DR. KATHLEEN M MACKEN MD
NPI 1972641769
Family Medicine in Saint Paul, MN

Active since February 02, 2007PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
333 SMITH AVE N STE 4640, SAINT PAUL, MN 55102(651) 241-1001(651) 241-1116 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Kathleen M Macken Md NPPES

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

DR. KATHLEEN M MACKEN MD (NPI 1972641769) is an individual family medicine provider in Saint Paul, Minnesota, licensed in Minnesota (25281) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and maintains a secondary practice location in St Paul.

NPPES Registry Identity

NPI1972641769
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KATHLEEN M MACKENCredential: MD
Location Address333 SMITH AVE N STE 4640Saint Paul, MN 55102-2344
Mailing Address2925 Chicago AveMinneapolis, MN 55407-1321 · (612) 262-9000
Fax(651) 241-1116
Sole ProprietorNo
Medical School CMSMayo Medical SchoolGraduated 1977
Enumeration DateFebruary 2, 2007
Last NPPES UpdateDecember 8, 2020
NPPES CertifiedDecember 8, 2020
NPI 1972641769 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in MN · 25281
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.
333 SMITH AVE N STE 4640, Saint Paul, MN 55102

Secondary Practice Location 1

Location 11026 W 7th StreetSt Paul, MN 55102-3007 · Phone (651) 241-1000

Other Identifiers 1

Medicaid289200600MN

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. Kathleen M Macken 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.

PECOS PAC ID9234028341
PECOS Enrollment IDI20040504000886
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

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.

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.
19 services17 patients

Hospital Affiliations CMS Care Compare

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

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240038
Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55102 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

Other Providers at the Same Location NPPES 7

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

Family Medicine
333 SMITH AVE N STE 4640
SAINT PAUL, MN 55102
Family Medicine
333 SMITH AVE N STE 4640
SAINT PAUL, MN 55102
Family Medicine
333 SMITH AVE N STE 4640
SAINT PAUL, MN 55102
Family Medicine
333 SMITH AVE N STE 4640
SAINT PAUL, MN 55102
Family Medicine
333 SMITH AVE N STE 4640
SAINT PAUL, MN 55102
Family Medicine
333 SMITH AVE N STE 4640
SAINT PAUL, MN 55102
Family Medicine
333 SMITH AVE N STE 4640
SAINT PAUL, MN 55102

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 Kathleen Macken's NPI number?

The NPI number for Kathleen Macken is 1972641769. It was assigned to this individual provider in the NPPES registry on February 2, 2007.

Where is Kathleen Macken located?

Kathleen Macken practices at 333 Smith Ave N Ste 4640, Saint Paul, MN 55102. The listed phone number is (651) 241-1001.

What is Kathleen Macken's specialty?

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

Is Kathleen Macken enrolled in Medicare?

Yes. Kathleen Macken 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 Kathleen Macken accept?

Health plans from HealthPartners and Medica list Kathleen Macken 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 Kathleen Macken affiliated with any hospitals?

According to CMS data, Kathleen Macken is affiliated with Allina United Hospital.

When was this NPI record last updated?

The NPPES record for Kathleen Macken was last updated on December 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.