Dr. Micah James Roland Mack , DO
Internal Medicine โข Bellevue, WA
11695 Ne 4th St
Bellevue, WA 980045268
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on June 22, 2018; this date does not establish years in practice.
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Published CMS data list 1,457 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99214 โ Established patient outpatient office visit: 420 service units.
- G2211 โ 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 service units.
- 36415 โ Insertion of needle into vein for collection of blood sample: 193 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 15 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 3,419 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Atorvastatin Calcium โ 285 prescription fills, including refills.
- Amlodipine Besylate โ 191 prescription fills, including refills.
- Losartan Potassium โ 141 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 89 records in the table ยท Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 80% of clinicians listed under Internal Medicine in Bellevue, WA (2024, 64 clinicians with data). Median for this group: 488. Middle half: 186 to 1,080.
More Medicare Part B services than 85% of clinicians listed under Internal Medicine in Washington (2024, 1,563 clinicians with data). Median for this group: 445. Middle half: 181 to 884.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 189 in 2021 to 1,457 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2021โ2024.
Practice Location & Contact Primary Location
11695 Ne 4th St
Bellevue, WA 980045268
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 3 distinct group names: Select Outpatient Services Inc; Select Rehabilitation, Llc; Virginia Mason Medical Center. 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
At Still University Of Health Sciences, College Of Osteo Med, Kirksville
2018
What Public CMS Data Show
Internal Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
411 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $109,649 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.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
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 $80,273 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
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.
30-day fills
7,523 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$149,014 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024.
Open Payments general payments, program year 2024
All general payments: $77.32 across 3 records.
By nature of payment
- Food and Beverage: $77.32 across 3 records.
Reporting-company totals
- ABBVIE INC.: $77.32 across 3 records.
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.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2024 (published June 30, 2026).
Years since graduation
8 years (graduated 2018)
CMS Doctors and Clinicians data list 2018 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished 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
2018
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.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, โDoes your provider accept Medicare as full payment?โ
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Mack 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.
Can order Medicare-covered services
CMS lists Dr. Mack 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.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
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.
Compared with the same specialty in Bellevue and Washington
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 80% of clinicians listed under Internal Medicine in Bellevue, WA (2024, 64 clinicians with data). Median for this group: 488. Middle half: 186 to 1,080.
More Medicare Part B services than 85% of clinicians listed under Internal Medicine in Washington (2024, 1,563 clinicians with data). Median for this group: 445. Middle half: 181 to 884.
Medicare-allowed amount
A higher Medicare-allowed amount than 70% of clinicians listed under Internal Medicine in Bellevue, WA (2024, 64 clinicians with data). Median for this group: $55,758. Middle half: $16,484 to $111,538.
A higher Medicare-allowed amount than 80% of clinicians listed under Internal Medicine in Washington (2024, 1,563 clinicians with data). Median for this group: $44,391. Middle half: $19,546 to $81,175.
Paid by Medicare
A higher Medicare payment amount than 70% of clinicians listed under Internal Medicine in Bellevue, WA (2024, 64 clinicians with data). Median for this group: $43,439. Middle half: $12,644 to $86,362.
A higher Medicare payment amount than 80% of clinicians listed under Internal Medicine in Washington (2024, 1,563 clinicians with data). Median for this group: $34,352. Middle half: $14,821 to $61,951.
Medicare Part D prescriptions
More Part D prescriptions than 70% of clinicians listed under Internal Medicine in Bellevue, WA (2024, 76 clinicians with data). Median for this group: 1,290. Middle half: 121 to 3,760.
More Part D prescriptions than 70% of clinicians listed under Internal Medicine in Washington (2024, 1,654 clinicians with data). Median for this group: 834. Middle half: 101 to 3,989.
Part D drug cost
A higher Part D drug cost than 60% of clinicians listed under Internal Medicine in Bellevue, WA (2024, 76 clinicians with data). Median for this group: $46,898. Middle half: $9,241 to $264,171.
A higher Part D drug cost than 60% of clinicians listed under Internal Medicine in Washington (2024, 1,654 clinicians with data). Median for this group: $61,689. Middle half: $2,998 to $293,737.
115 active clinicians are listed under Internal Medicine with a practice address in Bellevue, WA (3,081 in Washington).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Bellevue
35.7% of these 115 clinicians have the CMS telehealth indicator.
66.1% of these 115 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 671% from 189 in 2021 to 1,457 in 2024.
- 2021: 189
- 2022: 887
- 2023: 1,053
- 2024: 1,457
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Medicare-allowed amount
Medicare-allowed amount increased 569% from $16,379 in 2021 to $109,649 in 2024.
- 2021: $16,379
- 2022: $77,404
- 2023: $90,682
- 2024: $109,649
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Paid by Medicare
Paid by Medicare increased 526% from $12,815 in 2021 to $80,273 in 2024.
- 2021: $12,815
- 2022: $55,056
- 2023: $66,790
- 2024: $80,273
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 499% from 571 in 2022 to 3,419 in 2024.
- 2022: 571
- 2023: 2,018
- 2024: 3,419
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30-day fills
30-day fills increased 507% from 1,238 in 2022 to 7,523 in 2024.
- 2022: 1,238
- 2023: 4,558
- 2024: 7,523
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Part D drug cost
Part D drug cost increased 1677% from $8,387 in 2022 to $149,014 in 2024.
- 2022: $8,387
- 2023: $84,583
- 2024: $149,014
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $151.86 in 2021 to $77.32 in 2024.
