MRS. MARY E MCKINLEY MD
NPI 1023003993
Internal Medicine in Macon, GA

Active since September 15, 2005PECOS EnrolledAccepts Medicare Assignment
360 HOSPITAL DR, SUITE 110, MACON, GA 31217(478) 841-2707(478) 841-2708 Get Directions Write a Review

NPPES record last updated: November 23, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Mary E Mckinley Md NPPES

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

MRS. MARY E MCKINLEY MD (NPI 1023003993) is an individual internal medicine provider in Macon, Georgia, licensed in Texas (T2435) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS, is affiliated with Houston Healthcare, and maintains a secondary practice location in Arlington.

NPPES Registry Identity

NPI1023003993
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMRS. MARY E MCKINLEYCredential: MD
Location Address360 HOSPITAL DR, SUITE 110Macon, GA 31217-3874
Mailing Address360 Hospital Dr, Suite 110Macon, GA 31217-3874 · (478) 841-2707 · Fax (478) 841-2708
Fax(478) 841-2708
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1998
Enumeration DateSeptember 15, 2005
Last NPPES UpdateNovember 23, 2021
NPPES CertifiedNovember 23, 2021
NPI 1023003993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in TX · T2435 Licensed in GA · 51256
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 051256 (GA)
360 HOSPITAL DR, Macon, GA 31217

Secondary Practice Location 1

Location 11015 Gibbins Rd Ste AArlington, TX 76011-5615 · Phone (972) 734-5400 · Fax (972) 734-5433

Other Identifiers 1

Medicaid000954005AGA

Accepted Insurance

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

Mrs. Mary E Mckinley 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 ID446163240
PECOS Enrollment IDI20031107000483, I20211022000447
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 36

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.

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
1,113 services106 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
1,066 services178 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.
1,049 services478 patients
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181
This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.
961 services171 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
860 services446 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
714 services428 patients

Hospital Affiliations CMS Care Compare 5

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

Houston Healthcare

Acute Care Hospitals · Warner Robins, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110069
Location1601 Watson BoulevardWarner Robins, GA 31093 · Houston County
Emergency services Birthing friendly

Atrium Health Navicent The Medical Center

Acute Care Hospitals · Macon, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110107
Location777 Hemlock StreetMacon, GA 31201 · Bibb County
Emergency services Birthing friendly

Coliseum Medical Centers, LLC, Dba

Acute Care Hospitals · Macon, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110164
Location350 Hospital DriveMacon, GA 31217 · Bibb County
Emergency services Birthing friendly

Piedmont Macon North Hospital

Acute Care Hospitals · Macon, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number110201
Location400 Charter BoulevardMacon, GA 31210 · Bibb County
Emergency services

Bleckley Memorial Hospital

Critical Access Hospitals · Cochran, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111302
Location145 Peacock StreetCochran, GA 31014 · Bleckley County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31217 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
81%5,375 patients3/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
36%366 patients2/55-star benchmark: 96%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
34%682 patients2/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
78%531 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
98%672 patients4/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
97%682 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
37%682 patients3/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 24

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
25 suppliers82 claims156 services$6.08 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
16 suppliers32 claims37 services$0.87 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
2 suppliers21 claims21 services$21.49 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers23 claims2,070 services$1.66 avg. paid by Medicare
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357
DME-Orthotic Devices · category DF000N
3 suppliers27 claims29 services$5.74 avg. paid by Medicare
Hydrocolloid dressing, wound cover, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6234
DME-Medical/Surgical Supplies · category DA023N
1 supplier16 claims192 services$5.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner (Primary Care)
360 HOSPITAL DR, SUITE 110D
MACON, GA 31217
Clinic/Center (Multi-Specialty)
360 HOSPITAL DR, BUILDING D, SUITE 130
MACON, GA 31217
Nurse Practitioner
360 HOSPITAL DR, BLDG. D, SUITE 200
MACON, GA 31217
Internal Medicine (Cardiovascular Disease)
360 HOSPITAL DR, BLDG D, STE 200
MACON, GA 31217
Internal Medicine
360 HOSPITAL DR, BLDG D SUITE110
MACON, GA 31217
Internal Medicine
360 HOSPITAL DR, BLDG D SUITE 120
MACON, GA 31217
Internal Medicine
360 HOSPITAL DR, SUITE 110
MACON, GA 31217
Nurse Practitioner (Family)
360 HOSPITAL DR, BUILDING D SUITE 110
MACON, GA 31217

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 Mary Mckinley's NPI number?

The NPI number for Mary Mckinley is 1023003993. It was assigned to this individual provider in the NPPES registry on September 15, 2005.

Where is Mary Mckinley located?

Mary Mckinley practices at 360 Hospital Dr Suite 110, Macon, GA 31217. The listed phone number is (478) 841-2707.

What is Mary Mckinley's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mary Mckinley enrolled in Medicare?

Yes. Mary Mckinley 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.

What insurance does Mary Mckinley accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 1 other insurer list Mary Mckinley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Mary Mckinley affiliated with any hospitals?

According to CMS data, Mary Mckinley is affiliated with Houston Healthcare, Atrium Health Navicent The Medical Center, Coliseum Medical Centers, LLC, Dba, Piedmont Macon North Hospital and Bleckley Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Mary Mckinley was last updated on November 23, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.