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Ethan Laghi Mackenzie, MD

NPI 1710478573ActiveIndividual· Plastic Surgery· Madison, WI

Plastic Surgery (MD) in Madison, Wisconsin, trained at Harvard Medical School (class of 2018). Part D covered 11 prescriptions written in 2024, 100% of them generic.

Overview

NPI1710478573
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedMay 28, 2018
Last updated in NPPESAug 28, 2025
Certified by providerAug 28, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Plastic Surgery Primary208200000X73015-20WI
Plastic Surgery208200000X35.150824OH

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Plastic and Reconstructive Surgery (OH); Practitioner - Plastic and Reconstructive Surgery (WI)

Part D prescriptions in 2024

Prescriptions (claims)11 · 11 30-day fills
Total drug cost$74.02
Generic share100% of claims

Medicare sources and data years

Education and affiliations

Medical schoolHarvard Medical School
Graduation year2018
Medicare specialtyPlastic And Reconstructive Surgery
TelehealthOffers telehealth

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

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