Individual provider Active NPI

Matthew J McKenzie, MD

  • Orthopaedic Surgery Physician
  • Tea, SD
National Provider Identifier
1720094089
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
5001 Issued in SD
Practice address
2120 Live Stronger St
Tea, SD 57064-8331
Phone
(605) 331-5890
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 35462 MN
Orthopaedic Surgery Physician 207X00000X 5001 SD Primary

Addresses

Primary practice location

2120 Live Stronger St
Tea, SD 57064-8331

Mailing address

2120 Live Stronger St
Tea, SD 57064-8331
Phone (605) 331-5890

Other identifiers 2

IdentifierTypeStateIssuer
7301470MedicaidSD
200023496OtherSDRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
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
I20100203000615 SD Practitioner - Orthopedic Surgery 2668367624 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Sanford School of Medicine of University of South Dakota, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Orthopedic Institute PCGroup PAC ID 1254223894, 57 clinicians

Practice addresses (Care Compare)

1101 Broadway Ave
Yankton, SD 57078-2835
Phone (605) 331-5890

1300 S Burr St
Mitchell, SD 57301-4551
Phone (605) 331-5890

2120 Live Stronger St
Tea, SD 57064-8331
Phone (605) 331-5890

407 22ND Ave
Brookings, SD 57006-2427
Phone (605) 331-5890

810 E 23Rd St
Sioux Falls, SD 57105-2135

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement30
Knee replacement33
Spinal fusion55
Laminectomy or laminotomy (partial removal of spine bones)75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5001SDMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Institute PC Orthopaedic Surgery CurrentSince Aug 1, 1996 Accepting new patients

Locations

1300 S Burr St
Mitchell, SD 57301

810 E 23rd St
Sioux Falls, SD 57105
Phone (605) 339-6823

2120 Live Stronger St
Tea, SD 57064
Phone (605) 982-9545

Interoperability endpoints

  • Direct secure messaging: matthew.mckenzie.1@21545.direct.athenahealth.com

Organizations & group practices 1

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 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1720094089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 LIVE STRONGER ST",
            "city": "TEA",
            "state": "SD",
            "postal_code": "570648331",
            "telephone_number": "605-331-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 LIVE STRONGER ST",
            "city": "TEA",
            "state": "SD",
            "postal_code": "570648331",
            "telephone_number": "605-331-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "MATTHEW",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MN",
            "license": "35462",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "SD",
            "license": "5001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7301470",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "200023496",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tea, SD

Sources for this page

Verify at the official NPI Registry.