DR. MACKENZIE LEE GOODWIN M.D
NPI 1942569231
Surgery - Surgical Critical Care in Bountiful, UT

NPI Status: Active since May 08, 2012

Contact Information

MACKENZIE GOODWIN MD DBA WASATCH SURGICAL LLC
520 MEDICAL DR STE 300
BOUNTIFUL, UT
ZIP 84010
Phone: (228) 273-9021

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NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: July 12, 2026.

Record update history: Jul 29, 2024, Jul 5, 2023, Sep 26, 2019 and 1 more (4 updates tracked since 2019).

  • Individual
  • Female
  • Years of Experience 15
  • Surgery
  • Surgical Critical Care
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About MACKENZIE GOODWIN

This page provides the complete NPI Profile along with additional information for Mackenzie Goodwin, a provider established in Bountiful, Utah with a medical specialization in Surgery, focusing in surgical critical care and more than 15 years of experience. The healthcare provider is registered in the NPI registry with number 1942569231 assigned on May 2012. The practitioner's primary taxonomy code is 2086S0102X with license number 11768709-1205 (UT). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1942569231
Provider Name
DR. MACKENZIE LEE GOODWIN M.D
Other Name
DR. MACKENZIE LEE BEAR M.D
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
MACKENZIE GOODWIN MD DBA WASATCH SURGICAL LLC 520 MEDICAL DR STE 300 BOUNTIFUL, UT 84010
Location Phone
(228) 273-9021
Mailing Address
1893 E MILLBROOK RD SALT LAKE CITY, UT 84106
Mailing Phone
(228) 273-9021
Medical School Name
OTHER
Graduation Year
2012
Is Sole Proprietor?
No
Enumeration Date
05-08-2012
Last Update Date
07-18-2025
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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

Surgery Surgical Critical Care

Taxonomy Code
2086S0102X
Type
Allopathic & Osteopathic Physicians
License No.
11768709-1205
License State
UT
Taxonomy Description
A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208600000XAllopathic & Osteopathic Physicians

Surgery

11768709-1205 (UT)
22086X0206XAllopathic & Osteopathic Physicians

Surgery
Surgical Oncology

11768709-1205 (UT)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • BridgeSpan Standard Bronze Plan - HMO
  • BridgeSpan Standard Gold Plan - HMO
  • BridgeSpan Standard Silver Plan - HMO
  • Bronze 7500 $25 Generic Drugs - HMO
  • Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
  • Core Gold 1500 $10 Generic Drugs - HMO
  • Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
  • Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
  • Gold 2000 $15 Generic Drugs - HMO
  • Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
  • Imperial Preferred Gold - HMO
  • Imperial Preferred Silver - HMO
  • Imperial Standard Bronze - HMO
  • Imperial Standard Gold - HMO
  • Imperial Standard Silver - HMO
  • Bronze 8000 - EPO
  • Bronze Essential 9000 Deductible With 4 Copay No Deductible Office Visits - EPO
  • Bronze HSA 7000 - EPO
  • Gold 2300 - EPO
  • Regence Standard Bronze 7500 - EPO
  • Regence Standard Gold 2000 - EPO
  • Regence Standard Silver 6000 - EPO
  • Silver 6500 - EPO
  • Healthy Premier Bronze HSA - EPO
  • Healthy Premier Expanded Bronze Standard - EPO
  • Healthy Premier Gold Copay Office Visits - EPO
  • Healthy Premier Gold Standard - EPO
  • Healthy Premier Silver Copay Office Visits - EPO
  • Healthy Premier Silver Standard - EPO

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
11768709-1205OTHER (01)UTLICENSE

Medicare Participation & PECOS Enrollment Status

Mackenzie Goodwin is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Mackenzie Goodwin 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: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) 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

  • PECOS PAC ID: 2365674447

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20201208001373

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Mackenzie Goodwin is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
LAKEVIEW HOSPITAL630 EAST MEDICAL DRIVE
BOUNTIFUL, UT 84010
(801) 299-2200Acute Care Hospitals
TIMPANOGOS REGIONAL HOSPITAL750 WEST 800 NORTH
OREM, UT 84057
(801) 714-6800Acute Care Hospitals
LONE PEAK HOSPITAL11925 SOUTH STATE STREET
DRAPER, UT 84020
(801) 545-8000Acute Care Hospitals

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NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1942569231, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
4
Doubled → 8
Pos 4
2
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
6
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
2
Unchanged
Pos 9
3
Doubled → 6
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 5 → 10 → 1 9 → 18 → 9 3 → 6

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 8 + 2 + 1 + 0 + 6 + 1 + 8 + 2 + 6 + 24 = 69

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 69 is 70. The difference is the calculated check digit.

70 - 69 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1942569231.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942569231, enumerated as an "individual" on May 08, 2012.

The provider is located at MACKENZIE GOODWIN MD DBA WASATCH SURGICAL LLC 520 MEDICAL DR STE 300 BOUNTIFUL, UT 84010 and the phone number is (228) 273-9021.

Surgery with taxonomy code 2086S0102X and a focus in Surgical Critical Care.

The provider might be accepting Accepts: BridgeSpan Health Company, CareSource, Imperial. Please consult your insurance carrier or call the provider to verify.

Mackenzie Goodwin is affiliated with: LAKEVIEW HOSPITAL, TIMPANOGOS REGIONAL HOSPITAL and LONE PEAK HOSPITAL.