JOHN MACKENZIE DO
NPI 1427037449
Emergency Medicine in Lewes, DE
NPI Status: Active since January 10, 2006
Contact Information
424 SAVANNAH ROAD
LEWES, DE
ZIP 19958
Phone: (302) 645-3296
Fax: (302) 645-3862
- Individual
- Male
- Emergency Medicine
- PECOS Enrolled
- Medicare Quality Reporting
About JOHN MACKENZIE
This page provides the complete NPI Profile along with additional information for John Mackenzie, a provider established in Lewes, Delaware with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1427037449 assigned on January 2006. The practitioner's primary taxonomy code is 207P00000X with license number C20008800 (DE). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1427037449
- Provider Name
- JOHN MACKENZIE DO
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 424 SAVANNAH ROAD LEWES, DE 19958
- Location Phone
- (302) 645-3296
- Location Fax
- (302) 645-3862
- Mailing Address
- PO BOX 3012 WILMINGTON, DE 19804
- Mailing Phone
- (302) 224-5678
- Mailing Fax
- (302) 645-3862
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 01-10-2006
- Last Update Date
- 07-08-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- C20008800
- License State
- DE
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| E78108 | MEDICARE UPIN (02) | ||
| 011299S72 | MEDICARE ID-TYPE UNSPECIFIED (04) | DE |
Medicare Participation & PECOS Enrollment Status
John Mackenzie 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: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Critical care, first 30-74 minutes
Emergency department visit for life threatening or functioning severity
Emergency department visit for problem of high severity
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
This service was performed 11 times for 11 patientsAn emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
This service was performed 105 times for 105 patientsAn emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
This service was performed 29 times for 29 patientsA routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
This service was performed 22 times for 22 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 19958 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $88.37
- Minimum New Patient Price $57.12
- Maximum New Patient Price $173.08
- Average New Patient Copayment $22.09
- Minimum New Patient Copayment $14.28
- Maximum New Patient Copayment $43.27
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $100.68
- Minimum Established Patient Price $18.36
- Maximum Established Patient Price $141.05
- Average Established Patient Copayment $25.17
- Minimum Established Patient Copayment $4.59
- Maximum Established Patient Copayment $35.26
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Implementation of an ASP | Yes | N/A |
| Change Activity Description to: Leadership of an Antimicrobial Stewardship Program (ASP) that includes implementation of an ASP that measures the appropriate use of antibiotics for several different conditions (such as but not limited to upper respiratory infection treatment in children, diagnosis of pharyngitis, bronchitis treatment in adults) according to clinical guidelines for diagnostics and therapeutics. Specific activities may include: • Develop facility-specific antibiogram and prepare report of findings with specific action plan that aligns with overall facility or practice strategic plan. • Lead the development, implementation, and monitoring of patient care and patient safety protocols for the delivery of ASP including protocols pertaining to the most appropriate setting for such services (i.e., outpatient or inpatient). • Assist in improving ASP service line efficiency and effectiveness by evaluating and recommending improvements in the management structure and workflow of ASP processes. • Manage compliance of the ASP policies and assist with implementation of corrective actions in accordance with facility or clinic compliance policies and hospital medical staff by-laws. • Lead the education and training of professional support staff for the purpose of maintaining an efficient and effective ASP. • Coordinate communications between ASP management and facility or practice personnel regarding activities, services, and operational/clinical protocols to achieve overall compliance and