Mackenzie M. Moore
NPI 1629422993ActiveIndividual· Surgery· Minneapolis, MN
Surgery in Minneapolis, Minnesota, trained at University of Iowa, Rj & L Carver College of Medicine (class of 2016). Mostly services rather than prescriptions: Medicare paid $40,343 for 146 patients in 2024, with only 17 Part D claims. Teleflex LLC reported $38.27 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1629422993 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Apr 22, 2016 |
| Last updated in NPPES | Sep 29, 2026 |
| Certified by provider | Sep 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 66100 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 146 |
|---|---|
| Services billed | 258 across 39 procedure codes |
| Paid by Medicare | $40,343 |
Part D prescriptions in 2024
| Prescriptions (claims) | 17 · 17 30-day fills |
|---|---|
| Patients | 13 |
| Total drug cost | $76.01 |
| Generic share | 94% of claims |
Education and affiliations
| Medical school | University of Iowa, Rj & L Carver College of Medicine |
|---|---|
| Graduation year | 2016 |
| Medicare specialty | General Surgery |
Medical group
- Allina Health SystemNew Ulm, MN · 3,842 clinicians
Hospital affiliations
- Abbott Northwestern HospitalMinneapolis, MN
- Cambridge Medical CenterCambridge, MN
Industry payments (Open Payments)
- 2025$38.27 · 1 payment from 1 company
- 2024$20.00 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Teleflex LLC | $38.27 | 1 |
What the 2025 payments were for
- Food and Beverage$38.27 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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