Active NPI
Richard Brian Mackey, MD
- Orthopaedic Surgery Physician
- Draper, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 7276060-1205
- Practice address
- 96 E Kimballs LN Ste 207
Draper, UT 84020-5021 - Phone
- (801) 576-2300
- Fax
- (844) 249-1746
- NPI assigned
- Apr 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Hand Surgery Physician | 207XS0106X | 7276030-1205 | UT | |
| Orthopaedic Surgery Physician | 207X00000X | 7276060-1205 | UT | Primary |
Addresses
Primary practice location
96 E Kimballs LN Ste 207
Draper, UT 84020-5021
Mailing address
PO Box 100253
Atlanta, GA 30384-0253
Phone (801) 568-5972
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265638357 | Medicaid | UT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090915000182 | UT | Practitioner - Orthopedic Surgery | 9234285339 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Tulane University School of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mountainstar Specialty Services LLC
Practice addresses (Care Compare)
8846 S Redwood Rd
Suite 121
West Jordan, UT 84088-9366
Phone (801) 569-1999
9660 S 1300
Sandy, UT 84094-3762
Phone (801) 501-2600
Hospital & facility affiliations
- Lone Peak Hospital
- Intermountain Health Alta View Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.14 of 100
- Quality
- 77.71
- Promoting interoperability
- 98
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 25 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7276060-1205 | UT | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Adult Services | Current | Accepting new patients | |
| Mountainstar Specialty Services LLC | Current | Accepting new patients | |
| University of Utah Adult Services | Orthopaedic Surgery | Current | Accepting new patients |
| University of Utah Adult Services | Current | Accepting new patients | |
| Pediatric Orthopedic Associates | Past | Accepting new patients | |
| Orthopaedic Spine Surgeons | Past | Accepting new patients |
Locations
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
96 E Kimballs Ln
Ste 207
Draper, UT 84020
Phone (801) 568-5972
96 E Kimballs Ln
Ste 203
Draper, UT 84020
Phone (801) 568-5972
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
590 S Wakara Way
Slc, UT 84108
Phone (801) 587-7005
8846 S Redwood Rd
Ste 121
West Jordan, UT 84088
Phone (801) 545-8480
Organizations & group practices 6
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.
-
- Diagnostic Radiology Physician
- Salt Lake City, UT
- NPI 1598169419
-
- Orthopaedic Surgery Physician
- Salt Lake City, UT
- NPI 1932503430
Orthopaedic Surgery
-
- Orthopaedic Surgery of the Spine Physician
- Salt Lake City, UT
- NPI 1245474139
-
- Pediatric Radiology Physician
- Salt Lake City, UT
- NPI 1659488799
Hospital & facility affiliations 2
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": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579478400000",
"number": "1992923874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 100253",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303840253",
"telephone_number": "801-568-5972",
"fax_number": "844-249-1746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 E KIMBALLS LN STE 207",
"city": "DRAPER",
"state": "UT",
"postal_code": "840205021",
"telephone_number": "801-576-2300",
"fax_number": "844-249-1746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACKEY",
"first_name": "RICHARD",
"middle_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-23",
"last_updated": "2020-01-20",
"certification_date": "2020-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207XS0106X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Hand Surgery",
"state": "UT",
"license": "7276030-1205",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "UT",
"license": "7276060-1205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1265638357",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Draper, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.