understanding of the ASP. • Assist, at the request of the facility or practice, in preparing for and responding to third-party requests, including but not limited to payer audits, governmental inquiries, and professional inquiries that pertain to the ASP service line. • Implementing and tracking an evidence-based policy or practice aimed at improving antibiotic prescribing practices for high-priority conditions. • Developing and implementing evidence-based protocols and decision-support for diagnosis and treatment of common infections. • Implementing evidence-based protocols that align with recommendations in the Centers for Disease Control and Prevention’s Core Elements of Outpatient Antibiotic Stewardship guidance | ||
| Implementation of formal quality improvement methods, practice changes, or other practice improvement processes | Yes | N/A |
| Adopt a formal model for quality improvement and create a culture in which all staff actively participates in improvement activities that could include one or more of the following such as: • Multi-Source Feedback; • Train all staff in quality improvement methods; • Integrate practice change/quality improvement into staff duties; • Engage all staff in identifying and testing practices changes; • Designate regular team meetings to review data and plan improvement cycles; • Promote transparency and accelerate improvement by sharing practice level and panel level quality of care, patient experience and utilization data with staff; and/or • Promote transparency and engage patients and families by sharing practice level quality of care, patient experience and utilization data with patients and families, including activities in which clinicians act upon patient experience data. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Participation in an AHRQ-listed patient safety organization. | Yes | N/A |
| Participation in an AHRQ-listed patient safety organization. | ||
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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 | 4 | 2 | 7 | 0 | 3 | 7 | 4 | 4 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 0 | 3 | 14 | 4 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 0 + 3 + 1 + 4 + 4 + 8 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1427037449 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
THOMAS L SHREEVE MD
Emergency Medicine
424 SAVANNAH ROAD
LEWES, DE
ZIP 19958
THOMAS M CATHCART PAC
Physician Assistant
424 SAVANNAH ROAD
LEWES, DE
ZIP 19958
JOYDEEP HALDAR MD
Emergency Medicine
424 SAVANNAH ROAD
LEWES, DE
ZIP 19958
STEVEN R STELTS MD
Emergency Medicine
424 SAVANNAH ROAD
LEWES, DE
ZIP 19958
DR. STEPHANI RENEE ALLISON M.D.
Anesthesiology
424 SAVANNAH ROAD
DEPARTMENT OF ANESTHESIA
LEWES, DE
ZIP 19958
BRETT S BLEMLE PAC
Physician Assistant
424 SAVANNAH ROAD
LEWES, DE
ZIP 19958
DR. KEVIN MICHAEL EANES MD
Emergency Medicine
424 SAVANNAH ROAD
BEEBE MEDICAL CENTER
LEWES, DE
ZIP 19958
DOLORES MARIE DILORETO RN
Registered Nurse
424 SAVANNAH ROAD
LEWES, DE
ZIP 19958
MR. NATHAN SMITH RN
Registered Nurse
(Critical Care Medicine)
424 SAVANNAH ROAD
LEWES, DE
ZIP 19958
SUSAN VITO RN
Registered Nurse
424 SAVANNAH ROAD
LEWES, DE
ZIP 19958
MRS. GLORIA LYNNE BRUMBAUGH
Registered Nurse
424 SAVANNAH ROAD
LEWES, DE
ZIP 19958
MR. JOSEPH WILLIAM KAPRAUN III R.N.
Registered Nurse
424 SAVANNAH ROAD
LEWES, DE
ZIP 19958
WHITNEY MOTT-LYNN
Registered Nurse
424 SAVANNAH ROAD
LEWES, DE
ZIP 19958
MR. GEORGE H. AUSTIN REGISTERED NURSE
Registered Nurse
(Emergency)
424 SAVANNAH ROAD
LEWES, DE
ZIP 19958
TERESA MORAN
Registered Nurse
424 SAVANNAH ROAD
LEWES, DE
ZIP 19958
MISS SAMANTHA DUNBAR RN
Registered Nurse
424 SAVANNAH ROAD
LEWES, DE
ZIP 19958
JARED BUNKER
Registered Nurse
424 SAVANNAH ROAD
LEWES, DE
ZIP 19958
CHRISTINE CAFFES
Registered Nurse
424 SAVANNAH ROAD
LEWES, DE
ZIP 19958
KATIE MARTIN RN
Registered Nurse
(Emergency)
424 SAVANNAH ROAD
LEWES, DE
ZIP 19958
SAMANTHA LANE
Registered Nurse
424 SAVANNAH ROAD
LEWES, DE
ZIP 19958
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427037449, enumerated as an "individual" on January 10, 2006.
The provider is located at 424 SAVANNAH ROAD LEWES, DE 19958 and the phone number is (302) 645-3296.
Emergency Medicine with taxonomy code 207P00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
