ETHAN LAGHI MACKENZIE MD
NPI 1710478573
Plastic Surgery in Madison, WI
About Ethan Laghi Mackenzie Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ETHAN LAGHI MACKENZIE MD (NPI 1710478573) is an individual plastic surgery provider in Madison, Wisconsin, licensed in Wisconsin (73015-20) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with University Of Wi Hospitals & Clinics Authority, and maintains a secondary practice location in Columbus.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ethan Laghi 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.
Medicare Billing Reassignment
Medicare enrollment records show Ethan Mackenzie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Middleton, WI 53562
- Reassigned Medicare billing, Wisconsin enrollment
- 2,832 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Wi Hospitals & Clinics Authority
Acute Care Hospitals · Madison, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53792 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MADISON, WI 53792
MADISON, WI 53792
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 Ethan Mackenzie's NPI number?
The NPI number for Ethan Mackenzie is 1710478573. It was assigned to this individual provider in the NPPES registry on May 28, 2018.
Where is Ethan Mackenzie located?
Ethan Mackenzie practices at 600 Highland Ave, Madison, WI 53792. The listed phone number is (608) 263-8090.
What is Ethan Mackenzie's specialty?
The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.
Is Ethan Mackenzie enrolled in Medicare?
Yes. Ethan 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.
Which organization bills Medicare for Ethan Mackenzie's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ethan Mackenzie reassigns Medicare benefits to University Of Wisconsin Medical Foundation, Inc (Middleton, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ethan Mackenzie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ethan Mackenzie accept?
Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., Aspirus Health Plan, Group Health Cooperative-SCW and HealthPartners and 1 other insurer list Ethan 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 Ethan Mackenzie affiliated with any hospitals?
According to CMS data, Ethan Mackenzie is affiliated with University Of Wi Hospitals & Clinics Authority.
When was this NPI record last updated?
The NPPES record for Ethan Mackenzie was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Ethan Laghi Mackenzie, MD · NPI 1710478573
Plastic Surgery physician in Madison, Wisconsin. Individual provider, active in the CMS NPPES registry since May 28, 2018.
## Identity
- **NPI:** 1710478573 (Entity type: Individual)
- **Enumerated:** May 28, 2018
- **Primary specialty:** Plastic Surgery · taxonomy 208200000X
- **State license:** 73015-20 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 600 HIGHLAND AVE, Madison, WI 53792-3153
- **Phone:** (608) 263-8090
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Of Wisconsin Medical Foundation, Inc (NPI 1598784555, Middleton, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Harvard Medical School, class of 2018
## Record status
- **NPPES last updated:** August 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1710478573) · Data from the CMS NPPES public registry.