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MACKENZIE GIFFORD
NPI 1609629559
Physician Assistant in Portsmouth, OH

Active since April 10, 2024PECOS EnrolledAccepts Medicare Assignment
1729 KINNEYS LN STE 102, PORTSMOUTH, OH 45662(740) 351-0980 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 6, 2025, Apr 10, 2024 (2 updates tracked since 2024).

About Mackenzie Gifford NPPES

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

MACKENZIE GIFFORD (NPI 1609629559) is an individual physician assistant in Portsmouth, Ohio and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and maintains a secondary practice location in Ashland.

NPPES Registry Identity

NPI1609629559
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMACKENZIE GIFFORD
Location Address1729 KINNEYS LN STE 102Portsmouth, OH 45662-3166
Mailing Address74 Shawnee LnLucasville, OH 45648-8526 · (740) 352-9205
Phone(740) 351-0980
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateApril 10, 2024
Last NPPES UpdateAugust 6, 20252 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1609629559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1729 KINNEYS LN STE 102, Portsmouth, OH 45662
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Secondary Practice Location 1

Location 1613 23rd St Ste G30Ashland, KY 41101-2881 · Phone (606) 327-0036

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.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 Gifford 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 ID7719417229
PECOS Enrollment IDI20250617001573
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 2

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

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180009
Location2201 Lexington AvenueAshland, KY 41101 · Boyd County
Emergency services

Kings Daughters Medical Center Ohio

Acute Care Hospitals · Portsmouth, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360361
Location1901 Argonne RoadPortsmouth, OH 45662 · Scioto County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45662 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

DR. GERARDO DUMLAO TRINIDAD M.D.
Orthopaedic Surgery (Sports Medicine)
1729 KINNEYS LN STE 102
PORTSMOUTH, OH 45662
Scioto County (740) 351-0980
LUKE LESTER F.N.P
Nurse Practitioner (Family)
1729 KINNEYS LN STE 102
PORTSMOUTH, OH 45662
Scioto County (740) 351-0980
DR. BROCK A JOHNSON MD
Orthopaedic Surgery
1729 KINNEYS LN STE 102
PORTSMOUTH, OH 45662
Scioto County (740) 351-0980

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 Gifford's NPI number?

The NPI number for Mackenzie Gifford is 1609629559. It was assigned to this individual provider in the NPPES registry on April 10, 2024.

Where is Mackenzie Gifford located?

Mackenzie Gifford practices at 1729 Kinneys Ln Ste 102, Portsmouth, OH 45662. The listed phone number is (740) 351-0980.

What is Mackenzie Gifford's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mackenzie Gifford enrolled in Medicare?

Yes. Mackenzie Gifford 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 Gifford accept?

Health plans from CareSource and Molina Healthcare list Mackenzie Gifford 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 Gifford affiliated with any hospitals?

According to CMS data, Mackenzie Gifford is affiliated with King's Daughters' Medical Center and Kings Daughters Medical Center Ohio.

When was this NPI record last updated?

The NPPES record for Mackenzie Gifford was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.