GEOFFREY JACKSON MCKINZIE (M.D.) – Emergency Medicine Physician, NPI 1942417670

GEOFFREY JACKSON MCKINZIE (M.D.) is a healthcare provider. based in Rathdrum, Idaho. specializing in Emergency Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 61042565 (WA). The NPI Number for GEOFFREY JACKSON MCKINZIE (M.D.) is 1942417670

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
GEOFFREY JACKSON MCKINZIE (M.D.)
NPI
1942417670
Phone
(602) 999-6975
Address
1862 W GARWOOD RD
Enumeration Date
16 May 2007
Last Update Date
7 May 2024

Doctor Profile

Medical School Name
UNIVERSITY OF NEVADA SCHOOL OF MEDICINE
Secondary Phone
4807283974
Graduation Year
2004 (22 years ago)
PAC ID
8426158635
Group Practice PAC ID
2264409697
Professional Enrollment ID
I20070717000102
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience85
Completeness75
Years active:19State licenses:3Digital endpointsOther names

Provider Addresses for GEOFFREY JACKSON MCKINZIE (M.D.)

  • 1862 W GARWOOD RD

    RATHDRUM, ID 838587108

    Phone: (602) 999-6975

    Type: Mailing

  • 497 S BECK RD

    POST FALLS, ID 83854

    Phone: (208) 691-7690

    Type: Location

  • 475, South Dobson Road, Chandler, Maricopa County, Arizona, 85224, United States

    CHANDLER, AZ 852245605

    Phone: (480) 963-4561

    Type: Location

  • East Victoria Street, Chandler, Maricopa County, Arizona, 85249, United States

    CHANDLER, AZ 852487811

    Phone: (602) 999-6975

    Type: Mailing

  • 520 N 3rd Ave

    Sandpoint, ID 838641507

    Phone: (208) 263-1441

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2021-04-12

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
I20070717000102IEmergency MedicineAZTBD
I20210412001065IEmergency MedicineIDTBD

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
99285Emergency department visit with high level of medical decision making173171$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only153144$0
99284Emergency department visit with moderate level of medical decision making5050$0
99291Critical care, first 30-74 minutes4847$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes1615$0
View full utilization report →

Insurance plans in this area (ZIP 83858)

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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: 2264409697View full group profile
NameSpecialtyState
Physician AssistantAZ
Physician AssistantAZ
-AZ
-AZ
-AZ
-AZ
Physician AssistantAZ
Emergency Medicine, General PracticeAZ
Emergency MedicineAZ

Reviews

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Frequently asked questions

What is GEOFFREY JACKSON MCKINZIE (M.D.)'s NPI number?
GEOFFREY JACKSON MCKINZIE (M.D.)'s NPI is 1942417670 — the number used across U.S. healthcare to identify this provider.
Is there an active status for GEOFFREY JACKSON MCKINZIE (M.D.)?
For scheduling context, GEOFFREY JACKSON MCKINZIE (M.D.) is shown as active in the registry.
What area of care is associated with GEOFFREY JACKSON MCKINZIE (M.D.)?
GEOFFREY JACKSON MCKINZIE (M.D.)'s record emphasizes Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is GEOFFREY JACKSON MCKINZIE (M.D.) associated with Rathdrum?
Public fields place GEOFFREY JACKSON MCKINZIE (M.D.) around Rathdrum, Idaho. Always confirm the exact site before visiting.
Does GEOFFREY JACKSON MCKINZIE (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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