ADDISON ELAINE MCGINN MD
NPI 1124589775
Internal Medicine - Cardiovascular Disease in Tulsa, OK

Q: What is Addison Mcginn's NPI number?

The NPI number for Addison Mcginn is 1124589775. It was assigned to this individual provider in the NPPES registry on March 27, 2019. The provider is also known as Addison Elaine Jezek.

Q: What is Addison Mcginn's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Addison Mcginn was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since March 27, 2019PECOS EnrolledAccepts Medicare Assignment

1923 S UTICA AVE FL 4, TULSA, OK 74104(918) 748-7650 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 9, 2025, Aug 13, 2021 (2 updates tracked since 2021).

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About Addison Elaine Mcginn Md NPPES

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

ADDISON ELAINE MCGINN MD (NPI 1124589775) is an individual cardiovascular disease provider in Tulsa, Oklahoma, licensed in Oklahoma (34772) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Ascension St John Jane Phillips, and is a graduate of University Of Oklahoma College Of Medicine (2019).

NPPES Registry Identity

NPI1124589775

Entity TypeIndividualFemale

Primary Taxonomy207RC0000X

Provider Legal NameADDISON ELAINE MCGINNCredential: MD

Location Address1923 S UTICA AVE FL 4Tulsa, OK 74104-6520

Mailing Address1923 S Utica Ave Fl 4Tulsa, OK 74104-6520

Phone(918) 748-7650

Sole ProprietorNo

Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2019

Enumeration DateMarch 27, 2019

Last NPPES UpdateJune 9, 20252 updates tracked since enumeration

NPPES CertifiedJune 9, 2025

✔ NPI 1124589775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in OK · 34772

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

1923 S UTICA AVE FL 4, Tulsa, OK 74104

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Other Names 1

Former Name (1)Addison Elaine Jezek

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Mending Health.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

Addison Elaine Mcginn 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 ID6305224494

PECOS Enrollment IDI20250806003052

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.

Hospital Affiliations CMS Care Compare 4

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

Ascension St John Jane Phillips

Acute Care Hospitals · Bartlesville, OK

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370018

Location3500 East Frank Phillips BoulevardBartlesville, OK 74006 · Washington County

Emergency services Birthing friendly

Ascension St John Medical Center

Acute Care Hospitals · Tulsa, OK

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370114

Location1923 South Utica AvenueTulsa, OK 74104 · Tulsa County

Emergency services Birthing friendly

St John Owasso

Acute Care Hospitals · Owasso, OK

OwnershipVoluntary non-profit - Private

CMS Certification Number370227

Location12451 East 100th Street NorthOwasso, OK 74055 · Tulsa County

Emergency services Birthing friendly

Ascension St John Broken Arrow

Acute Care Hospitals · Broken Arrow, OK

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number370235

Location1000 West Boise CircleBroken Arrow, OK 74012 · Tulsa County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74104 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

$123.06 typical visit price

range $53.00 – $162.61

Typical copayment $30.76 (range $13.25 – $40.65)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.68 – $132.40

Typical copayment $16.62 (range $4.17 – $33.10)

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.

Other Providers at the Same Location NPPES 7

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

MS. CANDACE L. CAMPBELL APRN-CNP

Nurse Practitioner (Family)