Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Dr. Susan Tara Mackey , DC, PA-C

Physician Assistant โ€ข Patchogue, NY

Active NPI 1427080563 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

77 Medford Ave
Patchogue, NY 117721281

Call 6317581910 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

77 Medford Ave

Patchogue, NY 117721281

Telephone 6317581910
Fax 6317582371
Organization at the Same NPPES Address or Phone
South Shore Neurologic Associates Pc Facility NPI 1083782460

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Sound Beach, NY. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: New York University. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2015

Medicare patients

20 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $6,610 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $5,214 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Open Payments general payments, program year 2024

All general payments: $175.80 across 4 records.

By nature of payment

  • Food and Beverage: $175.80 across 4 records.

Reporting-company totals

  • HARMONY BIOSCIENCES LLC: $125.00 across 1 record.
  • ABBVIE INC.: $28.19 across 2 records.
  • Pfizer Inc.: $22.61 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).

Guide: How to read an Open Payments record

Years since graduation

11 years (graduated 2015)

CMS Doctors and Clinicians data list 2015 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Mackey has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Mackey as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Patchogue and New York

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 65% of clinicians listed under Physician Assistant in Patchogue, NY (2024, 23 clinicians with data). Median for this group: 101. Middle half: 46 to 392.

Fewer Medicare Part B services than 75% of clinicians listed under Physician Assistant in New York (2024, 5,025 clinicians with data). Median for this group: 151. Middle half: 53 to 410.

Medicare-allowed amount

A lower Medicare-allowed amount than 60% of clinicians listed under Physician Assistant in Patchogue, NY (2024, 23 clinicians with data). Median for this group: $13,316. Middle half: $3,365 to $34,273.

A lower Medicare-allowed amount than 65% of clinicians listed under Physician Assistant in New York (2024, 5,025 clinicians with data). Median for this group: $12,004. Middle half: $4,378 to $28,196.

Paid by Medicare

A lower Medicare payment amount than 60% of clinicians listed under Physician Assistant in Patchogue, NY (2024, 23 clinicians with data). Median for this group: $10,375. Middle half: $2,628 to $25,368.

A lower Medicare payment amount than 60% of clinicians listed under Physician Assistant in New York (2024, 5,025 clinicians with data). Median for this group: $8,890. Middle half: $3,209 to $20,987.

79 active clinicians are listed under Physician Assistant with a practice address in Patchogue, NY (15,558 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Patchogue

2.5% of these 79 clinicians have the CMS telehealth indicator.

68.4% of these 79 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments ยท Program Year 2024
Disclosure Year:

Program year 2024 (payments made January 1 โ€“ December 31, 2024): fewer than 11 records totaling $175.80.

Manufacturer Payment Nature Product Type Amount ($)
HARMONY BIOSCIENCES LLC
Food and Beverage
Cash or cash equivalent
WAKIX General $125.00
Pfizer Inc.
Food and Beverage
In-kind items and services
NURTEC ODT General $22.61
ABBVIE INC.
Food and Beverage
In-kind items and services
QULIPTA General $14.31
ABBVIE INC.
Food and Beverage
In-kind items and services
QULIPTA General $13.88

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2017โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code 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

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-04-18
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES 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

License # reported to NPPES 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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
6I020569Y06 (NY)
Other Identifier Wc
C07538-4 (NY)
Other Identifier Wc
C0753YM (NY)
Other Identifier Acn
605796
Other Identifier Mdc
929118N
Other Identifier Oxford
P735820
Other Identifier Ghi
859940
Other Identifier Cigna
8675557
Other Identifier Aetna
2124488
Other Identifier Vytra
80315

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20151201002060

Enrollment State Jurisdiction

NY

PECOS Control ID

1951335371

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

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

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

7 listed
Dr. Nicole Aquino , DPT

Physical Therapist

NPI 1861968372

Doctor of Physical Therapy

Laura Buck , NP

Nurse Practitioner - Adult Health

NPI 1346524519

Nurse Practitioner

Brian Connell , PT

Physical Therapist

NPI 1841835808

Physical Therapist

Dr. Justine Hoffmann , DPT

Physical Therapist

NPI 1114318219

Doctor of Physical Therapy

Dr. Daniel Stern , DPT

Physical Therapist

NPI 1275242604

Doctor of Physical Therapy

Stacy Trebing , PT

Physical Therapist

NPI 1396071262

Physical Therapist

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
๐Ÿ“
Updated Practice Location April 18, 2024

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

๐Ÿ“
Updated Business Mailing Address April 18, 2024

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

๐Ÿ“
Updated Practice Location May 31, 2018

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

๐Ÿ“
Updated Business Mailing Address May 31, 2018

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

๐Ÿ‘ค
Provider Name / Credentials Updated May 31, 2018

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

โœ…
NPI Profile Active October 14, 2015

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) October 14, 2015

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

๐Ÿ“
Business Mailing Address (Initial Record) October 14, 2015

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

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) October 14, 2015

Recorded as SUSAN MACKEY, D.C.

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 14, 2015

Chiropractor (license number reported to NPPES: NY X007538-1)

๐ŸŸข
Initial NPI Registration & Enumeration July 07, 2006

First registered as active Individual Practitioner in NPPES Database.

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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

Other Physician Assistants in Patchogue

All Physician Assistants in Patchogue

Mailing Address

77 Medford Ave

Patchogue, NY 117721281

Phone: 6317581910

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.