Theresa Mack, M.D.,
NPI 1215953047 · Internal Medicine Physician · New York, NY
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Theresa Mack, M.D., is a Internal Medicine Physician provider in New York, NY (NPI 1215953047).
Provider details
- NPI number
- 1215953047
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.,
- Sex
- Female
- Sole proprietor
- No
- License
- 175735 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
308 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 205 | $142 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 103 | $9 |
Typical Medicare-allowed amounts for these services range $9–$142 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 126 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amlodipine Besylate | 426 | 110 |
| Atorvastatin Calcium | 388 | 103 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 276 | 59 |
| Hydrochlorothiazide | 250 | 62 |
| Omeprazole | 234 | 53 |
| Metformin Hcl | 230 | 52 |
| Gabapentin |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$706 across 9 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-14
- Last updated
- 2019-04-26
Frequently asked questions
- What is Theresa Mack's NPI number?
- Theresa Mack's National Provider Identifier (NPI) is 1215953047, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theresa Mack's specialty?
- Theresa Mack is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Theresa Mack located?
- Theresa Mack's practice location on file with NPPES is 1111 Amsterdam Ave, New York, NY 10025-1716.
- What is Theresa Mack's phone number?
- The practice phone number listed in the NPPES registry for Theresa Mack is (212) 256-3539.
- Does Theresa Mack accept Medicare?
- Theresa Mack is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Theresa Mack's NPI active?
- Yes — Theresa Mack's NPI (1215953047) is active in the NPPES registry as of the last update on 2019-04-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.