Doctor profile · Federal record
Dr. Simon Mack, D.D.S.
Dentist · Student in an Organized Health Care Education/Training Program · Longview, TX
- NPI 1639676166
- Accepts Medicare
- 8 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
3004 H.G. Mosley Pkwy
Longview, TX 75605
(903) 758-3444
fax (903) 758-1967
Credentials & registration
- NPI registered
- April 2018 — 8 yrs on file
- Profile last updated
- September 9, 2022
- Year of graduation
- 2018 — 8 yrs since
- Specialty taxonomy
- 122300000X — NUCC code
- State license (1)
- Texas #34781
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1639676166. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
15
Distinct HCPCS
1
Medicare allowed
$1,038
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99202 |
New patient office or other outpatient visit, 15-29 minutes | 15 | 15 | $69 |
In context: peer comparison
Among 1 peers in Longview Dentist, average services per provider: 15. This provider delivers 1.0× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
444
Patients
420
Total drug cost
$2,766
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Tramadol Hcl | Generic | 119 | 116 | $429 |
| Penicillin V Potassium | Generic | 114 | 111 | $709 |
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 68 | 63 | $636 |
| Amoxicillin | Generic | 62 | 53 | $304 |
| Clindamycin Hcl | Generic | 42 | 40 | $450 |
| Acetaminophen-Codeine (Acetaminophen With Codeine) | Brand | 23 | 23 | $133 |
| Chlorhexidine Gluconate | Generic | 16 | 14 | $106 |
Frequently asked questions
What is Dr. Simon Mack's medical specialty?
Dr. Simon Mack practices Dentist in Longview, TX.
Where does Dr. Simon Mack practice?
Dr. Simon Mack practices at 3004 H.G. Mosley Pkwy, Longview, TX 75605. Office phone: 9037583444.
What is Dr. Simon Mack's NPI?
Dr. Simon Mack's National Provider Identifier (NPI) is 1639676166, issued by NPPES.
Does Dr. Simon Mack accept Medicare assignment?
Yes. Dr. Simon Mack accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Simon Mack commonly perform?
Top Medicare-reported procedures in 2023: New patient office or other outpatient visit (HCPCS 99202). Source: CMS Medicare Physician & Other Practitioners file.