Timothy A. Mackie, PA
NPI 1689655466ActiveIndividual· Physician Assistant, Surgical· Thornton, CO
Physician Assistant, Surgical (PA) with Poudre Valley Medical Group LLC, practicing in Thornton, Colorado. In 2024 Medicare paid $23,427 for 263 patients, and Part D covered 175 of their prescriptions, 87% of them generic. Lists University of Colorado Hospital Authority as a hospital affiliation.
Overview
| NPI | 1689655466 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA |
| Sole proprietor | No |
| NPI issued | Nov 9, 2005 |
| Last updated in NPPES | Nov 3, 2021 |
| Certified by provider | Nov 3, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Surgical Primary | 363AS0400X | 1718 | CO |
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 - Physician Assistant (CO) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 263 |
|---|---|
| Services billed | 467 across 43 procedure codes |
| Paid by Medicare | $23,427 |
Part D prescriptions in 2024
| Prescriptions (claims) | 175 · 182 30-day fills |
|---|---|
| Patients | 147 |
| Total drug cost | $8,505 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2000 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Poudre Valley Medical Group LLCDenver, CO · 2,440 clinicians
Hospital affiliation
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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