MACKENZIE MERTZ (DO) – Psychiatry Physician, NPI 1023426806
Psychiatry Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
104 PSYCHIATRY in SD
Provider Addresses for MACKENZIE MERTZ (DO)
985582 NEBRASKA MEDICAL CTR
OMAHA, NE 681985582
Phone:
Type: Mailing
2400 W 49TH ST
SIOUX FALLS, SD 571056581
Phone: (605) 312-8700
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 109 Open Payments records for all available years, with a total value of $1,789.
Total Amount is formed as General ($1,789) + Research ($0) + Ownership ($0) = $1,789.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Supernus Pharmaceuticals, Inc. ($626).
Total Amount
$1,789
General + Research + Ownership
Payments
109
Total payment records
General Amount
$1,789
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Supernus Pharmaceuticals, Inc. | $626 |
| Otsuka America Pharmaceutical, Inc. | $224 |
| ABBVIE INC. | $206 |
| Tris Pharma Inc | $179 |
| Corium, LLC | $93 |
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: 2025-09-23
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250923002948 | I | Psychiatry | MT | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 68198)
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