NPIMap

Individual provider Active NPI

Matthew Brian Mackwood, MD, MPH

  • Family Medicine Physician
  • Lebanon, NH
National Provider Identifier
1740690080
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
19200 Issued in NH
Practice address
18 Old Etna Rd
Lebanon, NH 03766
Phone
(603) 650-4000
NPI assigned
May 7, 2014
Last updated
Oct 22, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD60672828 WA
Family Medicine Physician 207Q00000X 19200 NH Primary

Addresses

Primary practice location

18 Old Etna Rd
Lebanon, NH 03766

Mailing address

18 Old Etna Rd
Lebanon, NH 03766-1937

Other practice location 1

9245 Rainier Ave S
Seattle, WA 98118-5569
Phone (206) 722-8444

Other names 1

  • Matthew Brian Mackey Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, NH2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170112002922 WA Practitioner - Family Practice 4486969383 Reassigns benefits to 2 organizations
I20180918001994 NH Practitioner - Family Practice 4486969383 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mary Hitchcock Memorial HospitalGroup PAC ID 4486561164, 1,269 clinicians

Practice addresses (Care Compare)

18 Old Etna Rd
Lebanon, NH 03766-1937
Phone (603) 650-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.66 of 100Reported as apm
Quality
53.51
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19200NHMDFamily Medicine Physician
MD60672828WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Hitchcock Memorial Hospital CurrentSince Sep 10, 2018 Accepting new patients
Neighborcare Health CurrentSince Dec 11, 2017 Accepting new patients
Kaiser Foundation Health Plan of Washington CurrentSince Nov 29, 2016 Accepting new patients
Kaiser Foundation Health Plan of Washington Current Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Sep 10, 2018 Accepting new patients
Neighborcare Health Current Accepting new patients
Kaiser Foundation Health Plan of Washington Family Medicine CurrentSince Nov 29, 2016 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Sep 10, 2018 Accepting new patients
Neighborcare Health CurrentSince Dec 11, 2017 Accepting new patients
Healthfirst Family Care Center, Inc. PastSince Jan 1, 2024 Accepting new patients

Locations

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

18 Old Etna Rd
Lebanon, NH 03766
Phone (603) 650-3100

12721 30th Ave NE
Ste 101
Seattle, WA 98125
Phone (206) 417-0326

1629 N 45th St
Seattle, WA 98103
Phone (206) 633-3350

200 15th Ave E
Seattle, WA 98112
Phone (206) 326-4530

2345 Rainier Ave S
Seattle, WA 98144
Phone (206) 325-0805

4400 37th Ave S
Seattle, WA 98118
Phone (206) 296-4650

6020 35th Ave SW
Seattle, WA 98126
Phone (206) 461-6950

9245 Rainier Ave S
Seattle, WA 98118
Phone (206) 461-6981

209 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 596-3300

9505 S Steele St
Tacoma, WA 98444
Phone (253) 597-6800

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Healthfirst Family Care Center LaconiaLaconia, NH, CCN 301827 Federally qualified health center Corporate Director Jan 1, 2024
Healthfirst Family Care Center FranklinFranklin, NH, CCN 301808 Federally qualified health center Corporate Director Jan 1, 2024
Healthfirst Church StreetLaconia, NH, CCN 301005 Federally qualified health center Corporate Director Jan 1, 2024
Healthfirst Family Care Center IncLaconia, NH, CCN 301035 Federally qualified health center Corporate Director Jan 1, 2024

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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

Hospital & facility affiliations 8

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": "1399420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1740690080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 OLD ETNA RD",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "037661937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 OLD ETNA RD",
            "city": "LEBANON",
            "state": "NH",
            "postal_code": "03766",
            "telephone_number": "603-650-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9245 Rainier Ave S",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981185569",
            "country_code": "US",
            "telephone_number": "206-722-8444",
            "fax_number": "206-761-6310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACKWOOD",
        "first_name": "MATTHEW",
        "middle_name": "BRIAN",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-07",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60672828",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "19200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATTHEW",
            "last_name": "MACKEY",
            "middle_name": "BRIAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lebanon, NH

Sources for this page

Verify at the official NPI Registry.