DR. JOHN DAVID MACKENNEY (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1770531774

DR. JOHN DAVID MACKENNEY (DPM) is a healthcare provider. based in Melbourne, Florida. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. PO3043 (FL). The NPI Number for DR. JOHN DAVID MACKENNEY (DPM) is 1770531774

Main info

Male
Sole Proprietor
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN DAVID MACKENNEY (DPM)
NPI
1770531774
Phone
(321) 259-4268
Address
6550 N WICKHAM RD
Enumeration Date
4 May 2006
Last Update Date
9 August 2011

Doctor Profile

Medical School Name
BARRY UNIVERSITY SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
3212594268
Graduation Year
2000 (26 years ago)
PAC ID
6406849751
Professional Enrollment ID
I20040407001371
Address ID
FL329402038ME6550XRDXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,444 PODIATRY in FL

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Provider Addresses for DR. JOHN DAVID MACKENNEY (DPM)

  • North Wickham Road, Fountainhead North, Melbourne, Brevard County, Florida, 32935, United States

    SUITE 4

    MELBOURNE, FL 329402038

    Phone: (321) 259-4268

    Fax: (321) 259-4369

    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 2 Open Payments records for all available years, with a total value of $149.

Total Amount is formed as General ($149) + Research ($0) + Ownership ($0) = $149.

Last reported payment date: 2023-07-31 • Largest payer in this snapshot: Linvatec Corporation ($134).

Total Amount

$149

General + Research + Ownership

Payments

2

Total payment records

General Amount

$149

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-31

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: 2004-04-07

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
I20040407001371IPodiatryFLTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes619234$0
73630X-ray of foot, minimum of 3 views210146$0
99204New patient office or other outpatient visit, 45-59 minutes167167$0
J1030Injection, methylprednisolone acetate, 40 mg13840$0
11721Removal of fingernails or toenails, 6 or more nails11484$0
View full utilization report →

Insurance plans in this area (ZIP 32940)

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Provider's Procedures

DR. JOHN DAVID MACKENNEY (DPM) performs procedures in PODIATRY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYFL73630X-ray of foot, minimum of 3 views143101

Reviews

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Frequently asked questions

Where can patients find DR. JOHN DAVID MACKENNEY (DPM)'s NPI?
You can confirm DR. JOHN DAVID MACKENNEY (DPM) with NPI 1770531774; it appears in the national provider directory.
Is DR. JOHN DAVID MACKENNEY (DPM)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DR. JOHN DAVID MACKENNEY (DPM) list a primary specialty?
If you are matching referrals, note Foot & Ankle Surgery Podiatrist for DR. JOHN DAVID MACKENNEY (DPM). Clinical services aligned with this taxonomy classification.
What location shows for DR. JOHN DAVID MACKENNEY (DPM)?
We surface Melbourne, Florida for DR. JOHN DAVID MACKENNEY (DPM) based on available NPPES addresses.
What if Melbourne, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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