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MARC R MCKINLEY D.O.
NPI 1225212285
Internal Medicine - Nephrology in Panama City, FL

Active since December 26, 2007PECOS EnrolledAccepts Medicare Assignment
504 N MACARTHUR AVE, PANAMA CITY, FL 32401(850) 769-2158 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Jun 15, 2017 (2 updates tracked since 2017).

About Marc R Mckinley D.o. NPPES

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

MARC R MCKINLEY D.O. (NPI 1225212285) is an individual nephrology provider in Panama City, Florida, licensed in Florida (OS14763) and active in the NPI registry since December 2007. He is enrolled in Medicare PECOS, is affiliated with Ascension Sacred Heart Bay, and maintains a secondary practice location in Westlake.

NPPES Registry Identity

NPI1225212285
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameMARC R MCKINLEYCredential: D.O.
Location Address504 N MACARTHUR AVEPanama City, FL 32401-3636
Mailing Address120 W 22nd St Ste 300Oak Brook, IL 60523-4071 · (630) 573-5000 · Fax (630) 368-0280
Phone(850) 769-2158
Sole ProprietorNo
Medical School CMSOhio University, College Of Osteopathic MedicineGraduated 2007
Enumeration DateDecember 26, 2007
Last NPPES UpdateApril 29, 20252 updates tracked since enumeration
NPPES CertifiedApril 29, 2025
✔ NPI 1225212285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in FL · OS14763✔ Licensed in OH · 34009847
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedInternal MedicineTaxonomy 207R00000X · License 58.002415 (OH)
504 N MACARTHUR AVE, Panama City, FL 32401
Open in Google Maps ↗

Secondary Practice Location 1

Location 1805 Columbia Rd Ste 101Westlake, OH 44145-1461 · Phone (216) 228-5500 · Fax (216) 227-2628

Other Identifiers 1

Medicaid66174OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) 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

Marc R Mckinley D.o. 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 ID7911161781
PECOS Enrollment IDI20210115000333
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 11

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.
287 services182 patients
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.
243 services101 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
216 services38 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
77 services77 patients
Hemodialysis procedure requiring repeated evaluation 90937
Hemodialysis is a treatment that filters waste and excess fluids from your blood when your kidneys can't do this adequately. It's an ongoing process, requiring regular evaluations to monitor and adjust the treatment for optimal results.
75 services39 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
66 services62 patients

Hospital Affiliations CMS Care Compare 5

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

Ascension Sacred Heart Bay

Acute Care Hospitals · Panama City, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100026
Location615 N Bonita AvePanama City, FL 32401 · Bay County
Emergency services

Jackson Hospital

Acute Care Hospitals · Marianna, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100142
Location4250 Hospital DrMarianna, FL 32446 · Jackson County
Emergency services Birthing friendly

Hca Florida Gulf Coast Hospital

Acute Care Hospitals · Panama City, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100242
Location449 W 23rd StPanama City, FL 32405 · Bay County
Emergency services Birthing friendly

Ascension Sacred Heart Gulf

Acute Care Hospitals · Port Saint Joe, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number100313
Location3801 E Hwy 98Port Saint Joe, FL 32456 · Gulf County
Emergency services

Northwest Florida Community Hospital

Critical Access Hospitals · Chipley, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number101308
Location1360 Brickyard RdChipley, FL 32428 · Washington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32401 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%346 patients5/55-star benchmark: 100%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
98%132 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%945 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
63%190 patients2/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
46%28 patients2/55-star benchmark: 96%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
94%243 patients4/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%467 patients5/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
100%272 patients5/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
93%243 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
13%243 patients1/55-star benchmark: 59%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 11

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

RICHARD F WALKER JR MD NEPHROLOGY ASSOCIATES PA
Internal Medicine (Nephrology)
504 N MACARTHUR AVE
PANAMA CITY, FL 32401
Bay County (850) 769-2158
SUSAN PARAMORE COMPTON M.D.
Internal Medicine (Nephrology)
504 N MACARTHUR AVE
PANAMA CITY, FL 32401
Bay County (850) 769-2158
TODD E. MINGA M.D.
Internal Medicine (Nephrology)
504 N MACARTHUR AVE
PANAMA CITY, FL 32401
Bay County (850) 769-2158
DR. RICHARD F. WALKER JR. M.D.
Internal Medicine (Nephrology)
504 N MACARTHUR AVE
PANAMA CITY, FL 32401
Bay County (850) 769-2158
RONALD A. SINICROPE M.D.
Internal Medicine (Nephrology)
504 N MACARTHUR AVE
PANAMA CITY, FL 32401
Bay County (850) 769-2158
MRS. PATRICIA ANN NEWELL ARNP
Nurse Practitioner (Family)
504 N MACARTHUR AVE, NEPHROLOGY ASSOCIATES
PANAMA CITY, FL 32401
Bay County (850) 769-2158
ASHA K PATEL M.D.
Internal Medicine
504 N MACARTHUR AVE
PANAMA CITY, FL 32401
Bay County (850) 769-2158
JUSTIN FRYE
Nurse Practitioner (Acute Care)
504 N MACARTHUR AVE
PANAMA CITY, FL 32401
Bay County (850) 769-2158

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 Marc Mckinley's NPI number?

The NPI number for Marc Mckinley is 1225212285. It was assigned to this individual provider in the NPPES registry on December 26, 2007.

Where is Marc Mckinley located?

Marc Mckinley practices at 504 N Macarthur Ave, Panama City, FL 32401. The listed phone number is (850) 769-2158.

What is Marc Mckinley's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Marc Mckinley enrolled in Medicare?

Yes. Marc Mckinley 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 Marc Mckinley accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Marc Mckinley 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 Marc Mckinley affiliated with any hospitals?

According to CMS data, Marc Mckinley is affiliated with Ascension Sacred Heart Bay, Jackson Hospital, Hca Florida Gulf Coast Hospital, Ascension Sacred Heart Gulf and Northwest Florida Community Hospital.

When was this NPI record last updated?

The NPPES record for Marc Mckinley was last updated on April 29, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.