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DR. JOHN M MCKENNA MD
NPI 1225170103
Internal Medicine - Pulmonary Disease in Midland, TX

Active since February 13, 2007PECOS EnrolledAccepts Medicare Assignment
75.73/100
CMS Quality Rating
400 ROSALIND REDFERN GROVER PKWY STE 271, MIDLAND, TX 79701(432) 221-2700(432) 221-2702 Get Directions Write a Review

NPPES record last updated: May 4, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 4, 2023, Feb 11, 2020 (2 updates tracked since 2020).

About Dr. John M Mckenna Md NPPES

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

DR. JOHN M MCKENNA MD (NPI 1225170103) is an individual pulmonary disease provider in Midland, Texas, licensed in Texas (E-4516) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Midland Memorial Hospital, and is a graduate of University Of Texas Southwestern Medical School At Dallas (1975).

NPPES Registry Identity

NPI1225170103
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. JOHN M MCKENNACredential: MD
Location Address400 ROSALIND REDFERN GROVER PKWY STE 271Midland, TX 79701-5857
Mailing Address4214 Andrews Hwy Ste 240Midland, TX 79703-4817 · (432) 685-0633 · Fax (432) 685-1043
Phone(432) 221-2700
Fax(432) 221-2702
Sole ProprietorYes
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 1975
Enumeration DateFebruary 13, 2007
Last NPPES UpdateMay 4, 20232 updates tracked since enumeration
NPPES CertifiedMay 4, 2023
✔ NPI 1225170103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in TX · E-4516
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
400 ROSALIND REDFERN GROVER PKWY STE 271, Midland, TX 79701
Open in Google Maps ↗

Other Identifiers 1

Medicaid1103996-02TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Dr. John M Mckenna Md 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 ID2264525351
PECOS Enrollment IDI20070905000757
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 9

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
218 services30 patients
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.
193 services103 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
63 services45 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
33 services24 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
26 services21 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
19 services18 patients

Hospital Affiliations CMS Care Compare

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

Midland Memorial Hospital

Acute Care Hospitals · Midland, TX
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450133
Location400 Rosalind Redfern Grover ParkwayMidland, TX 79701 · Midland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79701 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

75.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.98
Promoting Interoperability99
Improvement Activities40
Cost51.97

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers61 claims61 services$38.06 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers34 claims34 services$92.01 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers32 claims96 services$32.91 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
2 suppliers21 claims122 services$19.58 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers24 claims138 services$15.68 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers42 claims42 services$57.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

NEEL BHAN MD
Internal Medicine (Pulmonary Disease)
400 ROSALIND REDFERN GROVER PKWY STE 271
MIDLAND, TX 79701
Midland County (432) 221-2700
DR. RATHNAVALI KATRAGADDA MD
Internal Medicine (Pulmonary Disease)
400 ROSALIND REDFERN GROVER PKWY STE 271
MIDLAND, TX 79701
Midland County (432) 221-2700

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 John Mckenna's NPI number?

The NPI number for John Mckenna is 1225170103. It was assigned to this individual provider in the NPPES registry on February 13, 2007.

Where is John Mckenna located?

John Mckenna practices at 400 Rosalind Redfern Grover Pkwy Ste 271, Midland, TX 79701. The listed phone number is (432) 221-2700.

What is John Mckenna's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is John Mckenna enrolled in Medicare?

Yes. John Mckenna 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 John Mckenna accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list John Mckenna 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.

Is John Mckenna affiliated with any hospitals?

According to CMS data, John Mckenna is affiliated with Midland Memorial Hospital.

When was this NPI record last updated?

The NPPES record for John Mckenna was last updated on May 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.