- 2021: $151.86
- 2022: $50.10
- 2024: $77.32
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (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
Program year 2024 (payments made January 1 โ December 31, 2024): fewer than 11 records totaling $77.32.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
UBRELVY | General | $28.15 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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UBRELVY | General | $26.52 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
|
UBRELVY | General | $22.65 |
Source: CMS Open Payments, program year 2024, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020โ2023 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, 2021โ2024; 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 |
|---|---|---|---|---|
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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420 | 255 | $330.00 | $140.39 |
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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
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307 | 192 | $47.00 | $17.42 |
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36415
Insertion of needle into vein for collection of blood sample
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193 | 161 | $25.13 | $8.65 |
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99211
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
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169 | 96 | $161.01 | $26.78 |
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G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
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116 | 116 | $286.84 | $141.38 |
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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
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76 | 58 | $463.00 | $197.36 |
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85610
Blood test, clotting time
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44 | 25 | $46.80 | $4.20 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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24 | 23 | $235.00 | $100.54 |
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99422
Online digital evaluation and management service for an established patient for up to 7 days, total time 11-20 minutes
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20 | 18 | $84.00 | $31.81 |
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93005
Routine electrocardiogram (ecg) using at least 12 leads with tracing
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18 | 18 | $322.06 | $7.35 |
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G0008
Administration of influenza virus vaccine
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18 | 18 | $99.00 | $35.62 |
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90653
Influenza vaccine, inactivated
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17 | 17 | $105.00 | $81.82 |
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93793
Anticoagulant management of patient taking warfarin
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12 | 12 | $34.00 | $12.42 |
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99421
Online digital evaluation and management service for an established patient for up to 7 days, total time 5-10 minutes
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12 | 11 | $43.00 | $16.25 |
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99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
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11 | 11 | $428.00 | $181.81 |
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.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 285 | 23,982 | $2,434.66 | 81 |
| Amlodipine Besylate | Amlodipine Besylate | 191 | 15,803 | $1,297.58 | 64 |
| Losartan Potassium | Losartan Potassium | 141 | 12,442 | $1,419.10 | 46 |
| Tamsulosin Hcl | Tamsulosin Hcl | 134 | 9,841 | $1,760.37 | 37 |
| Lisinopril | Lisinopril | 125 | 10,656 | $760.42 | 36 |
| Levothyroxine Sodium | Levothyroxine Sodium | 113 | 9,206 | $1,333.72 | 29 |
| Metformin Hcl Er | Metformin Hcl | 98 | 6,914 | $993.47 | 32 |
| Metoprolol Succinate | Metoprolol Succinate | 84 | 6,281 | $1,363.38 | 28 |
| Trazodone Hcl | Trazodone Hcl | 83 | 4,958 | $940.25 | 29 |
| Gabapentin | Gabapentin | 69 | 4,003 | $947.30 | 23 |
| Simvastatin | Simvastatin | 68 | 5,440 | $698.63 | 17 |
| Pantoprazole Sodium | Pantoprazole Sodium | 61 | 4,560 | $314.54 | 24 |
| Rosuvastatin Calcium | Rosuvastatin Calcium | 58 | 4,961 | $541.03 | 23 |
| Omeprazole | Omeprazole | 54 | 4,104 | $991.66 | 18 |
| Zolpidem Tartrate | Zolpidem Tartrate | 54 | 1,857 | $374.04 | 12 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 52 | 1,374 | $1,953.50 | 13 |
| Hydrochlorothiazide | Hydrochlorothiazide | 52 | 4,278 | $154.40 | 22 |
| Alendronate Sodium | Alendronate Sodium | 45 | 3,024 | $304.01 | 11 |
| Glimepiride | Glimepiride | 45 | 2,905 | $308.59 | 11 |
| Fluticasone Propionate | Fluticasone Propionate | 44 | 2,277 | $644.81 | 17 |
| Eliquis | Apixaban | 44 | 1,965 | $39,649.93 | โ |
| Atenolol | Atenolol | 43 | 3,258 | $398.87 | 11 |
| Finasteride | Finasteride | 43 | 3,330 | $326.31 | 13 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 43 | 1,076 | $1,013.57 | 29 |
| Pravastatin Sodium | Pravastatin Sodium | 42 | 3,004 | $427.86 | 11 |
(top 25 shown)
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2021-11-16NUCC Taxonomy Code: 207R00000X
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.
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.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - INTERNAL MEDICINE
I20210826003285
WA
3678978707
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
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
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physical Medicine & Rehabilitation
Dermatology
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Obstetrics & Gynecology
Advanced Registered Nurse Practitioner
Physical Therapist
Master of Physical Therapy
Internal Medicine
Doctor of Osteopathic Medicine (D.O.)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 11695 NE 4TH ST, BELLEVUE, WA 980045268 (Tel: 4256371855)
Registered at 11695 NE 4TH ST, BELLEVUE, WA 980045268 (Tel: 4256371855)
NPI status registered as active in NPPES database
Registered at 3033 W ORANGE AVE, ANAHEIM, CA 928043183 (Tel: 7148273000)
Registered at 2425 W GREENACRE AVE, ANAHEIM, CA 928013230 (Tel: 5096300580)
Recorded as MICAH MACK, DO
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Internal Medicine Providers in Bellevue
- Dr. Gary Schuster, MD
- Dr. Michael Denson, MD
- Dr. Julie Cella, MD
- Dr. Linda Fairchild, MD
- Dr. Ali Alhusseini, MD
- Dr. Shawn Lee, MD
Mailing Address
11695 Ne 4th St
Bellevue, WA 980045268
Phone: 4256371855