CRAIG A MCKINNEY MD
NPI 1295921021
Surgery in Hillsboro, OH

Active since September 14, 2007PECOS EnrolledAccepts Medicare Assignment
1275 N HIGH ST, HILLSBORO, OH 45133(937) 393-9494 Get Directions Write a Review

NPPES record last updated: January 7, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Craig A Mckinney Md NPPES

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

CRAIG A MCKINNEY MD (NPI 1295921021) is an individual surgery provider in Hillsboro, Ohio, licensed in Pennsylvania (MD432460) and active in the NPI registry since September 2007. He is enrolled in Medicare PECOS, is affiliated with Highland District Hospital, and maintains a secondary practice location in Hillsboro.

NPPES Registry Identity

NPI1295921021
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameCRAIG A MCKINNEYCredential: MD
Location Address1275 N HIGH STHillsboro, OH 45133-8273
Mailing Address1275 N High StHillsboro, OH 45133-8273 · (937) 393-9494 · Fax (937) 393-8471
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 1996
Enumeration DateSeptember 14, 2007
Last NPPES UpdateJanuary 7, 2019
NPI 1295921021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in PA · MD432460
Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1275 N HIGH ST, Hillsboro, OH 45133

Secondary Practice Location 1

Location 11404 N High StHillsboro, OH 45133-8692 · Phone (937) 393-9494 · Fax (937) 393-8471

Other Identifiers 1

Medicaid1020401330001PA

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

Craig A Mckinney 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 ID2769562024
PECOS Enrollment IDI20180205002923
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 4

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 straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
64 services25 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.
52 services36 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
38 services38 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Highland District Hospital

Critical Access Hospitals · Hillsboro, OH
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number361332
Location1275 North High StreetHillsboro, OH 45133 · Highland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45133 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

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
1275 N HIGH ST
HILLSBORO, OH 45133
Clinic/Center (Primary Care)
1275 N HIGH ST
HILLSBORO, OH 45133
Orthopaedic Surgery
1275 N HIGH ST
HILLSBORO, OH 45133
Nurse Practitioner
1275 N HIGH ST
HILLSBORO, OH 45133
Pharmacist
1275 N HIGH ST
HILLSBORO, OH 45133
Orthopaedic Surgery
1275 N HIGH ST
HILLSBORO, OH 45133
Medicare Defined Swing Bed Unit
1275 N HIGH ST
HILLSBORO, OH 45133
Specialist/Technologist (Athletic Trainer)
1275 N HIGH ST
HILLSBORO, OH 45133

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 Craig Mckinney's NPI number?

The NPI number for Craig Mckinney is 1295921021. It was assigned to this individual provider in the NPPES registry on September 14, 2007.

Where is Craig Mckinney located?

Craig Mckinney practices at 1275 N High St, Hillsboro, OH 45133. The listed phone number is (937) 393-9494.

What is Craig Mckinney's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Craig Mckinney enrolled in Medicare?

Yes. Craig Mckinney 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 Craig Mckinney accept?

Health plans from Molina Healthcare and UnitedHealthcare list Craig Mckinney 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 Craig Mckinney affiliated with any hospitals?

According to CMS data, Craig Mckinney is affiliated with Highland District Hospital.

When was this NPI record last updated?

The NPPES record for Craig Mckinney was last updated on January 7, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.