COLBY L MCGINN MD
NPI 1174264105
Pediatrics in Worcester, MA

Active since April 05, 2022PECOS Enrolled
55 LAKE AVE N, WORCESTER, MA 01655(774) 442-6087(774) 442-6060 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2025, Apr 5, 2022 (2 updates tracked since 2022).

About Colby L Mcginn Md NPPES

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

COLBY L MCGINN MD (NPI 1174264105) is an individual pediatrics provider in Worcester, Massachusetts, licensed in Massachusetts (1024638) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS and is a graduate of University Of Vermont College Of Medicine (2022).

NPPES Registry Identity

NPI1174264105
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameCOLBY L MCGINNCredential: MD
Location Address55 LAKE AVE NWorcester, MA 01655-0002
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Fax(774) 442-6060
Sole ProprietorNo
Medical School CMSUniversity Of Vermont College Of MedicineGraduated 2022
Enumeration DateApril 5, 2022
Last NPPES UpdateJune 5, 20252 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
NPI 1174264105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in MA · 1024638
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
55 LAKE AVE N, Worcester, MA 01655

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Colby L Mcginn Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355717687
PECOS Enrollment IDI20250715001569
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01655 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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.

Emergency Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Nurse Practitioner
55 LAKE AVE N, DEPARTMENT OF RADIOLOGY
WORCESTER, MA 01655
Nurse Anesthetist, Certified Registered
55 LAKE AVE N, DEPARTMENT OF ANESTHESIOLOGY
WORCESTER, MA 01655
Physician Assistant
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine
55 LAKE AVE N
WORCESTER, MA 01655
Internal Medicine (Hematology & Oncology)
55 LAKE AVE N
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N, ANESTHESIOLOGY
WORCESTER, MA 01655
Anesthesiology
55 LAKE AVE N
WORCESTER, MA 01655

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 Colby Mcginn's NPI number?

The NPI number for Colby Mcginn is 1174264105. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Colby Mcginn located?

Colby Mcginn practices at 55 Lake Ave N, Worcester, MA 01655. The listed phone number is (774) 442-6087.

What is Colby Mcginn's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Colby Mcginn enrolled in Medicare?

Yes. Colby Mcginn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Colby Mcginn was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.