DR. JERRY LAMONT MCKENZIE M.D.
NPI 1053679407
Family Medicine - Geriatric Medicine in Mansfield, TX

Q: What is Jerry Mckenzie's NPI number?

The NPI number for Jerry Mckenzie is 1053679407. It was assigned to this individual provider in the NPPES registry on April 23, 2012.

Q: What is Jerry Mckenzie's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Q: When was this NPI record last updated?

The NPPES record for Jerry Mckenzie was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 23, 2012PECOS EnrolledAccepts Medicare Assignment

1720 E BROAD ST, MANSFIELD, TX 76063(817) 453-5912 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 11, 2024, Sep 11, 2024, May 11, 2023 (3 updates tracked since 2023).

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About Dr. Jerry Lamont Mckenzie M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JERRY LAMONT MCKENZIE M.D. (NPI 1053679407) is an individual geriatric medicine provider in Mansfield, Texas, licensed in Texas (R4786) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Medical City Arlington, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1053679407

Entity TypeIndividualMale

Primary Taxonomy207QG0300X

Provider Legal NameDR. JERRY LAMONT MCKENZIECredential: M.D.

Location Address1720 E BROAD STMansfield, TX 76063-3400

Mailing Address4400 Oak Park LnFort Worth, TX 76109-9534 · (817) 985-7772

Phone(817) 453-5912

Sole ProprietorNo

Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2012

Enumeration DateApril 23, 2012

Last NPPES UpdateDecember 11, 20243 updates tracked since enumeration

NPPES CertifiedDecember 11, 2024

✔ NPI 1053679407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QG0300X

License✔ Licensed in TX · R4786

Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Also ListedEmergency MedicineTaxonomy 207P00000X · License E-8969 (AR)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1720 E BROAD ST, Mansfield, TX 76063

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Secondary Practice Locations 2

Location 1845 Desco LnGrand Prairie, TX 75051-1685 · Phone (817) 761-7876 · Fax (817) 635-6362

Location 23920 W Wheatland Rd Ste 152Dallas, TX 75237-3404 · Phone (214) 467-0432

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jerry Lamont Mckenzie M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID345565495

PECOS Enrollment IDI20181005002456

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

51 services43 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

33 services29 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Medical City Arlington

Acute Care Hospitals · Arlington, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450675

Location3301 Matlock RoadArlington, TX 76015 · Tarrant County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76063 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.20 typical visit price

range $56.47 – $171.07

Typical copayment $21.80 (range $14.11 – $42.76)

Most-billed visit code 99203

Established Patient

$99.68 typical visit price

range $18.18 – $139.68

Typical copayment $24.92 (range $4.54 – $34.92)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHERRI KIRSCHBAUM FNP

Nurse Practitioner (Family)