Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417987470 Individual Practitioner Male Practitioner

Dr. Thomas Val Mack , MD

General Practice • Marinette, WI

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Mack, MD is a registered healthcare professional specializing in General Practice in Marinette, WI. Practice services are available at 4061 OLD PESHTIGO RD under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, routine ekg using at least 12 leads including interpretation and report. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4061 Old Peshtigo Rd

Marinette, WI 541433887

Telephone 7157328090
Fax 7157328015
Associated Practice Facility / Clinic
🏢 Aurora Medical Group, Inc Facility NPI 1144273913

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Marinette, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 29.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Marinette, WI (130 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
77.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
250 219 $280.42 $71.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
19 19 $415.21 $96.61
99202 New patient office or other outpatient visit, typically 20 minutes
17 17 $437.00 $72.93
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
15 15 $406.00 $103.89

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License WI 21285-20

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
30126200 (WI)
Commercial Insurance / Payer ID Medicare Railroad
P01529036

Practice Associates & Co-Workers

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

4 Associated Practitioners
Ashley Gauthier , LCSW

Social Worker - Clinical

NPI 1063053494

Licensed Clinical Social Worker

Dr. Ulysses Boco , MD

Family Medicine

NPI 1396239372

Doctor of Medicine (M.D.)

Rebecca Hotzel , NP

Nurse Practitioner

NPI 1427949353

Nurse Practitioner

Erin Pape , APNP

Nurse Practitioner

NPI 1720635485

Advanced Practice Nurse Prescriber

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location October 17, 2018

Registered at 4061 OLD PESHTIGO RD, MARINETTE, WI 541433887 (Tel: 7157328090)

📍
Updated Business Mailing Address October 17, 2018

Registered at 3003 UNIVERSITY DR, MARINETTE, WI 541434110 (Tel: 7157351737)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 17, 2018

General Practice (License #21285-20 in WI)

NPI Profile Active September 19, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location September 19, 2014

Registered at 1106 UNIVERSITY DR, SUITE 102, MARINETTE, WI 541435110 (Tel: 7157355272)

📍
Updated Business Mailing Address September 19, 2014

Registered at 3120 RIVERSIDE AVE, GATE B BUILDING 1, MARINETTE, WI 541436007 (Tel: 7157322075)

👤
Provider Name / Credentials Updated September 19, 2014

Recorded as THOMAS MACK, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 19, 2014

Emergency Medicine (License #21285-020 in WI)

🟢
Initial NPI Registration & Enumeration July 04, 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: 1417987470
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 04, 2006
Last Update: October 17, 2018
Sole Proprietor: No

Mailing Address

3003 University Dr

Marinette, WI 541434110

Phone: 7157351737

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.