MARTIN J MCGINN O.D.
NPI 1184617672
Optometrist in Towson, MD

Active since August 30, 2005PECOS EnrolledAccepts Medicare Assignment
85.31/100
CMS Quality Rating
8625 PLEASANT PLAINS RD, TOWSON, MD 21286(410) 828-5558(410) 823-6315 Get Directions Write a Review

NPPES record last updated: September 12, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Martin J Mcginn O.d. NPPES

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

MARTIN J MCGINN O.D. (NPI 1184617672) is an individual optometrist in Towson, Maryland, licensed in Maryland (TA1154) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1988).

NPPES Registry Identity

NPI1184617672
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameMARTIN J MCGINNCredential: O.D.
Location Address8625 PLEASANT PLAINS RDTowson, MD 21286-2352
Mailing Address8625 Pleasant Plains RdTowson, MD 21286-2352 · (410) 828-5558 · Fax (410) 823-6315
Fax(410) 823-6315
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 1988
Enumeration DateAugust 30, 2005
Last NPPES UpdateSeptember 12, 2013
NPI 1184617672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in MD · TA1154
Definition

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

8625 PLEASANT PLAINS RD, Towson, MD 21286

Other Identifiers 3

Medicare UPINU01428
Medicare ID-Type Unspecified468E
Medicaid033102300MD

Accepted 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

Martin J Mcginn O.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 ID5496892010
PECOS Enrollment IDI20100902000038
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 7

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
487 services460 patients
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.
143 services111 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
52 services52 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
41 services38 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
33 services30 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21286 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
$139.05 typical visit price
range $60.73 – $183.44
Typical copayment $34.76 (range $15.18 – $45.86)
Most-billed visit code 99204
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

85.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.76
Promoting Interoperability100
Improvement Activities40
Cost59.28

Other Providers at the Same Location NPPES 8

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

Eyewear Supplier
8625 PLEASANT PLAINS RD
TOWSON, MD 21286
Ophthalmology
8625 PLEASANT PLAINS RD
TOWSON, MD 21286
Optometrist
8625 PLEASANT PLAINS RD
TOWSON, MD 21286
Ophthalmology
8625 PLEASANT PLAINS RD
TOWSON, MD 21286
Optometrist
8625 PLEASANT PLAINS RD
TOWSON, MD 21286
Ophthalmology
8625 PLEASANT PLAINS RD
TOWSON, MD 21286
Optometrist
8625 PLEASANT PLAINS RD
TOWSON, MD 21286
Ophthalmology
8625 PLEASANT PLAINS RD
TOWSON, MD 21286

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 Martin Mcginn's NPI number?

The NPI number for Martin Mcginn is 1184617672. It was assigned to this individual provider in the NPPES registry on August 30, 2005.

Where is Martin Mcginn located?

Martin Mcginn practices at 8625 Pleasant Plains Rd, Towson, MD 21286. The listed phone number is (410) 828-5558.

What is Martin Mcginn's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Martin Mcginn enrolled in Medicare?

Yes. Martin Mcginn 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 Martin Mcginn accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Providence Health Plan list Martin Mcginn 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.

When was this NPI record last updated?

The NPPES record for Martin Mcginn was last updated on September 12, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.