DR. KEITH ANDREW MACKENZIE D.O.
NPI 1861498297
Dermatology - Procedural Dermatology in Prescott, AZ

Active since June 21, 2005PECOS EnrolledAccepts Medicare Assignment
83.12/100
CMS Quality Rating
3190 CLEARWATER DR, PRESCOTT, AZ 86305(928) 541-1312(928) 541-0002 Get Directions Write a Review

NPPES record last updated: April 25, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Keith Andrew Mackenzie D.o. NPPES

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

DR. KEITH ANDREW MACKENZIE D.O. (NPI 1861498297) is an individual procedural dermatology provider in Prescott, Arizona, licensed in Arizona (3225) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Michigan State University College Of Osteopathic Medicine (1991).

NPPES Registry Identity

NPI1861498297
Entity TypeIndividualMale
Primary Taxonomy207NS0135X
Provider Legal NameDR. KEITH ANDREW MACKENZIECredential: D.O.
Location Address3190 CLEARWATER DRPrescott, AZ 86305-7131
Mailing AddressPo Box 11208Prescott, AZ 86304-1208 · (928) 541-1312 · Fax (928) 541-0002
Fax(928) 541-0002
Sole ProprietorNo
Medical School CMSMichigan State University College Of Osteopathic MedicineGraduated 1991
Enumeration DateJune 21, 2005
Last NPPES UpdateApril 25, 2012
NPI 1861498297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatology · Procedural DermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207NS0135X
License Licensed in AZ · 3225
Definition
Procedural Dermatology, a subspecialty of Dermatology, encompassing a wide variety of surgical procedures and methods to remove or modify skin tissue for health or cosmetic benefit. These methods include scalpel surgery, laser surgery, chemical surgery, cryosurgery (liquid nitrogen), electrosurgery, aspiration surgery, liposuction, injection of filler substances, and Mohs micrographic controlled surgery (a special technique for the removal of growths, especially skin cancers).
3190 CLEARWATER DR, Prescott, AZ 86305

Other Identifiers 3

Medicare UPING53808
Medicare ID-Type Unspecified20138AZ
Medicaid390766AZ

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

Dr. Keith Andrew Mackenzie D.o. 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 ID1254357023
PECOS Enrollment IDI20051020000714
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 33

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
9,086 services1,497 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
3,556 services2,606 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
2,850 services1,907 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
917 services743 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
771 services624 patients
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.
498 services422 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86305 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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.

83.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.95
Improvement Activities40
Cost97.14

Other Providers at the Same Location NPPES 2

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

Nurse Practitioner
3190 CLEARWATER DR
PRESCOTT, AZ 86305
Dermatology (Procedural Dermatology)
3190 CLEARWATER DR
PRESCOTT, AZ 86305

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 Keith Mackenzie's NPI number?

The NPI number for Keith Mackenzie is 1861498297. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is Keith Mackenzie located?

Keith Mackenzie practices at 3190 Clearwater Dr, Prescott, AZ 86305. The listed phone number is (928) 541-1312.

What is Keith Mackenzie's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Procedural Dermatology, with taxonomy code 207NS0135X.

Is Keith Mackenzie enrolled in Medicare?

Yes. Keith 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 Keith Mackenzie accept?

Health plans from Blue Cross Blue Shield of Arizona list Keith 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.

When was this NPI record last updated?

The NPPES record for Keith Mackenzie was last updated on April 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.