MICHAEL JOHN MCGINNIS MD
NPI 1013575182
Pain Medicine - Interventional Pain Medicine in Libertyville, IL

Active since June 03, 2019PECOS EnrolledAccepts Medicare Assignment
890 GARFIELD AVE STE 103, LIBERTYVILLE, IL 60048(847) 990-5670(847) 279-0069 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 8, 2024, Sep 18, 2024, Jul 9, 2024 and 5 more (8 updates tracked since 2019).

About Michael John Mcginnis Md NPPES

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

MICHAEL JOHN MCGINNIS MD (NPI 1013575182) is an individual interventional pain medicine provider in Libertyville, Illinois, licensed in Illinois (036.170125) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, is affiliated with Advocate Illinois Masonic Medical Center, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1013575182
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameMICHAEL JOHN MCGINNISCredential: MD
Location Address890 GARFIELD AVE STE 103Libertyville, IL 60048-3100
Mailing Address29373 Network PlChicago, IL 60673-1293 · (847) 390-5900
Fax(847) 279-0069
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 3, 2019
Last NPPES UpdateNovember 8, 20248 updates tracked since enumeration
NPPES CertifiedNovember 8, 2024
NPI 1013575182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License Licensed in IL · 036.170125
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedAnesthesiologyTaxonomy 207L00000X · License 125.074121 (IL), 73428 (MN)
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License 73428 (MN), 036.170125 (IL)
890 GARFIELD AVE STE 103, Libertyville, IL 60048

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

Michael John Mcginnis Md 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 ID3476888611
PECOS Enrollment IDI20240625000250
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 12

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
73 services32 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
42 services38 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.
40 services36 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
37 services37 patients
Injection of substance into lower spine canal using imaging guidance 62323
This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.
32 services31 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
20 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Advocate Illinois Masonic Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140182
Location836 West Wellington AvenueChicago, IL 60657 · Cook County
Emergency services Birthing friendly

Advocate Condell Medical Center

Acute Care Hospitals · Libertyville, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140202
Location801 S Milwaukee AveLibertyville, IL 60048 · Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60048 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$105.07 typical visit price
range $19.15 – $147.12
Typical copayment $26.26 (range $4.78 – $36.78)
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.

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.

Physician Assistant
890 GARFIELD AVE STE 103
LIBERTYVILLE, IL 60048
Surgery
890 GARFIELD AVE STE 103
LIBERTYVILLE, IL 60048
Pain Medicine (Interventional Pain Medicine)
890 GARFIELD AVE STE 103
LIBERTYVILLE, IL 60048
Physician Assistant
890 GARFIELD AVE STE 103
LIBERTYVILLE, IL 60048
Surgery
890 GARFIELD AVE STE 103
LIBERTYVILLE, IL 60048
Physician Assistant
890 GARFIELD AVE STE 103
LIBERTYVILLE, IL 60048

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 Michael Mcginnis's NPI number?

The NPI number for Michael Mcginnis is 1013575182. It was assigned to this individual provider in the NPPES registry on June 3, 2019.

Where is Michael Mcginnis located?

Michael Mcginnis practices at 890 Garfield Ave Ste 103, Libertyville, IL 60048. The listed phone number is (847) 990-5670.

What is Michael Mcginnis's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Michael Mcginnis enrolled in Medicare?

Yes. Michael Mcginnis 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 Michael Mcginnis affiliated with any hospitals?

According to CMS data, Michael Mcginnis is affiliated with Advocate Illinois Masonic Medical Center and Advocate Condell Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Mcginnis was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.