MARY SHANNON MCGINNIS
NPI 1205227048
Nurse Practitioner - Primary Care in New York, NY

Active since February 16, 2015PECOS EnrolledAccepts Medicare Assignment
85.46/100
CMS Quality Rating
1275 YORK AVE, NEW YORK, NY 10065(212) 693-5860 Get Directions Write a Review

NPPES record last updated: February 16, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mary Shannon Mcginnis NPPES

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

MARY SHANNON MCGINNIS (NPI 1205227048) is an individual primary care provider in New York, New York, licensed in New York (30-307128 10) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1205227048
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMARY SHANNON MCGINNIS
Location Address1275 YORK AVENew York, NY 10065-6007
Mailing Address1275 York AveNew York, NY 10065-6007 · (212) 693-5860
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 16, 2015
✔ NPI 1205227048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in NY · 30-307128 10
Also ListedRegistered NurseTaxonomy 163W00000X · License 22-604904 08 (NY)
1275 YORK AVE, New York, NY 10065

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mary Shannon Mcginnis 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 ID7416253398
PECOS Enrollment IDI20180723003200
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Mary Mcginnis reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hematology & Oncology
1275 YORK AVE
New York, NY 10065
  • Reassigned Medicare billing, New York enrollment
  • 428 clinicians in this Medicare group
Diagnostic Radiology
1275 YORK AVE
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 302 clinicians in this Medicare group
Medical Oncology
225 SUMMIT AVE
Montvale, NJ 07645
  • Reassigned Medicare billing, New Jersey enrollment
  • 401 clinicians in this Medicare group
Medical Oncology
500 WESTCHESTER AVE
West Harrison, NY 10604
  • Reassigned Medicare billing, New York enrollment
  • 328 clinicians in this Medicare group
Medical Oncology
480 RED HILL RD
Middletown, NJ 07748
  • Reassigned Medicare billing, New Jersey enrollment
  • 464 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
310 services194 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.
27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10065 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

85.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.05
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.

Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Acute Care)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Pediatrics)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Internal Medicine (Hematology & Oncology)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Special Hospital
1275 YORK AVE, MEMORIAL SLOAN KETTERING CANCER CENTRE
NEW YORK, NY 10065

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 Mary Mcginnis's NPI number?

The NPI number for Mary Mcginnis is 1205227048. It was assigned to this individual provider in the NPPES registry on February 16, 2015.

Where is Mary Mcginnis located?

Mary Mcginnis practices at 1275 York Ave, New York, NY 10065. The listed phone number is (212) 693-5860.

What is Mary Mcginnis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Mary Mcginnis enrolled in Medicare?

Yes. Mary Mcginnis 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.

Which organizations bill Medicare for Mary Mcginnis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Mcginnis reassigns Medicare benefits to 5 organizations: Memorial Hematology Lymphoma Group (New York, NY), Mskcc Radiology Group (New York, NY), Msk Bergen (Montvale, NJ), Msk Harrison (West Harrison, NY) and Msk Monmouth (Middletown, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Mcginnis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mary Mcginnis was last updated on February 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.