GREGORY MCKENZIE MD NPI 1093836066
Pathology - Anatomic Pathology & Clinical Pathology in Fayetteville, AR
About GREGORY MCKENZIE MD
Gregory Mckenzie is a provider established in Fayetteville, Arkansas and his medical specialization is Pathology with a focus in anatomic pathology & clinical pathology with more than 24 years of experience. He graduated from University Of Arkansas College Of Medicine in 1999. The NPI number of this provider is 1093836066 and was assigned on April 2007. The practitioner's primary taxonomy code is 207ZP0102X with license number E5271 (AR). The provider is registered as an individual and his NPI record was last updated 14 years ago.
| NPI | 1093836066 |
| Provider Name | GREGORY MCKENZIE MD |
| Location Address | 390 E LONGVIEW ST FAYETTEVILLE, AR 72703 |
| Location Phone | (479) 442-0144 |
| Mailing Address | 390 E. LONGVIEW FAYETTEVILLE, AR 72702 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE |
| Graduation Year | 1999 |
| Is Sole Proprietor? | No |
| Enumeration Date | 04-03-2007 |
| Last Update Date | 07-16-2009 |
Gregory Mckenzie is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Gregory Mckenzie is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Siloam Springs Regional Hospital, Washington Regional Medical Center, Mercy Hospital Northwest Arkansas, Northwest Medical Center-springdale and Northwest Medical Center-springdale.
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 81.87, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
The typical physician office visit costs for Medicare beneficiaries in this area are: $30.94 for a new patient copayment and $23.9 for an established patient copayment.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 207ZP0102X |
| Classification | Pathology |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Anatomic Pathology & Clinical Pathology |
| License No. | E5271 |
| License State | AR |
| Taxonomy Description | A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
Business Address
390 E LONGVIEW ST
FAYETTEVILLE, AR
ZIP 72703
Phone: (479) 442-0144
Mailing Address
390 E. LONGVIEW
FAYETTEVILLE, AR
ZIP 72702
Phone: (479) 442-0144
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 3678601721 |
| PECOS Enrollment ID | I20100511000183, I20220822002144 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 72703 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99204 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $53.13 | $163.67 | $123.79 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $13.28 | $40.91 | $30.94 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $16.26 | $133.84 | $95.6 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.06 | $33.46 | $23.9 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
| MIPS Measure | Score Weight | Score | |
|---|---|---|---|
| Quality | 40% | 78.67 | |
|
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores. There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey. |
|||
| Promoting Interoperability (PI) | 25% | N/A | |
|
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores. The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. |
|||
| Improvement Activities | 15% | 40 | |
|
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. |
|||
| Cost | 20% | N/A | |
|
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services. Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. |
|||
| MIPS Final Score | - | 81.87 | |
| The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment. | |||
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 746Pathology examination of tissue using a microscope, intermediate complexity (HCPCS:88305)
- 260Special stained specimen slides to examine tissue (HCPCS:88341)
- 146Tissue or cell analysis by immunologic technique (HCPCS:88342)
- 109Pathology examination of tissue using a microscope, moderately high complexity (HCPCS:88307)
- 54Pathology examination of tissue using a microscope, moderately low complexity (HCPCS:88304)
- 49Special stained specimen slides to examine tissue including interpretation and report (HCPCS:88313)
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Gregory Mckenzie is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| SILOAM SPRINGS REGIONAL HOSPITAL | 603 NORTH PROGRESS AVENUE SILOAM SPRINGS, AR 72761 | (479) 524-4141 | Acute Care Hospitals | 40001 | |
| WASHINGTON REGIONAL MEDICAL CENTER | 3215 N NORTH HILLS BOULEVARD FAYETTEVILLE, AR 72703 | (479) 463-5113 | Acute Care Hospitals | 40004 | |
| MERCY HOSPITAL NORTHWEST ARKANSAS | 2710 SOUTH RIFE MEDICAL LANE ROGERS, AR 72758 | (479) 338-8000 | Acute Care Hospitals | 40010 | |
| NORTHWEST MEDICAL CENTER-SPRINGDALE | 609 WEST MAPLE AVENUE SPRINGDALE, AR 72764 | (479) 751-5711 | Acute Care Hospitals | 40022 | |
| NORTHWEST MEDICAL CENTER-SPRINGDALE | 100 S BLISS AVENUE TAHLEQUAH, OK 74464 | (918) 458-3100 | Acute Care Hospitals | 370171 |
