Philip William Mack, MD
NPI 1861476798ActiveIndividual· Orthopaedic Surgery· Springfield, MA
Orthopaedic Surgery (MD) with Connecticut Children's Specialty Group, Inc, practicing in Springfield, Massachusetts. Enrolled in Medicare as practitioner - orthopedic surgery.
Overview
| NPI | 1861476798 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Dec 5, 2005 |
| Last updated in NPPES | Apr 11, 2022 |
| Certified by provider | Apr 11, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | 208323 | MA |
| Orthopaedic Surgery, Pediatric Orthopaedic Surgery | 207XP3100X | 050085 | CT |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Orthopedic Surgery (CT) |
|---|
Education and affiliations
| Graduation year | 1989 |
|---|---|
| Medicare specialty | Orthopedic Surgery |
Medical group
- Connecticut Children's Specialty Group, IncHartford, CT · 137 clinicians
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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