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Dr. Todd Mckenzie , MD

Pediatrics β€’ Appleton, WI

Active NPI 1528090990 Individual Practitioner Male Practitioner
Practice location in NPPES

1506 S Oneida St Fl 5
Appleton, WI 549151305

Call 9207304950 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

1506 S Oneida St Fl 5

Appleton, WI 549151305

Telephone 9207304950
Fax 9207305316
Organization at the Same NPPES Address or Phone
Ascension Medical Group-Fox Valley Wisconsin, Inc Facility NPI 1124286422

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Mckenzie has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Mckenzie as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Appleton and Wisconsin

28 active clinicians are listed under Pediatrics with a practice address in Appleton, WI (1,203 in Wisconsin).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Appleton

0% of these 28 clinicians have the CMS telehealth indicator.

10.7% of these 28 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-08-19
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES WI 43524-020

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Wisconsin Department of Safety and Professional Services.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
1528090990 (WI)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20120130000782

Enrollment State Jurisdiction

WI

PECOS Control ID

7214194497

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location August 19, 2025

Registered at 1506 S ONEIDA ST FL 5, APPLETON, WI 549151305 (Tel: 9207304950)

πŸ“
Updated Business Mailing Address August 19, 2025

Registered at 1506 S ONEIDA ST FL 5, APPLETON, WI 549151305 (Tel: 9207304950)

πŸ“
Updated Practice Location September 04, 2019

Registered at 130 2ND ST, NEENAH, WI 549562883 (Tel: 9209697900)

πŸ“
Updated Business Mailing Address September 04, 2019

Registered at 9000 W WISCONSIN AVE # MS 958, MILWAUKEE, WI 532264874 (Tel: 4142667615)

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 640 DEERWOOD AVE, NEENAH, WI 549567110 (Tel: 9207279982)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at PO BOX 8003, APPLETON, WI 549128003 (Tel: 9209963298)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as TODD MCKENZIE, MD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Pediatrics (license number reported to NPPES: WI 43524-020)

🟒
Initial NPI Registration & Enumeration July 07, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1528090990
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2006
Last Update: August 19, 2025
Sole Proprietor: No

Mailing Address

1506 S Oneida St Fl 5

Appleton, WI 549151305

Phone: 9207304950

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.