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JOHN MICHAEL MCGINITY M.D.
NPI 1063433522
Surgery in Alexandria, LA

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2129 JACKSON ST, ALEXANDRIA, LA 71301(318) 448-7063(318) 448-7395 Get Directions Write a Review

NPPES record last updated: April 22, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John Michael Mcginity M.d. NPPES

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

JOHN MICHAEL MCGINITY M.D. (NPI 1063433522) is an individual surgery provider in Alexandria, Louisiana, licensed in Louisiana (020633) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Christus St Frances Cabrini Hospital, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1989).

NPPES Registry Identity

NPI1063433522
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJOHN MICHAEL MCGINITYCredential: M.D.
Location Address2129 JACKSON STAlexandria, LA 71301-6444
Mailing Address2129 Jackson StAlexandria, LA 71301-6444 · (318) 448-7063 · Fax (318) 448-7395
Phone(318) 448-7063
Fax(318) 448-7395
Sole ProprietorYes
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1989
Enumeration DateJuly 21, 2006
Last NPPES UpdateApril 22, 2008
✔ NPI 1063433522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in LA · 020633
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2129 JACKSON ST, Alexandria, LA 71301
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Other Identifiers 3

Medicaid1982377LA
Medicare UPINF73486LA
Medicare ID-Type Unspecified5U149P301LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana.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

John Michael Mcginity 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 ID9739135005
PECOS Enrollment IDI20050330000140
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 11

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 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.
187 services141 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.
144 services144 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
104 services104 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.
95 services74 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
43 services43 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
21 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Christus St Frances Cabrini Hospital

Acute Care Hospitals · Alexandria, LA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190019
Location3330 Masonic DriveAlexandria, LA 71301 · Rapides County
Emergency services Birthing friendly

Rapides Regional Medical Center

Acute Care Hospitals · Alexandria, LA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number190026
Location211 4th StreetAlexandria, LA 71301 · Rapides County
Emergency services Birthing friendly

Willis Knighton Medical Center

Acute Care Hospitals · Shreveport, LA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number190111
Location2600 Greenwood RoadShreveport, LA 71103 · Caddo County
Emergency services Birthing friendly

Christus Central Louisiana Surgical Hospital

Acute Care Hospitals · Alexandria, LA
OwnershipProprietary
CMS Certification Number190298
Location651 North Bolton AveAlexandria, LA 71301 · Rapides County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 71301 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$67.06 typical visit price
range $16.64 – $133.62
Typical copayment $16.76 (range $4.16 – $33.40)
Most-billed visit code 99213
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%391 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%1,273 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%367 patients4/55-star benchmark: 100%
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.
69%1,012 patients3/55-star benchmark: 97%
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…
97%650 patients5/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 408 patients
84%171 patients4/55-star benchmark: 98%
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…
57%1,012 patients3/55-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…
0%1,012 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
5%1,012 patients
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.

Other Providers at the Same Location NPPES

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

ALEXANDRIA SURGERY
Clinic/Center (Medical Specialty)
2129 JACKSON ST
ALEXANDRIA, LA 71301
Rapides Parish (318) 448-7063

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 John Mcginity's NPI number?

The NPI number for John Mcginity is 1063433522. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is John Mcginity located?

John Mcginity practices at 2129 Jackson St, Alexandria, LA 71301. The listed phone number is (318) 448-7063.

What is John Mcginity's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is John Mcginity enrolled in Medicare?

Yes. John Mcginity 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 John Mcginity accept?

Health plans from Blue Cross and Blue Shield of Louisiana list John Mcginity 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 John Mcginity affiliated with any hospitals?

According to CMS data, John Mcginity is affiliated with Christus St Frances Cabrini Hospital, Rapides Regional Medical Center, Willis Knighton Medical Center and Christus Central Louisiana Surgical Hospital.

When was this NPI record last updated?

The NPPES record for John Mcginity was last updated on April 22, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.