Doctor profile · Federal record
Dr. Kelly Mack, PA-C
Medical Physician Assistant (CMS: Physician Assistant) · Medical Physician Assistant · Prince Frederick, MD
- NPI 1396813960
- Accepts Medicare
- MIPS 95.8 / 100 · 2023
- 21 yrs in practice
- Licensed in 2 states
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
995 N. Prince Frederick Blvd, Suite 204
Prince Frederick, MD 20678
(410) 535-5855
fax (410) 535-6574 - Mailing address
-
4505 Kingwood Dr, Ste 185
Kingwood, TX 773452618
Credentials & registration
- NPI registered
- December 2006 — 20 yrs on file
- Profile last updated
- August 13, 2019
- Year of graduation
- 2005 — 21 yrs since
- Specialty taxonomy
- 363AM0700X — NUCC code
- State licenses (2)
- Texas #PA07662 · California #PA18061
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1396813960. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
877
Distinct HCPCS
10
Medicare allowed
$44,064
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
17003 |
Destruction of precancer skin growth, 2-14 growths | 348 | 56 | $6 | |
17000 |
Destruction of precancer skin growth, 1 growth | 107 | 76 | $42 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 107 | 83 | $78 | |
17110 |
Destruction of skin growth, 1-14 growths | 86 | 76 | $97 | |
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 75 | 63 | $110 | |
11102 |
Biopsy of related skin growth, first growth | 66 | 56 | $76 | |
99212 |
Established patient office or other outpatient visit, 10-19 minutes | 28 | 25 | $49 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 23 | 23 | $97 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 21 | 21 | $142 | |
99202 |
New patient office or other outpatient visit, 15-29 minutes | 16 | 16 | $63 |
In context: peer comparison
Among 2 peers in Prince Frederick Medical Physician Assistant, average services per provider: 113. This provider delivers 7.8× the peer median.Open Payments
Industry payments received
All-time total
$3,683
Transactions
176
Manufacturers
15
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Sun Pharmaceutical Industries INC. | 20 | $548.47 | |
| Janssen Biotech, INC. | 13 | $381.97 | |
| Lilly USA, LLC | 17 | $373.33 | |
| Regeneron Healthcare Solutions, INC. | 9 | $294.25 | |
| Leo Pharma INC. | 21 | $281.87 | |
| Incyte Corporation | 13 | $255.60 | |
| Genzyme Corporation | 9 | $247.16 | |
| Novartis Pharmaceuticals Corporation | 13 | $235.20 | |
| Amgen INC. | 11 | $212.34 | |
| Abbvie INC. | 13 | $198.67 | |
| E.R. Squibb & Sons, L.L.C. | 15 | $168.77 | |
| Dermavant Sciences, INC. | 5 | $121.45 | |
| Arcutis Biotherapeutics, INC. | 5 | $92.25 | |
| Ortho Dermatologics, A Division of Bausch Health US, LLC | 4 | $68.21 | |
| Mayne Pharma Commercial LLC | 8 | $50.09 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
249
Patients
163
Total drug cost
$6,609
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Triamcinolone Acetonide | Generic | 51 | 36 | $448 |
| Mupirocin | Generic | 42 | 37 | $402 |
| Ketoconazole | Generic | 33 | 20 | $418 |
| Clobetasol Propionate | Generic | 31 | 23 | $2,599 |
| Hydrocortisone | Generic | 22 | 20 | $159 |
| Clindamycin Phosphate | Generic | 21 | 16 | $939 |
| Fluorouracil | Generic | 14 | 11 | $1,263 |
| Minoxidil | Generic | 12 | 0 | $133 |
| Nystatin | Generic | 12 | 0 | $142 |
| Valacyclovir (Valacyclovir Hcl) | Brand | 11 | 0 | $106 |
Frequently asked questions
What is Dr. Kelly Mack's medical specialty?
Dr. Kelly Mack practices Medical Physician Assistant in Prince Frederick, MD.
Where does Dr. Kelly Mack practice?
Dr. Kelly Mack practices at 995 N. Prince Frederick Blvd, Prince Frederick, MD 20678. Office phone: 4105355855.
What is Dr. Kelly Mack's NPI?
Dr. Kelly Mack's National Provider Identifier (NPI) is 1396813960, issued by NPPES.
Does Dr. Kelly Mack accept Medicare assignment?
Yes. Dr. Kelly Mack accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Kelly Mack commonly perform?
Top Medicare-reported procedures in 2023: Destruction of precancer skin growth, 2-14 growths (HCPCS 17003); Destruction of precancer skin growth, 1 growth (HCPCS 17000); Established patient office or other outpatient visit (HCPCS 99213). Source: CMS Medicare Physician & Other Practitioners file.