DR. JENNA BETH MACKAY (DPM) – Foot & Ankle Surgery Podiatrist, NPI 1689029936

DR. JENNA BETH MACKAY (DPM) is a healthcare provider. based in Bend, Oregon. specializing in PODIATRY. They hold the professional credentials DPM. They hold a License No. DP214043 (ID). The NPI Number for DR. JENNA BETH MACKAY (DPM) is 1689029936

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. JENNA BETH MACKAY (DPM)
NPI
1689029936
Phone
(541) 383-3668
Address
1506 NE WILLIAMSON BLVD
Enumeration Date
24 April 2016
Last Update Date
27 January 2024

Doctor Profile

Medical School Name
CALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Secondary Phone
5413833668
Graduation Year
2016 (10 years ago)
PAC ID
0648502609
Group Practice PAC ID
9133126113
Professional Enrollment ID
I20230323002155
Address ID
OR977016071BE1506XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience49
Completeness75
Years active:10State licenses:1Digital endpointsOther names

213 PODIATRY in OR

Provider Addresses for DR. JENNA BETH MACKAY (DPM)

  • 1506 NE WILLIAMSON BLVD

    BEND, OR 977016071

    Phone: (541) 383-3668

    Type: Location

  • 809, North Liberty Street, Boise Junction, Boise, Ada County, Idaho, 83704, United States

    BOISE, ID 837048703

    Phone: (208) 327-0627

    Fax: (208) 376-5258

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 21 Open Payments records for all available years, with a total value of $496.

Total Amount is formed as General ($496) + Research ($0) + Ownership ($0) = $496.

Last reported payment date: 2024-09-27 • Largest payer in this snapshot: TREACE MEDICAL CONCEPTS, INC. ($453).

Total Amount

$496

General + Research + Ownership

Payments

21

Total payment records

General Amount

$496

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-27

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: 2023-03-23

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230323002155IPodiatryORTBD

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
11721Removal of fingernails or toenails, 6 or more nails541414$0
99213Established patient office or other outpatient visit, 20-29 minutes279202$0
99203New patient office or other outpatient visit, 30-44 minutes202202$0
73630X-ray of foot, minimum of 3 views157117$0
11055Removal of noncancer thickened skin growth, 1 growth9777$0
View full utilization report →

Insurance plans in this area (ZIP 97701)

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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: 9133126113View full group profile
NameSpecialtyState
P O D I A T R YOR
P O D I A T R YTX
P O D I A T R YKY

Reviews

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Frequently asked questions

Does DR. JENNA BETH MACKAY (DPM) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. JENNA BETH MACKAY (DPM) uses 1689029936.
Is DR. JENNA BETH MACKAY (DPM) listed as active for patients and plans?
The listing shows DR. JENNA BETH MACKAY (DPM) as active in the NPI system.
What is DR. JENNA BETH MACKAY (DPM)'s primary classification?
Foot & Ankle Surgery Podiatrist is the headline specialty for DR. JENNA BETH MACKAY (DPM) here. Clinical services aligned with this taxonomy classification.
Does DR. JENNA BETH MACKAY (DPM) list a practice location?
Patients near Bend, Oregon may find DR. JENNA BETH MACKAY (DPM) in results; validate coverage separately.
Why does DR. JENNA BETH MACKAY (DPM) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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