SAMUEL J MACKENZIE M.D.
NPI 1093193120
Psychiatry & Neurology - Neuromuscular Medicine in Rochester, NY

Active since May 08, 2015PECOS EnrolledAccepts Medicare Assignment
95.68/100
CMS Quality Rating
601 ELMWOOD AVE, ROCHESTER, NY 14642(585) 275-2559 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jul 7, 2023, Aug 10, 2021 (2 updates tracked since 2021).

About Samuel J Mackenzie M.d. NPPES

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

SAMUEL J MACKENZIE M.D. (NPI 1093193120) is an individual neuromuscular medicine provider in Rochester, New York, licensed in New York (309805) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Strong Memorial Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1093193120
Entity TypeIndividualMale
Primary Taxonomy2084N0008X
Provider Legal NameSAMUEL J MACKENZIECredential: M.D.
Location Address601 ELMWOOD AVERochester, NY 14642-5718
Mailing Address601 Elmwood Ave Box 673Rochester, NY 14642-0001 · (585) 275-2559
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 8, 2015
Last NPPES UpdateJuly 7, 20232 updates tracked since enumeration
NPPES CertifiedAugust 10, 2021
NPI 1093193120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · Neuromuscular MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084N0008X
License Licensed in NY · 309805
Definition
A neurologist or child neurologist who specializes in the diagnosis and management of disorders of nerve, muscle or neuromuscular junction, including amyotrophic lateral sclerosis, peripheral neuropathies (e.g., diabetic and immune mediated neuropathies), various muscular dystrophies, congenital and acquired myopathies, inflammatory myopathies (e.g., polymyositis, inclusion body myositis) and neuromuscular transmission disorders (e.g., myasthenia gravis, Lambert-Eaton myasthenic syndrome).
Also ListedPediatricsTaxonomy 208000000X · License 309805 (NY), 4301107318 (MI)
601 ELMWOOD AVE, Rochester, NY 14642

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

Samuel J Mackenzie 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 ID8628384559
PECOS Enrollment IDI20210621002597
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.

Hospital Affiliations CMS Care Compare

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

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.97
Promoting Interoperability100
Improvement Activities40
Cost68.32

Other Providers at the Same Location NPPES 20

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

Physician Assistant
601 ELMWOOD AVE
ROCHESTER, NY 14642
Pediatrics (Neonatal-Perinatal Medicine)
601 ELMWOOD AVE, BOX 635
ROCHESTER, NY 14642
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE, BOX 648
ROCHESTER, NY 14642
Nurse Practitioner (Family)
601 ELMWOOD AVE, BOX 652
ROCHESTER, NY 14642
Urology (Pediatric Urology)
601 ELMWOOD AVE, BOX 656
ROCHESTER, NY 14642
Nurse Practitioner (Adult Health)
601 ELMWOOD AVE, BOX 704
ROCHESTER, NY 14642
Student in an Organized Health Care Education/Training Program
601 ELMWOOD AVE, BOX 705
ROCHESTER, NY 14642
Radiology (Diagnostic Radiology)
601 ELMWOOD AVE
ROCHESTER, NY 14642

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samuel Mackenzie's NPI number?

The NPI number for Samuel Mackenzie is 1093193120. It was assigned to this individual provider in the NPPES registry on May 8, 2015.

Where is Samuel Mackenzie located?

Samuel Mackenzie practices at 601 Elmwood Ave, Rochester, NY 14642. The listed phone number is (585) 275-2559.

What is Samuel Mackenzie's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neuromuscular Medicine, with taxonomy code 2084N0008X.

Is Samuel Mackenzie enrolled in Medicare?

Yes. Samuel Mackenzie is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Samuel Mackenzie affiliated with any hospitals?

According to CMS data, Samuel Mackenzie is affiliated with Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Mackenzie was last updated on July 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.