Individual provider Active NPI

Kenneth Mackinlay, M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Madison, IN
National Provider Identifier
1689093940
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
01081566A Issued in IN
Practice address
1373 E State Road 62 Ste 2a
Madison, IN 47250-7328
Phone
(812) 801-0848
Fax
(812) 801-0773
NPI assigned
Apr 15, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery of the Spine Physician 207XS0117X 01081566A IN Primary
Student in an Organized Health Care Education/Training Program 390200000X
Orthopaedic Surgery Physician 207X00000X 01081566A IN

Addresses

Primary practice location

1373 E State Road 62 Ste 2a
Madison, IN 47250-7328

Mailing address

620 W Main St
Madison, IN 47250-3719
Phone (440) 725-8373

Other practice location 1

210 E Gray St Ste 900
Louisville, KY 40202-3905
Phone (502) 584-7525

Other practice location 2

2051 Clevidence Blvd Ste E
Clarksville, IN 47129-2278
Phone (502) 629-5225

Other practice location 3

157 Towne Dr Ste 103
Elizabethtown, KY 42701-8460
Phone (502) 629-2225

Other identifiers 2

IdentifierTypeStateIssuer
7100363840MedicaidKY
30021835MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190125002031 IN Practitioner - Orthopedic Surgery 4284942723 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Louisville School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

411 W Tipton St
Schneck Medical Center
Seymour, IN 47274-2363
Phone (812) 522-2349

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
63.09 of 100Reported as group
Quality
45.91
Improvement activities
40
Cost
76.14

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Spinal fusion145
Laminectomy or laminotomy (partial removal of spine bones)36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R3548KYMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Jackson County Schneck Memorial Hospital CurrentSince Aug 18, 2025 Accepting new patients
Norton - Kings Daughters Health Inc Orthopaedic Surgery CurrentSince Jan 18, 2019 Accepting new patients
Community Medical Associates, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Tristate Pathology and Forensic Services LLC Current Accepting new patients
Norton - Kings Daughters Health Inc CurrentSince Jan 18, 2019 Accepting new patients
Seymour Indiana Pathologists, Inc Past Accepting new patients
Community Medical Associates, Inc. Orthopaedic Surgery Past Accepting new patients
Jackson County Schneck Memorial Hospital Past Accepting new patients

Locations

2051 Clevidence Blvd
Clarksville, IN 47129
Phone (812) 280-6650

2051 Clevidence Blvd
Ste E
Clarksville, IN 47129
Phone (502) 629-5225

1373 N State Road 62
Madison, IN 47250
Phone (812) 801-0196

1373 E State Road 62
Ste 2A
Madison, IN 47250
Phone (812) 801-0848

1373 E State Road 62
#6F
Madison, IN 47250
Phone (502) 629-7181

411 W Tipton St
Seymour, IN 47274
Phone (317) 888-3505

200 S Walnut St
Seymour, IN 47274
Phone (812) 522-2349

411 W Tipton St
#3
Seymour, IN 47274

157 Towne Dr
Ste 103
Elizabethtown, KY 42701
Phone (270) 765-5926

210 E Gray St
Ste 900
Louisville, KY 40202
Phone (502) 584-8002

Interoperability endpoints

  • Direct secure messaging: kmackinlay55748@direct.nortonhealthcare.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1689093940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 W MAIN ST",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472503719",
            "telephone_number": "440-725-8373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1373 E STATE ROAD 62 STE 2A",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472507328",
            "telephone_number": "812-801-0848",
            "fax_number": "812-801-0773"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 E Gray St Ste 900",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402023905",
            "country_code": "US",
            "telephone_number": "502-584-7525",
            "fax_number": "502-584-6851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2051 Clevidence Blvd Ste E",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "IN",
            "postal_code": "471292278",
            "country_code": "US",
            "telephone_number": "502-629-5225",
            "fax_number": "502-629-5240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "157 Towne Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Elizabethtown",
            "state": "KY",
            "postal_code": "427018460",
            "country_code": "US",
            "telephone_number": "502-629-2225",
            "fax_number": "502-584-6851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACKINLAY",
        "first_name": "KENNETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-15",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "IN",
            "license": "01081566A",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IN",
            "license": "01081566A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100363840",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30021835",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, IN

Sources for this page

Verify at the official NPI Registry.