KENNETH M MACKINNON (M.D.) – Family Medicine Physician, NPI 1245284124

KENNETH M MACKINNON (M.D.) is a healthcare provider. based in Freeland, Michigan. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. KM048873 (MI). The NPI Number for KENNETH M MACKINNON (M.D.) is 1245284124

Main info

Male
42 Years Of Experience
Accepts Medicare Assignment
Name
KENNETH M MACKINNON (M.D.)
NPI
1245284124
Phone
(989) 695-2123
Address
5694 MIDLAND RD
Enumeration Date
22 May 2006
Last Update Date
6 September 2012

Doctor Profile

Medical School Name
WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
9896954950
Graduation Year
1984 (42 years ago)
PAC ID
9537115365
Group Practice PAC ID
2264323633
Professional Enrollment ID
I20060504000688
Address ID
MI486238845FR5694XRDXX300
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

4,418 FAMILY PRACTICE in MI

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Provider Addresses for KENNETH M MACKINNON (M.D.)

  • 5694, Midland Road, Freeland, Tittabawassee Township, Saginaw County, Michigan, 48623, United States

    FREELAND, MI 486238845

    Phone: (989) 695-2123

    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)

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: 2006-05-04

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
I20060504000688IFamily PracticeMITBD

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 minutes242195$0
View full utilization report →

Insurance plans in this area (ZIP 48623)

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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: 2264323633View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology)MI
Physician AssistantMI
Nurse PractitionerTX
Cardiovascular Disease (Cardiology), Interventional Cardiology, Cardiovascular Disease (Cardiology)MI
Pulmonary Disease, Critical Care (Intensivists)MI
Physician AssistantMI
-MI
-MI
-MI
Certified Registered Nurse Anesthetist (Crna)LA

Reviews

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Frequently asked questions

Where can patients find KENNETH M MACKINNON (M.D.)'s NPI?
You can confirm KENNETH M MACKINNON (M.D.) with NPI 1245284124; it appears in the national provider directory.
Does this profile mean KENNETH M MACKINNON (M.D.) is currently active?
Yes — KENNETH M MACKINNON (M.D.) appears active in the national provider directory.
What does KENNETH M MACKINNON (M.D.) treat or focus on?
Patients typically see KENNETH M MACKINNON (M.D.) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is KENNETH M MACKINNON (M.D.)'s primary listing?
We display Freeland, Michigan because that is what the record indicates for KENNETH M MACKINNON (M.D.).
Is KENNETH M MACKINNON (M.D.) a real provider?
This page reflects official NPPES data for NPI 1245284124. Always confirm identity and privileges with the practice and licensing boards.

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