BRANDON EDWIN MACKENZIE (PA) – Physician Assistant, NPI 1659349348

BRANDON EDWIN MACKENZIE (PA) is a healthcare provider. based in Troy, Michigan. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 5601004002 (MI). The NPI Number for BRANDON EDWIN MACKENZIE (PA) is 1659349348

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
BRANDON EDWIN MACKENZIE (PA)
NPI
1659349348
Phone
(248) 879-8441
Address
44199 DEQUINDRE
Enumeration Date
9 March 2006
Last Update Date
8 October 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2489645000
Graduation Year
2002 (24 years ago)
PAC ID
8628145075
Group Practice PAC ID
3779732466
Professional Enrollment ID
I20080926000135
Address ID
MI480851117TR44201RDXX300
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

6,066 PHYSICIAN ASSISTANT in MI

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Provider Addresses for BRANDON EDWIN MACKENZIE (PA)

  • Dequindre Estates, Troy, Oakland County, Michigan, United States

    SUITE 250

    TROY, MI 48085

    Phone: (248) 879-8441

    Fax: (248) 879-6841

    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 7 Open Payments records for all available years, with a total value of $213.

Total Amount is formed as General ($213) + Research ($0) + Ownership ($0) = $213.

Last reported payment date: 2024-10-22 • Largest payer in this snapshot: Stryker Corporation ($74).

Total Amount

$213

General + Research + Ownership

Payments

7

Total payment records

General Amount

$213

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-22

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: 2008-09-26

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
I20080926000135IPhysician AssistantMITBD

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 minutes121104$0
72110X-ray of lower and sacral spine, minimum of 4 views114113$0
22614Fusion of additional segment of spine8628$0
72100X-ray of lower and sacral spine, 2-3 views8678$0
99214Established patient office or other outpatient visit, 30-39 minutes8270$0
View full utilization report →

Insurance plans in this area (ZIP 48085)

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Provider's Procedures

BRANDON EDWIN MACKENZIE (PA) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTMI22842Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments5352

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: 3779732466View full group profile
NameSpecialtyState
Nurse PractitionerMI
Physician AssistantMI
Physician AssistantMI
Orthopedic SurgeryMI
Physician AssistantMI
Physician AssistantMI
Orthopedic SurgeryPA
Physician AssistantMI
Sports Medicine, Orthopedic SurgeryMI
Physician AssistantMI

Reviews

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Frequently asked questions

What unique ID ties claims to BRANDON EDWIN MACKENZIE (PA)?
NPI 1659349348 is assigned to BRANDON EDWIN MACKENZIE (PA) under the national enumeration system.
Is BRANDON EDWIN MACKENZIE (PA)'s NPI currently valid?
The extract we use shows BRANDON EDWIN MACKENZIE (PA) as active.
What kind of provider is BRANDON EDWIN MACKENZIE (PA)?
The page reflects Physician Assistant for BRANDON EDWIN MACKENZIE (PA). Clinical services aligned with this taxonomy classification.
Where does public data place BRANDON EDWIN MACKENZIE (PA)?
The snapshot lists Troy, Michigan for BRANDON EDWIN MACKENZIE (PA); download NPPES for the complete set.
How can I contact BRANDON EDWIN MACKENZIE (PA)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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