12 11 $43.00 $16.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
11 11 $428.00 $181.81

Medical Specialties & State Licenses

CMS Verified: 2021-11-16
Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License WA OP61175176

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Select Outpatient Services Inc

2600 Compass Rd, Glenview, IL 600268001

Select Rehabilitation, Llc

2600 Compass Rd, Glenview, IL 600268001

Virginia Mason Medical Center

11695 Ne 4th St, Bellevue, WA 980045268

Phone: 4256371855

Practice Associates & Co-Workers

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

32 Associated Practitioners
Laura Wendzich , PA-C

Physician Assistant - Medical

NPI 1013319854

Physician Assistant (Certified)

Dr. Leland Teng , MD

Internal Medicine

NPI 1033138730

Doctor of Medicine (M.D.)

Hana Ryan , AGPCNP-BC

Nurse Practitioner

NPI 1033684428

AGPCNPBC

Dr. Nicholas Moy , MD

Internal Medicine

NPI 1043443716

Doctor of Medicine (M.D.)

Dr. Helen Shih , MD

Internal Medicine

NPI 1043502552

Doctor of Medicine (M.D.)

Kaitlin Lassen , PA-C

Physician Assistant - Medical

NPI 1093263873

Physician Assistant (Certified)

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location November 16, 2021

Registered at 11695 NE 4TH ST, BELLEVUE, WA 980045268 (Tel: 4256371855)

📍
Updated Business Mailing Address November 16, 2021

Registered at 11695 NE 4TH ST, BELLEVUE, WA 980045268 (Tel: 4256371855)

NPI Profile Active June 22, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 22, 2018

Registered at 3033 W ORANGE AVE, ANAHEIM, CA 928043183 (Tel: 7148273000)

📍
Updated Business Mailing Address June 22, 2018

Registered at 2425 W GREENACRE AVE, ANAHEIM, CA 928013230 (Tel: 5096300580)

👤
Provider Name / Credentials Updated June 22, 2018

Recorded as MICAH MACK, DO

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 22, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 22, 2018

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: 1447745450
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 22, 2018
Last Update: November 16, 2021
Sole Proprietor: No

Mailing Address

11695 Ne 4th St

Bellevue, WA 980045268

Phone: 4256371855

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.