JULIA ELIZABETH MCGUINNESS M.D.
NPI 1003201435
Internal Medicine - Medical Oncology in New York, NY

Active since April 02, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
161 FORT WASHINGTON AVE FL 9, NEW YORK, NY 10032(212) 305-1945(212) 305-0178 Get Directions Write a Review

NPPES record last updated: April 19, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Julia Elizabeth Mcguinness M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JULIA ELIZABETH MCGUINNESS M.D. (NPI 1003201435) is an individual medical oncology provider in New York, New York, licensed in New York (288562) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Baylor College Of Medicine (2015).

NPPES Registry Identity

NPI1003201435
Entity TypeIndividualFemale
Primary Taxonomy207RX0202X
Provider Legal NameJULIA ELIZABETH MCGUINNESSCredential: M.D.
Location Address161 FORT WASHINGTON AVE FL 9New York, NY 10032-3729
Mailing Address630 W 168th St # 4New York, NY 10032-3725 · (212) 305-1945 · Fax (212) 305-0178
Fax(212) 305-0178
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2015
Enumeration DateApril 2, 2015
Last NPPES UpdateApril 19, 2021
NPPES CertifiedApril 19, 2021
NPI 1003201435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License Licensed in NY · 288562
Definition

An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.

Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License 288562 (NY)
161 FORT WASHINGTON AVE FL 9, New York, NY 10032

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Julia Elizabeth Mcguinness M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204176480
PECOS Enrollment IDI20210804000080
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
93 services21 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
83 services45 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
79 services14 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
161 FORT WASHINGTON AVE FL 9
NEW YORK, NY 10032
Internal Medicine (Medical Oncology)
161 FORT WASHINGTON AVE FL 9
NEW YORK, NY 10032
Internal Medicine (Medical Oncology)
161 FORT WASHINGTON AVE FL 9
NEW YORK, NY 10032
Nurse Practitioner (Acute Care)
161 FORT WASHINGTON AVE FL 9
NEW YORK, NY 10032
Internal Medicine (Hematology)
161 FORT WASHINGTON AVE FL 9
NEW YORK, NY 10032
Nurse Practitioner (Acute Care)
161 FORT WASHINGTON AVE FL 9
NEW YORK, NY 10032

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Julia Mcguinness's NPI number?

The NPI number for Julia Mcguinness is 1003201435. It was assigned to this individual provider in the NPPES registry on April 2, 2015.

Where is Julia Mcguinness located?

Julia Mcguinness practices at 161 Fort Washington Ave Fl 9, New York, NY 10032. The listed phone number is (212) 305-1945.

What is Julia Mcguinness's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Julia Mcguinness enrolled in Medicare?

Yes. Julia Mcguinness is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Julia Mcguinness affiliated with any hospitals?

According to CMS data, Julia Mcguinness is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Julia Mcguinness was last updated on April 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.