Djoser Mack
NPI 1629655592ActiveIndividual· Emergency Medicine· Stamford, CT
Emergency Medicine in Stamford, Connecticut, trained at New York Medical College (class of 2021). In 2024 Medicare paid $19,905 for 144 patients, and Part D covered 58 of their prescriptions, 86% of them generic.
Overview
| NPI | 1629655592 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 26, 2021 |
| Last updated in NPPES | Jun 24, 2024 |
| Certified by provider | Jun 24, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Emergency Medicine Primary | 207P00000X | 1.078244 | CT |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Emergency Medicine (CT) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 144 |
|---|---|
| Services billed | 155 across 10 procedure codes |
| Paid by Medicare | $19,905 |
Part D prescriptions in 2024
| Prescriptions (claims) | 58 · 58 30-day fills |
|---|---|
| Patients | 51 |
| Total drug cost | $491.86 |
| Generic share | 86% of claims |
Education and affiliations
| Medical school | New York Medical College |
|---|---|
| Graduation year | 2021 |
| Medicare specialty | Emergency Medicine |
Medical group
- Emergency Medicine Physicians of Fairfield County LLCStamford, CT · 35 clinicians
Hospital affiliation
- Stamford HospitalStamford, CT
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 24 emergency medicine physicians in Stamford · All emergency medicine physicians in Connecticut