GREGORY MCKENZIE (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1093836066

GREGORY MCKENZIE (MD) is a healthcare provider. based in Fayetteville, Arkansas. specializing in PATHOLOGY. They hold the professional credentials MD. They hold a License No. E5271 (AR). The NPI Number for GREGORY MCKENZIE (MD) is 1093836066

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
GREGORY MCKENZIE (MD)
NPI
1093836066
Phone
(479) 442-0144
Address
390 E LONGVIEW ST
Enumeration Date
3 April 2007
Last Update Date
16 July 2009

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
4794420144
Graduation Year
1999 (27 years ago)
PAC ID
3678601721
Group Practice PAC ID
8729013495
Professional Enrollment ID
I20100511000183
Address ID
AR727034618FA390XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

181 PATHOLOGY in AR

Provider Addresses for GREGORY MCKENZIE (MD)

  • 390 E LONGVIEW ST

    FAYETTEVILLE, AR 727034618

    Phone: (479) 442-0144

    Type: Location

  • 390 E. LONGVIEW

    FAYETTEVILLE, AR 72702

    Phone: (479) 442-0144

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $38.

Total Amount is formed as General ($38) + Research ($0) + Ownership ($0) = $38.

Last reported payment date: 2024-04-18 • Largest payer in this snapshot: Daiichi Sankyo Inc. ($20).

Total Amount

$38

General + Research + Ownership

Payments

2

Total payment records

General Amount

$38

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-08-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100511000183IPathologyARTBD
I20220822002144IPathologyTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity861445$0
88341Special stained specimen slides to examine tissue, each additional procedure26468$0
88342Special stained specimen slides to examine tissue, initial procedure175142$0
88374Microscopic genetic analysis of tissue, computer-assisted technology, initial procedure, each multiplex procedure12147$0
88307Pathology examination of tissue using a microscope, moderately high complexity8759$0
View full utilization report →

Insurance plans in this area (ZIP 72703)

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Provider's Procedures

GREGORY MCKENZIE (MD) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYAR88307Pathology examination of tissue using a microscope, moderately high complexity9269
PATHOLOGYAR88342Tissue or cell analysis by immunologic technique126114

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8729013495View full group profile
NameSpecialtyState
P A T H O L O G YAR
P A T H O L O G YAR
-AR
P A T H O L O G YAR
Hematology, PathologyAR
P A T H O L O G YAR
P A T H O L O G YAR
P A T H O L O G YAR
P A T H O L O G YAR
P A T H O L O G YAR

Reviews

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Frequently asked questions

Does GREGORY MCKENZIE (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — GREGORY MCKENZIE (MD) uses 1093836066.
Can I rely on GREGORY MCKENZIE (MD) being an active provider?
As of the registry snapshot, GREGORY MCKENZIE (MD) is marked active.
What is GREGORY MCKENZIE (MD)'s specialty?
The listing groups GREGORY MCKENZIE (MD) with Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Does GREGORY MCKENZIE (MD) list a practice location?
Patients near Fayetteville, Arkansas may find GREGORY MCKENZIE (MD) in results; validate coverage separately.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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