Mackenzie Carolyn Waltz Dallaire, PA-C
Surgical Physician Assistant · Camden, NJ
Mackenzie Carolyn Waltz Dallaire, PA-C is a surgical physician assistant with a practice address in Camden, New Jersey, and NPI 1164188520, issued on Nov 10, 2021. Check the license (New Jersey 25MP00728700, as entered in NPPES) with the New Jersey board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Mackenzie Carolyn Waltz Dallaire
- Credential
- PA-C
- Primary taxonomy
- Surgical Physician Assistant 363AS0400X
- License number
- 25MP00728700 NJ
Self-reported in NPPES; status is on the state search - Practice location
- 1601 Haddon Ave # A, Camden, NJ 08103
- Phone
- (856) 757-3840
- Enumerated
- Nov 10, 2021
- Record last updated
- Oct 4, 2024
- Medicare enrollment
- Enrolled (PECOS I20220920002640); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest surgical physician assistant records → All 558 in New Jersey → Look up another NPI →
Also registered at 1601 Haddon Ave # A
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Ely Sebastian, MDTransplant Surgery Physician1407094998
Verify Mackenzie Carolyn Waltz Dallaire in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich New Jersey board licenses this profession
Search for license 25MP00728700Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
79% fewer Medicare Part D claims than the average surgical physician assistant in 2024
63 Medicare Part D claims for 39 beneficiaries, against an average of 304 among the 10,174 providers of this specialty who prescribed in Part D. 30 claims were for opioids.
Most prescribed
- Oxycodone Hcl26 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 100 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $645.77
11 payments; by number, the most common kind was food and beverage; the largest payer was Haemonetics Corporation. The 7,578 providers of this specialty with any payment received $703.95 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Virtua Medical Group, PACamden, NJ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Mackenzie Carolyn Waltz Dallaire among 558 surgical physician assistant records in New Jersey
Mackenzie Carolyn Waltz Dallaire, PA-C is one of 558 surgical physician assistant records with a practice address in New Jersey. 86% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2021, is newer than 80% of them.
- NPI issued2021 · 80% of these records are older, 16% newer
- In a Medicare fileYes · 86% of these records are
- In the CMS Doctors and Clinicians fileYes · 72% of these records are
- Graduated2022 · median 2015 among the 399 with a school on file
- Record last updated2024 · 48% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363AS0400X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Surgical Physician Assistant providers in New Jersey
There are 558 surgical physician assistant records in New Jersey.
All 558 in New Jersey → Every provider in Camden → Surgical Physician Assistant nationwide →
The 8 surgical physician assistant records with the nearest ZIP codes
- Stanislav Borodyansky, PA-CCamden, NJ 081031619328564
- Courtney Canzanese, PA-CCamden, NJ 081031467514091
- Gary Cook, PA-CCamden, NJ 081031366653503
- Candace Gordon, PA-CCamden, NJ 081031326348723
- Mindy Haenn, PA-CCamden, NJ 081031740256965
- Kirill Levin, PA-CCamden, NJ 081031609315720
- Harry McCoy, PA-CCamden, NJ 081031376633131
- Jamie Mora, M.H.S., PA-CCamden, NJ 081031275865198
Common questions
What is Mackenzie Carolyn Waltz Dallaire, PA-C's NPI number?
Mackenzie Carolyn Waltz Dallaire, PA-C's National Provider Identifier (NPI) is 1164188520, issued on Nov 10, 2021. An NPI identifies a provider in billing; it is not a license.
Where is Mackenzie Carolyn Waltz Dallaire, PA-C located?
The NPPES record lists a practice address at 1601 Haddon Ave # A, Camden, NJ, 08103. Phone: (856) 757-3840. Providers update this record themselves, so call before visiting.
How can I verify Mackenzie Carolyn Waltz Dallaire, PA-C's license?
NPPES lists New Jersey license number 25MP00728700, as entered by the provider. Search the New Jersey board that licenses this profession; the NPPES record confirms identity only.
How much does Mackenzie Carolyn Waltz Dallaire, PA-C prescribe under Medicare Part D?
In 2024, Mackenzie Carolyn Waltz Dallaire, PA-C had 63 Medicare Part D claims for 39 beneficiaries; the average among surgical physician assistant prescribers was 304. Part D covers Medicare prescriptions only.
What is Mackenzie Carolyn Waltz Dallaire, PA-C's MIPS final score?
The 2023 MIPS final score is 100 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.