MR. THOMAS MCGINLEY M.D.
NPI 1144284118
Family Medicine in Phillipsburg, NJ

Active since April 14, 2006PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
755 MEMORIAL PKWY, SUITE 300, PHILLIPSBURG, NJ 08865(908) 454-6303 Get Directions Write a Review

NPPES record last updated: September 14, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Thomas Mcginley M.d. NPPES

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

MR. THOMAS MCGINLEY M.D. (NPI 1144284118) is an individual family medicine provider in Phillipsburg, New Jersey, licensed in New Jersey (25MA08730500) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with St Luke's Warren Hospital, and is a graduate of Pennsylvania State University College Of Medicine (1992).

NPPES Registry Identity

NPI1144284118
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMR. THOMAS MCGINLEYCredential: M.D.
Location Address755 MEMORIAL PKWY, SUITE 300Phillipsburg, NJ 08865-2748
Mailing AddressPo Box 27957Salt Lake City, UT 84127-0957 · (908) 835-1910 · Fax (908) 835-1924
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 1992
Enumeration DateApril 14, 2006
Last NPPES UpdateSeptember 14, 2015
NPI 1144284118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NJ · 25MA08730500
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
755 MEMORIAL PKWY, Phillipsburg, NJ 08865

Other Identifiers 2

Medicaid0326593NJ
Medicare PIN268770NJ

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

Mr. Thomas Mcginley 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 ID2769530831
PECOS Enrollment IDI20090429000132
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

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.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

St Luke's Warren Hospital

Acute Care Hospitals · Phillipsburg, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310060
Location185 Roseberry StPhillipsburg, NJ 08865 · Warren County
Emergency services

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

St Luke's Miners Memorial Hospital

Acute Care Hospitals · Coaldale, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390183
Location360 W Ruddle StreetCoaldale, PA 18218 · Schuylkill County
Emergency services

Geisinger St. Luke's Hospital

Acute Care Hospitals · Orwigsburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390332
Location100 Paramount BoulevardOrwigsburg, PA 17961 · Schuylkill County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08865 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Physician Assistant (Medical)
755 MEMORIAL PKWY, SUITE 102
PHILLIPSBURG, NJ 08865
Physical Therapist (Pediatrics)
755 MEMORIAL PKWY
PHILLIPSBURG, NJ 08865
Physical Therapist
755 MEMORIAL PKWY, SUITE 208
PHILLIPSBURG, NJ 08865
Family Medicine
755 MEMORIAL PKWY, SUITE 300
PHILLIPSBURG, NJ 08865
Physical Medicine & Rehabilitation (Pain Medicine)
755 MEMORIAL PKWY, BLDG. 200 SUITE 201
PHILLIPSBURG, NJ 08865
Occupational Therapist (Pediatrics)
755 MEMORIAL PKWY
PHILLIPSBURG, NJ 08865
Nurse Practitioner (Family)
755 MEMORIAL PKWY, SUITE 112
PHILLIPSBURG, NJ 08865
Internal Medicine (Gastroenterology)
755 MEMORIAL PKWY
PHILLIPSBURG, NJ 08865

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 Thomas Mcginley's NPI number?

The NPI number for Thomas Mcginley is 1144284118. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Where is Thomas Mcginley located?

Thomas Mcginley practices at 755 Memorial Pkwy Suite 300, Phillipsburg, NJ 08865. The listed phone number is (908) 454-6303.

What is Thomas Mcginley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thomas Mcginley enrolled in Medicare?

Yes. Thomas Mcginley 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 Thomas Mcginley affiliated with any hospitals?

According to CMS data, Thomas Mcginley is affiliated with St Luke's Warren Hospital, St Luke's Hospital Bethlehem, St Luke's Miners Memorial Hospital and Geisinger St. Luke's Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Mcginley was last updated on September 14, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.