DR. CLIFTON MCGINNESS MD
NPI 1316036643
Surgery in Metairie, LA

Q: What is Clifton Mcginness's NPI number?

The NPI number for Clifton Mcginness is 1316036643. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Q: What is Clifton Mcginness's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Clifton Mcginness was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment

3800 HOUMA BLVD STE 325, METAIRIE, LA 70006(985) 626-6996 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Clifton Mcginness Md NPPES

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

DR. CLIFTON MCGINNESS MD (NPI 1316036643) is an individual surgery provider in Metairie, Louisiana, licensed in Louisiana (016106) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with University Medical Center New Orleans, and is a graduate of Tulane University School Of Medicine (1981).

NPPES Registry Identity

NPI1316036643

Entity TypeIndividualMale

Primary Taxonomy208600000X

Provider Legal NameDR. CLIFTON MCGINNESSCredential: MD

Location Address3800 HOUMA BLVD STE 325Metairie, LA 70006-4184

Mailing AddressPo Box 1536Mandeville, LA 70470-1536 · (985) 626-6996 · Fax (985) 626-6995

Phone(985) 626-6996

Sole ProprietorYes

Medical School CMSTulane University School Of MedicineGraduated 1981

Enumeration DateOctober 12, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1316036643 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in LA · 016106

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.

3800 HOUMA BLVD STE 325, Metairie, LA 70006

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Other Identifiers 3

Medicaid1358851LA

Medicare UPINB63038LA

Medicare ID-Type Unspecified51406LA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health 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. Clifton Mcginness 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 ID7012938699

PECOS Enrollment IDI20051212000003

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.

Hospital Affiliations CMS Care Compare 2

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

University Medical Center New Orleans

Acute Care Hospitals · New Orleans, LA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number190005

Location2000 Canal StreetNew Orleans, LA 70112 · Orleans County

Emergency services

East Jefferson General Hospital

Acute Care Hospitals · Metairie, LA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number190176

Location4200 Houma BlvdMetairie, LA 70006 · Jefferson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70006 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

$86.76 typical visit price

range $55.50 – $170.30

Typical copayment $21.69 (range $13.87 – $42.57)

Most-billed visit code 99203

Established Patient

$69.44 typical visit price

range $17.42 – $138.03

Typical copayment $17.36 (range $4.35 – $34.50)

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 5

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

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