MARK MCKENNEY (MD) – Trauma Surgery Physician, NPI 1437212099

MARK MCKENNEY (MD) is a healthcare provider. based in Miami, Florida. specializing in GENERAL SURGERY. They hold the professional credentials MD. They hold a License No. ME57722 (FL). The NPI Number for MARK MCKENNEY (MD) is 1437212099

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
MARK MCKENNEY (MD)
NPI
1437212099
Phone
(305) 559-1883
Address
11760 BIRD RD
Enumeration Date
18 December 2006
Last Update Date
9 February 2022

Doctor Profile

Medical School Name
UNIVERSITY OF MICHIGAN MEDICAL SCHOOL
Secondary Phone
7724623939
Graduation Year
1985 (41 years ago)
PAC ID
8921066747
Group Practice PAC ID
4789750118
Professional Enrollment ID
I20041228000074
Address ID
FL349504838FO2402XBLVD300

Contacts

Secure Messaging
MARK.MCKENNEY@hca4.eclinicaldirectplus.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

2,163 GENERAL SURGERY in FL

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Provider Addresses for MARK MCKENNEY (MD)

  • Southwest 40th Street, Miami, Miami-Dade County, Florida, 33175, United States

    SUITE 722

    MIAMI, FL 331753582

    Phone: (305) 559-1883

    Fax: (305) 559-1887

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 25 Open Payments records for all available years, with a total value of $4,592.

Total Amount is formed as General ($4,592) + Research ($0) + Ownership ($0) = $4,592.

Last reported payment date: 2024-05-07 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($3,764).

Total Amount

$4,592

General + Research + Ownership

Payments

25

Total payment records

General Amount

$4,592

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-07

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: 2004-12-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20041228000074IGeneral SurgeryFLTBD

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
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2419$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 33175)

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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: 4789750118View full group profile
NameSpecialtyState
Critical Care (Intensivists), General SurgeryOK
Physician AssistantTN
Physician AssistantFL
General Surgery, Critical Care (Intensivists)FL
Physician AssistantFL
General SurgeryFL
Orthopedic SurgeryNM
Critical Care (Intensivists)FL
-FL
-FL

Reviews

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Frequently asked questions

What NPI should I save for MARK MCKENNEY (MD)?
Save NPI 1437212099 if you need a stable reference for MARK MCKENNEY (MD).
Is MARK MCKENNEY (MD) active in the national directory?
MARK MCKENNEY (MD)'s public NPI profile is in an active state.
Does MARK MCKENNEY (MD) list a primary specialty?
If you are matching referrals, note Trauma Surgery Physician for MARK MCKENNEY (MD). Clinical services aligned with this taxonomy classification.
Does MARK MCKENNEY (MD) practice in Florida?
You will see Miami, Florida on file for MARK MCKENNEY (MD) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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