Mackenzie Moore
Surgery Physician · Minneapolis, MN
Mackenzie Moore is a surgery physician with a practice address in Minneapolis, Minnesota, and NPI 1629422993, issued on Apr 22, 2016. Check the license (Minnesota 66100, as entered in NPPES) on the Minnesota Board of Medical Practice; the Medicare figures below come from public CMS files.
- Name
- Mackenzie Moore
- Primary taxonomy
- Surgery Physician 208600000X
- License number
- 66100 MN
Self-reported in NPPES; status is on the state search - Practice location
- 920 E 28TH St, Minneapolis, MN 55407
- Phone
- (612) 863-7770
- Enumerated
- Apr 22, 2016
- Record last updated
- Sep 7, 2023
- Medicare enrollment
- Enrolled (PECOS I20191121000552); accepts Medicare assignment
- Medical or professional school
- University Of Iowa, Rj & L Carver College Of Medicine, 2016
- Entity
- Type 1 · individual
8 nearest surgery physician records → All 742 in Minnesota → Look up another NPI →
Also registered at 920 E 28TH St
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Peter Alden, M.D.Vascular Surgery Physician1043262629
- Charlene Boisjolie, RN MARegistered Nurse1548386733
- Robert Bowen, M.D.Pulmonary Disease Physician1043230394
- Craig Bowron, MDInternal Medicine Physician1558320283
- Brittany Bradley, PA-CPhysician Assistant1235410705
- Wilfred Corson, M.D.Pulmonary Disease Physician1598782393
Verify Mackenzie Moore in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersMinnesota Board of Medical Practice
Search for license 66100Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
88% fewer Medicare Part D claims than the average surgery physician in 2024
17 Medicare Part D claims for 13 beneficiaries, against an average of 147 among the 20,115 providers of this specialty who prescribed in Part D.
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): 83.5 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: $20.00
1 payment: education; the largest payer was Csl Behring. The 17,103 providers of this specialty with any payment received $3,513.80 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
- Allina Health SystemMinneapolis, MN
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Mackenzie Moore among 742 surgery physician records in Minnesota
Mackenzie Moore is one of 742 surgery physician records with a practice address in Minnesota. 68% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2016, is newer than 70% of them.
- NPI issued2016 · 70% of these records are older, 28% newer
- In a Medicare fileYes · 68% of these records are
- In the CMS Doctors and Clinicians fileYes · 58% of these records are
- Graduated2016 · median 2009 among the 430 with a school on file
- Record last updated2023 · 50% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208600000X and a Minnesota practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Surgery Physician providers in Minnesota
There are 742 surgery physician records in Minnesota.
All 742 in Minnesota → Every provider in Minneapolis → Surgery Physician nationwide →
The 8 surgery physician records with the nearest ZIP codes
- Hui Sen Chong, M.D.Minneapolis, MN 554071053520122
- Edmund Chute, MDMinneapolis, MN 554071043241631
- Raymond Drew, MDMinneapolis, MN 554071851313209
- Patrick Hangge, M.D.Minneapolis, MN 554071316324965
- Karen Hendershott, MDMinneapolis, MN 554071336310168
- Christopher Macomber, M.D.Minneapolis, MN 554071063648855
- Rachel McCaffrey, M.D.Minneapolis, MN 554071215315957
- Kabir Mehta, M.B.B.SMinneapolis, MN 554071013392067
Common questions
What is Mackenzie Moore's NPI number?
Mackenzie Moore's National Provider Identifier (NPI) is 1629422993, issued on Apr 22, 2016. An NPI identifies a provider in billing; it is not a license.
Where is Mackenzie Moore located?
The NPPES record lists a practice address at 920 E 28TH St, Minneapolis, MN, 55407. Phone: (612) 863-7770. Providers update this record themselves, so call before visiting.
How can I verify Mackenzie Moore's license?
NPPES lists Minnesota license number 66100, as entered by the provider. Search the Minnesota Board of Medical Practice at https://mn.gov/boards/medical-practice/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Mackenzie Moore prescribe under Medicare Part D?
In 2024, Mackenzie Moore had 17 Medicare Part D claims for 13 beneficiaries; the average among surgery physician prescribers was 147. Part D covers Medicare prescriptions only.
What is Mackenzie Moore's MIPS final score?
The 2023 MIPS final score is 83.5 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.