MR. GLEN CARLISLE MACKENZIE MD
NPI 1306926704
Obstetrics & Gynecology - Gynecology in Manchester Center, VT

Active since October 17, 2006PECOS EnrolledAccepts Medicare Assignment
1009 DEPOT ST, MANCHESTER CENTER, VT 05255(802) 442-8649(802) 442-8658 Get Directions Write a Review

NPPES record last updated: June 17, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Glen Carlisle Mackenzie Md NPPES

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

MR. GLEN CARLISLE MACKENZIE MD (NPI 1306926704) is an individual gynecology provider in Manchester Center, Vermont, licensed in Vermont (0420009174) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Rutland Regional Medical Center, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1991).

NPPES Registry Identity

NPI1306926704
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameMR. GLEN CARLISLE MACKENZIECredential: MD
Location Address1009 DEPOT STManchester Center, VT 05255-9731
Mailing Address1009 Depot StManchester Center, VT 05255-9731 · (802) 442-8649 · Fax (802) 442-8658
Fax(802) 442-8658
Sole ProprietorYes
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1991
Enumeration DateOctober 17, 2006
Last NPPES UpdateJune 17, 2022
NPPES CertifiedJune 17, 2022
NPI 1306926704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License Licensed in VT · 0420009174
Definition

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 0420009174 (VT)
1009 DEPOT ST, Manchester Center, VT 05255

Other Identifiers 1

MedicaidOVN1210VT

Accepted 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

Mr. Glen Carlisle Mackenzie Md 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 ID5597669473
PECOS Enrollment IDI20050906000303
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 3

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.
90 services33 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
35 services32 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
32 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Rutland Regional Medical Center

Acute Care Hospitals · Rutland, VT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number470005
Location160 Allen StRutland, VT 05701 · Rutland County
Emergency services Birthing friendly

Southwestern Vermont Medical Center

Acute Care Hospitals · Bennington, VT
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number470012
Location100 Hospital DriveBennington, VT 05201 · Bennington County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05255 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
$127.71 typical visit price
range $55.80 – $168.48
Typical copayment $31.92 (range $13.95 – $42.12)
Most-billed visit code 99204
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
Most-billed visit code 99213
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 3

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

Pharmacy (Community/Retail Pharmacy)
1009 DEPOT ST
MANCHESTER CENTER, VT 05255
Pediatrics
1009 DEPOT ST
MANCHESTER CENTER, VT 05255
Obstetrics & Gynecology (Gynecology)
1009 DEPOT ST
MANCHESTER CENTER, VT 05255

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 Glen Mackenzie's NPI number?

The NPI number for Glen Mackenzie is 1306926704. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Glen Mackenzie located?

Glen Mackenzie practices at 1009 Depot St, Manchester Center, VT 05255. The listed phone number is (802) 442-8649.

What is Glen Mackenzie's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Glen Mackenzie enrolled in Medicare?

Yes. Glen 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.

What insurance does Glen Mackenzie accept?

Health plans from Anthem Blue Cross and Blue Shield list Glen Mackenzie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Glen Mackenzie affiliated with any hospitals?

According to CMS data, Glen Mackenzie is affiliated with Rutland Regional Medical Center and Southwestern Vermont Medical Center.

When was this NPI record last updated?

The NPPES record for Glen Mackenzie was last updated on June 17, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.