TRAVIS TODD MCKENZIE (D.O.) – Vascular & Interventional Radiology Physician, NPI 1386900595
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
988 DIAGNOSTIC RADIOLOGY in AZ
Provider Addresses for TRAVIS TODD MCKENZIE (D.O.)
2601 E Roosevelt St
Phoenix, AZ 850084973
Phone: (801) 641-8842
Type: Location
5121 S Cottonwood St
Salt Lake City, UT 841075701
Phone: (801) 507-7000
Type: Location
5444 S GREEN ST
MURRAY, UT 841235632
Phone: (801) 313-4110
Type: Mailing
4401 HARRISON BLVD
OGDEN, UT 84403
Phone: (801) 387-2800
Type: Location
8th Ave & C Street
Salt Lake City, UT 841434973
Phone: (801) 408-1100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $463.
Total Amount is formed as General ($463) + Research ($0) + Ownership ($0) = $463.
Last reported payment date: 2024-11-04 • Largest payer in this snapshot: Stryker Corporation ($272).
Total Amount
$463
General + Research + Ownership
Payments
7
Total payment records
General Amount
$463
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $272 |
| Cook Medical LLC | $125 |
| Ethicon US, LLC | $52 |
| Inari Medical, Inc. | $14 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-03-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181102001964 | I | Diagnostic Radiology | UT | TBD |
| I20240103000252 | I | Diagnostic Radiology | ID | TBD |
| I20260312000885 | I | Diagnostic Radiology | WA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 76937 | Ultrasonic guidance for blood vessel access | 67 | 57 | $0 |
| 71045 | X-ray of chest, 1 view | 41 | 39 | $0 |
| 75774 | Review by radiologist of additional artery image | 34 | 15 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 26 | 26 | $0 |
| 71046 | X-ray of chest, 2 views | 20 | 20 | $0 |
Insurance plans in this area (ZIP 85008)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| Diagnostic Radiology | UT | |
| Family Practice | UT | |
| H O S P I T A L I S T | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| - | UT | |
| - | UT | |
| - | UT | |
| Family Practice | UT | |
| - | UT |
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