MACKENZIE MATTERN
NPI 1932662517
Family Medicine in Bountiful, UT

Q: What is Mackenzie Mattern's NPI number?

The NPI number for Mackenzie Mattern is 1932662517. It was assigned to this individual provider in the NPPES registry on April 10, 2019.

Q: What is Mackenzie Mattern's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mackenzie Mattern was last updated on February 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 10, 2019PECOS EnrolledAccepts Medicare Assignment

78.01/100

CMS Quality Rating

390 N MAIN ST, BOUNTIFUL, UT 84010(801) 397-6400 Get Directions Write a Review

NPPES record last updated: February 23, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Aug 16, 2022, Apr 10, 2019 (2 updates tracked since 2019).

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About Mackenzie Mattern NPPES

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

MACKENZIE MATTERN (NPI 1932662517) is an individual family medicine provider in Bountiful, Utah, licensed in Utah (13451187-1205) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Lds Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1932662517

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameMACKENZIE MATTERN

Location Address390 N MAIN STBountiful, UT 84010-6046

Mailing Address390 N Main StBountiful, UT 84010-6046 · (801) 397-6300

Phone(801) 397-6400

Sole ProprietorYes

Medical School CMSSouthern Illinois University School Of MedicineGraduated 2019

Enumeration DateApril 10, 2019

Last NPPES UpdateFebruary 23, 20242 updates tracked since enumeration

NPPES CertifiedAugust 14, 2023

✔ NPI 1932662517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in UT · 13451187-1205

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

390 N MAIN ST, Bountiful, UT 84010

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Secondary Practice Locations 2

Location 1815 Main St Ste CPeoria, IL 61602-1080 · Phone (309) 672-4977

Location 2133 Benmore Dr Ste 200Winter Park, FL 32792-4111 · Phone (407) 646-7070

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.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 Mattern 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 ID4880075860

PECOS Enrollment IDI20240108003447

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.

Lds Hospital

Acute Care Hospitals · Salt Lake City, UT

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number460006

Location8th Avenue And C StreetSalt Lake City, UT 84143 · Salt Lake County

Emergency services Birthing friendly

Intermountain Health Layton Hospital

Acute Care Hospitals · Layton, UT

OwnershipVoluntary non-profit - Private

CMS Certification Number460061

Location201 West Layton ParkwayLayton, UT 84041 · Davis County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84010 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

$84.41 typical visit price

range $54.34 – $166.03

Typical copayment $21.10 (range $13.58 – $41.50)

Most-billed visit code 99203

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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.

78.01/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

57.51

Promoting Interoperability

100

Improvement Activities

Cost

69.18

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.

DAELYN TASHA CLAWSON RN

Nurse Practitioner