DR. MARILEE KAY MCGINNESS M.D.
NPI 1144280322
Surgery in Asheville, NC
NPI Status: Active since March 23, 2006
Contact Information
20 MEDICAL PARK DR
ASHEVILLE, NC
ZIP 28803
Phone: (828) 274-7502
Fax: (828) 271-6599
NPPES record last updated: June 22, 2017. Verified against the NPPES registry weekly; last sync: July 12, 2026.
Record update history: Jun 22, 2017, Mar 13, 2017, Feb 13, 2017 and 4 more (7 updates tracked since 2016).
- Individual
- Female
- Surgery
- Medicare Quality Reporting
About MARILEE MCGINNESS
This page provides the complete NPI Profile along with additional information for Marilee Mcginness, a provider established in Asheville, North Carolina with a medical specialization in Surgery. The healthcare provider is registered in the NPI registry with number 1144280322 assigned on March 2006. The practitioner's primary taxonomy code is 208600000X with license number 2016-01825 (NC). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1144280322
- Provider Name
- DR. MARILEE KAY MCGINNESS M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 20 MEDICAL PARK DR ASHEVILLE, NC 28803
- Location Phone
- (828) 274-7502
- Location Fax
- (828) 271-6599
- Mailing Address
- 2160 COLONIAL BLVD ATTN: PAYER CONTRACTING & RELATIONS DEPT. FORT MYERS, FL 33907
- Mailing Phone
- (239) 931-7342
- Mailing Fax
- (239) 931-7385
- Is Sole Proprietor?
- No
- Enumeration Date
- 03-23-2006
- Last Update Date
- 06-22-2017
- Code Navigator
A surgeon like Marilee Mcginness treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery
- Taxonomy Code
- 208600000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 2016-01825
- License State
- NC
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 174400000X | Other Service Providers | Specialist | 04-20475 (KS) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1173006 | OTHER (01) | NC | GATEWAY |
| B69287 | MEDICARE UPIN (02) | KS | |
| NCV854A | MEDICARE PIN (08) | NC | |
| P01778521 | OTHER (01) | NC | RR MEDICARE |
| 100206770A | MEDICAID (05) | KS | |
| 1144280322 | MEDICAID (05) | NC | |
| 3234091 | OTHER (01) | NC | CIGNA |
| 4582319 | OTHER (01) | NC | AETNA |
| 021401 | MEDICARE PIN (08) | KS |
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Annual registration in the Prescription Drug Monitoring Program | Yes | N/A |
| Annual registration by eligible clinician or group in the prescription drug monitoring program of the state where they practice. Activities that simply involve registration are not sufficient. MIPS eligible clinicians and groups must participate for a minimum of 6 months. | ||
| e-Prescribing | 79% | 24 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Patient-Specific Education | 25% | 159 |
| The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Provide Patient Access | 20% | 159 |
| For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified EHR technology. | ||
| Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms. | Yes | N/A |
| Regularly assess the patient experience of care through surveys, advisory councils and/or other mechanisms. | ||
| Secure Messaging | 23% | 159 |
| 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 certified EHR technology to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative). | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
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NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1144280322, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 9 providers are registered at the same or a nearby location.
ASHEVILLE, NC 28803
ASHEVILLE, NC 28803
ASHEVILLE, NC 28803
ASHEVILLE, NC 28803
ASHEVILLE, NC 28803
ASHEVILLE, NC 28803
ASHEVILLE, NC 28803
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144280322, enumerated as an "individual" on March 23, 2006.
The provider is located at 20 MEDICAL PARK DR ASHEVILLE, NC 28803 and the phone number is (828) 274-7502.
Surgery with taxonomy code 208600000X.
The provider might be accepting Accepts: Medicare, Medicaid, Railroad Medicare, Cigna and. Please consult your insurance carrier or call the provider to verify.