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 9 | 3 | 8 | 3 | 6 | 0 | 6 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 18 | 3 | 16 | 3 | 12 | 0 | 12 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 8 + 3 + 1 + 6 + 3 + 1 + 2 + 0 + 1 + 2 + 24 = 54 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 54 = 6 | 6 | ||||||||
The NPI number 1093836066 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 15 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1023081171 | DR. BRADLEY DILDAY M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 390 E LONGVIEW ST FAYETTEVILLE, AR 72703 (479) 442-0144 |
| 1467425512 | DR. ROGER FINK II M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 390 E LONGVIEW ST FAYETTEVILLE, AR 72703 (479) 442-0144 |
| 1417920570 | DR. LIZHEN GUI M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 390 E LONGVIEW ST FAYETTEVILLE, AR 72703 (479) 442-0144 |
| 1003889064 | DR. PAUL R HENDRYCY M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 390 E LONGVIEW ST FAYETTEVILLE, AR 72703 (479) 442-0144 |
| 1154394112 | DR. SARAN KRAICHOKE M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 390 E LONGVIEW ST FAYETTEVILLE, AR 72703 (479) 442-0144 |
| 1124091186 | DR. THOMAS J SIMMONS M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 390 E LONGVIEW ST FAYETTEVILLE, AR 72703 (479) 442-0144 |
| 1164491155 | DR. KAY AMIN CASHMAN D.D.S. Individual | Dentist (Oral and Maxillofacial Pathology) | 390 E LONGVIEW ST FAYETTEVILLE, AR 72703 (479) 527-2763 |
| 1851593990 | DR. LUCAS KYLE CAMPBELL MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 390 E LONGVIEW ST FAYETTEVILLE, AR 72703 (479) 442-0144 |
| 1417034984 | DR. KEVIN DRAKE BRANCH M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 390 E LONGVIEW ST FAYETTEVILLE, AR 72703 (479) 442-0144 |
| 1356668826 | KAY AMIN CASHMAN DDS PLLC Organization | Dentist (Oral and Maxillofacial Pathology) | 390 E LONGVIEW ST FAYETTEVILLE, AR 72703 (479) 527-2763 |
| 1538132592 | DR. ANTHONY N HUI M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 390 E LONGVIEW ST FAYETTEVILLE, AR 72703 (479) 442-0144 |
| 1457324055 | DR. THOMAS WHITESIDE M.D. Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 390 E LONGVIEW ST FAYETTEVILLE, AR 72703 (479) 442-0144 |
| 1396940607 | REBECCA A LEVY MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 390 E LONGVIEW ST FAYETTEVILLE, AR 72703 (479) 601-1175 |
| 1720331796 | NORTHWEST ARKANSAS PATHOLOGY ASSOCIATES Organization | Clinical Medical Laboratory | 390 E LONGVIEW ST FAYETTEVILLE, AR 72703 (479) 442-0144 |
| 1790103521 | MATTHEW A JEFFREYS MD Individual | Pathology (Anatomic Pathology & Clinical Pathology) | 390 E LONGVIEW ST FAYETTEVILLE, AR 72703 (479) 442-0144 |
Frequently Asked Questions
What is Gregory Mckenzie MD NPI number?
The NPI number assigned to this healthcare provider is 1093836066, registered as an "individual" on April 03, 2007
Where is Gregory Mckenzie MD located?
The provider is located at 390 E Longview St Fayetteville, Ar 72703 and the phone number is (479) 442-0144
Which is Gregory Mckenzie MD specialty?
The provider's speciality is Pathology with a focus in Anatomic Pathology & Clinical Pathology
How many years of experience does Gregory Mckenzie MD have?
The provider has more than 24 years of experience. He graduated from University Of Arkansas College Of Medicine in 1999.
Is Gregory Mckenzie MD registered in PECOS?
Yes, as of May 11, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
How much is a visit to Gregory Mckenzie MD?
Medicare beneficiaries should expect a typical cost of $123.79 with an average copayment of $30.94 for new patient appointments. Established patients should expect a typical charge of $95.6 and an average copayment of 23.9. Please review your insurance plan or contact the provider directly to determine your specific costs.
What are some of the services provided by Gregory Mckenzie MD?
The most common procedures or services performed by this practitioner are: Pathology examination of tissue using a microscope, intermediate complexity, Special stained specimen slides to examine tissue, Tissue or cell analysis by immunologic technique, Pathology examination of tissue using a microscope, moderately high complexity, Pathology examination of tissue using a microscope, moderately low complexity and Special stained specimen slides to examine tissue including interpretation and report.
Is Gregory Mckenzie MD affiliated to any hospitals?
The practitioner is affiliated to the following hospitals: SILOAM SPRINGS REGIONAL HOSPITAL, WASHINGTON REGIONAL MEDICAL CENTER, MERCY HOSPITAL NORTHWEST ARKANSAS, NORTHWEST MEDICAL CENTER-SPRINGDALE and NORTHWEST MEDICAL CENTER-SPRINGDALE. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
How do I update my NPI information?
The NPI record of Gregory Mckenzie MD was last updated on April 03, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.