DR. JERRY LAMONT MCKENZIE (M.D.) – Geriatric Medicine (Family Medicine) Physician, NPI 1053679407
Geriatric Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,174 FAMILY PRACTICE in VA
Provider Addresses for DR. JERRY LAMONT MCKENZIE (M.D.)
4400 OAK PARK LN
FORT WORTH, TX 761099534
Phone: (817) 985-7772
Type: Mailing
825 FAIRFAX AVE
SUITE 410
NORFOLK, VA 235071914
Phone: (757) 446-7934
Type: Mailing
1720 E BROAD ST
MANSFIELD, TX 760633400
Phone: (817) 453-5912
Type: Location
845 Desco Ln
Grand Prairie, TX 750511685
Phone: (817) 761-7876
Fax: (817) 635-6362
Type: Location
3920 W Wheatland Rd Ste 152
Dallas, TX 752373404
Phone: (214) 467-0432
Type: Location
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 $385.
Total Amount is formed as General ($385) + Research ($0) + Ownership ($0) = $385.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: ABBVIE INC. ($69).
Total Amount
$385
General + Research + Ownership
Payments
21
Total payment records
General Amount
$385
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $69 |
| Novo Nordisk Inc | $68 |
| AstraZeneca Pharmaceuticals LP | $57 |
| Sumitomo Pharma America, Inc. | $53 |
| Amgen Inc. | $37 |
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: 2018-10-05
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 |
|---|---|---|---|---|
| I20181005002456 | I | Family Practice | TX | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 42 | 32 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 33 | 31 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 13 | 13 | $0 |
Insurance plans in this area (ZIP 76109)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | TX | |
| Internal Medicine | TX | |
| Family Practice | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Family Practice | TX | |
| Nurse Practitioner | TX | |
| Family Practice | TX | |
| Family Practice, Sleep Medicine | TX | |
| Nurse Practitioner | TX |
Reviews
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