MACKENZIE PETERSON M.D.
NPI 1336174556
Family Medicine in Garnett, KS

Active since July 12, 2006PECOS EnrolledAccepts Medicare Assignment
96.72/100
CMS Quality Rating
536 W 4TH AVE, GARNETT, KS 66032(785) 448-2674(785) 448-3091 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mackenzie Peterson M.d. NPPES

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

MACKENZIE PETERSON M.D. (NPI 1336174556) is an individual family medicine provider in Garnett, Kansas, licensed in Kansas (04-31228) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Ottawa, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2002).

NPPES Registry Identity

NPI1336174556
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMACKENZIE PETERSONCredential: M.D.
Location Address536 W 4TH AVEGarnett, KS 66032-1355
Mailing AddressPo Box 309Garnett, KS 66032-0309 · (785) 448-2674 · Fax (785) 448-3091
Fax(785) 448-3091
Sole ProprietorNo
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2002
Enumeration DateJuly 12, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1336174556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in KS · 04-31228
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
536 W 4TH AVE, Garnett, KS 66032

Other Identifiers 4

Other104817KS · Blue Cross
Medicare UPINI38822KS
Medicare ID-Type Unspecified104864
Other7240801Aetna

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

Mackenzie Peterson 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 ID3173555794
PECOS Enrollment IDI20050905000013
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 5

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

Adventhealth Ottawa

Acute Care Hospitals · Ottawa, KS
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number170014
Location1301 S Main StreetOttawa, KS 66067 · Franklin County
Birthing friendly

Saint Luke's South Hospital

Acute Care Hospitals · Overland Park, KS
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number170185
Location12300 Metcalf AvenueOverland Park, KS 66213 · Johnson County
Emergency services

Anderson County Hospital

Critical Access Hospitals · Garnett, KS
OwnershipVoluntary non-profit - Private
CMS Certification Number171316
Location421 S MapleGarnett, KS 66032 · Anderson County
Emergency services

Allen County Regional Hospital

Critical Access Hospitals · Iola, KS
OwnershipGovernment - State
CMS Certification Number171373
Location3066 North Kentucky StreetIola, KS 66749 · Allen County
Emergency services

St Lukes Hospital Of Kansas City

Acute Care Hospitals · Kansas City, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260138
Location4401 Wornall RoadKansas City, MO 64111 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66032 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
$81.98 typical visit price
range $53.00 – $161.67
Typical copayment $20.49 (range $13.25 – $40.41)
Most-billed visit code 99203
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

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.

96.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality94.04
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 10

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers43 claims80 services$6.01 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
1 supplier17 claims17 services$1.00 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers15 claims15 services$67.93 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers12 claims12 services$23.48 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers13 claims13 services$19.90 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers18 claims108 services$3.05 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 4

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

Optometrist
536 W 4TH AVE
GARNETT, KS 66032
Nurse Practitioner (Family)
536 W 4TH AVE
GARNETT, KS 66032
Family Medicine
536 W 4TH AVE
GARNETT, KS 66032
Clinic/Center (Rural Health)
536 W 4TH AVE
GARNETT, KS 66032

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 Mackenzie Peterson's NPI number?

The NPI number for Mackenzie Peterson is 1336174556. It was assigned to this individual provider in the NPPES registry on July 12, 2006.

Where is Mackenzie Peterson located?

Mackenzie Peterson practices at 536 W 4th Ave, Garnett, KS 66032. The listed phone number is (785) 448-2674.

What is Mackenzie Peterson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mackenzie Peterson enrolled in Medicare?

Yes. Mackenzie Peterson 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 Mackenzie Peterson accept?

Health plans from Blue Cross and Blue Shield of Kansas, Inc., Medica and UnitedHealthcare list Mackenzie Peterson 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 Mackenzie Peterson affiliated with any hospitals?

According to CMS data, Mackenzie Peterson is affiliated with Adventhealth Ottawa, Saint Luke's South Hospital, Anderson County Hospital, Allen County Regional Hospital and St Lukes Hospital Of Kansas City.

When was this NPI record last updated?

The NPPES record for Mackenzie Peterson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.