Doctor profile · Federal record

Dr. Mackenzie Moore

Surgery Physician (CMS: General Surgery) · Student in an Organized Health Care Education/Training Program · Minneapolis, MN

  • NPI 1629422993
  • Accepts Medicare
  • MIPS 83.5 / 100 · 2023
  • 10 yrs in practice
  • Female
  • Solo practice
  • No sanctions

Practice & contact

Operates at 3 locations .

NPPES Updated May 11, 2026
Primary practice
920 E 28Th St, Suite 460
Minneapolis, MN 554071286
(612) 863-7770
Additional location
3931 Louisiana Ave S
St Louis Park, MN 554265000
(952) 993-3230
fax (952) 993-1748
Additional location
420 Delaware St Se, Mmc 195
Minneapolis, MN 554550341
(612) 625-6483
Mailing address
2925 Chicago Avenue
Minneapolis, MN 554071321

Credentials & registration

NPPES · NUCC
NPI registered
April 2016 — 10 yrs on file
Profile last updated
September 7, 2023
Year of graduation
2016 — 10 yrs since
Specialty taxonomy
208600000X — NUCC code
State license (1)
Minnesota #66100

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1629422993. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
86
Distinct HCPCS
3
Medicare allowed
$7,212
HCPCS Description Services Patients Avg allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 29 29 $126
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 29 18 $77
99231 Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 28 18 $48

In context: peer comparison

Among 18 peers in Minneapolis Surgery Physician, average services per provider: 30. This provider delivers 2.9× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$20
Transactions
1
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Csl Behring 1 $20.00

By nature of payment

Education
$20

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
27
Patients
27
Total drug cost
$94
Drug Type Claims Patients Total cost
Oxycodone Hcl Generic 27 27 $94

Frequently asked questions

Auto-generated from federal data
What is Dr. Mackenzie Moore's medical specialty?
Dr. Mackenzie Moore practices Surgery Physician in Minneapolis, MN.
Where does Dr. Mackenzie Moore practice?
Dr. Mackenzie Moore practices at 920 E 28Th St, Minneapolis, MN 554071286. Office phone: 6128637770.
What is Dr. Mackenzie Moore's NPI?
Dr. Mackenzie Moore's National Provider Identifier (NPI) is 1629422993, issued by NPPES.
Does Dr. Mackenzie Moore accept Medicare assignment?
Yes. Dr. Mackenzie Moore accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Mackenzie Moore commonly perform?
Top Medicare-reported procedures in 2023: Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Subsequent hospital care with straightforward or low level of medical decision making (HCPCS 99231). Source: CMS Medicare Physician & Other Practitioners file.