KIM C MACKEY (MD) – Obstetrics & Gynecology Physician, NPI 1285603431
Obstetrics & Gynecology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
1,037 OBSTETRICS/GYNECOLOGY in WA
Provider Addresses for KIM C MACKEY (MD)
400 S 43rd St
Renton, WA 980555714
Phone: (425) 690-1000
Type: Location
1700 TUTTLE ST.
BARABOO, WI 539133319
Phone: (608) 355-3800
Fax: (608) 355-7001
Type: Mailing
22 ROULSTON RD
WINDHAM, NH 030871209
Phone: (608) 575-4519
Type: Location
1700 TUTTLE ST
BARABOO, WI 539133319
Phone: (608) 355-3800
Fax: (608) 355-7001
Type: Mailing
Southwest Health Center, 1400, Eastside Road, Platteville, Grant County, Wisconsin, 53818, United States
PLATTEVILLE, WI 538189800
Phone: (608) 348-2331
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 1 Open Payments records for all available years, with a total value of $104.
Total Amount is formed as General ($104) + Research ($0) + Ownership ($0) = $104.
Last reported payment date: 2023-02-16 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($104).
Total Amount
$104
General + Research + Ownership
Payments
1
Total payment records
General Amount
$104
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-02-16
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sumitomo Pharma America, Inc. | $104 |
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: 2025-10-29
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 6 Medicare enrollment records; no due dates published yet.
Enrollment records
6
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 |
|---|---|---|---|---|
| I20040212000090 | I | Obstetrics/Gynecology | WI | TBD |
| I20241004000383 | I | Obstetrics/Gynecology | MN | TBD |
| I20241010004178 | I | Obstetrics/Gynecology | WA | TBD |
| I20250128001877 | I | Obstetrics/Gynecology | NJ | TBD |
| I20250430000312 | I | Obstetrics/Gynecology | WV | TBD |
| I20251029003127 | I | Obstetrics/Gynecology | 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.
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 | 56 | 44 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 38 | 38 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 29 | 19 | $0 |
| 58100 | Biopsy of lining of uterus | 19 | 18 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 17 | 17 | $0 |
Insurance plans in this area (ZIP 98055)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WA | |
| Physical Therapist In Private Practice | WA | |
| Internal Medicine, Hospitalist | WA | |
| P S Y C H I A T R Y | WA | |
| Hospice/Palliative Care, Internal Medicine | WA | |
| Internal Medicine, Hospitalist | CA | |
| Family Practice | WA | |
| Family Practice, Emergency Medicine | WA | |
| - | WA | |
| - | WA |
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