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DR. BRIAN JOHN MCKINNON MD
NPI 1316945819
Otolaryngology in Hagerstown, MD

Active since July 08, 2005PECOS EnrolledAccepts Medicare Assignment
74.96/100
CMS Quality Rating
11110 MEDICAL CAMPUS RD STE 250, HAGERSTOWN, MD 21742(301) 665-4960 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 24, 2023, Feb 17, 2023, Mar 17, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Brian John Mckinnon Md NPPES

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

DR. BRIAN JOHN MCKINNON MD (NPI 1316945819) is an individual otolaryngology provider in Hagerstown, Maryland, licensed in Maryland (D0042364) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Meritus Medical Center, and maintains a secondary practice location in League City.

NPPES Registry Identity

NPI1316945819
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. BRIAN JOHN MCKINNONCredential: MD
Location Address11110 MEDICAL CAMPUS RD STE 250Hagerstown, MD 21742-6756
Mailing Address11110 Medical Campus Rd Ste 250Hagerstown, MD 21742-6756 · (301) 665-4960
Phone(301) 665-4960
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1990
Enumeration DateJuly 8, 2005
Last NPPES UpdateOctober 2, 20254 updates tracked since enumeration
NPPES CertifiedOctober 2, 2025
✔ NPI 1316945819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in MD · D0042364✔ Licensed in TX · S2843
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
11110 MEDICAL CAMPUS RD STE 250, Hagerstown, MD 21742
Open in Google Maps ↗

Secondary Practice Location 1

Location 11600 W League City Pkwy, Ste DLeague City, TX 77573-6442 · Phone (281) 338-0829 · Fax (281) 557-7284

Other Identifiers 1

Medicaid1032208420002PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice.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. Brian John Mckinnon 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 ID3870598139
PECOS Enrollment IDI20190729001057, I20250820004209
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.
77 services57 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.
61 services54 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
35 services26 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.
31 services31 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.
28 services28 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
22 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Meritus Medical Center

Acute Care Hospitals · Hagerstown, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210001
Location11116 Medical Campus RoadHagerstown, MD 21742 · Washington County
Emergency services Birthing friendly

University Of Texas Medical Branch Galveston

Acute Care Hospitals · Galveston, TX
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number450018
Location301 University BoulevardGalveston, TX 77555 · Galveston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21742 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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.

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.

74.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.77
Promoting Interoperability94
Improvement Activities40
Cost47.75

Other Providers at the Same Location NPPES 4

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

GELNAR TERESA TALJ PA
Physician Assistant
11110 MEDICAL CAMPUS RD STE 250
HAGERSTOWN, MD 21742
Washington County (301) 733-4404
UROOJ AHMED MD
Internal Medicine (Gastroenterology)
11110 MEDICAL CAMPUS RD STE 250
HAGERSTOWN, MD 21742
Washington County (443) 365-4742
MEDICAL PRACTICES OF ANTIETAM LLC
Audiologist
11110 MEDICAL CAMPUS RD STE 250
HAGERSTOWN, MD 21742
Washington County (301) 665-4960
MEDICAL PRACTICES OF ANTIETAM LLC
Otolaryngology
11110 MEDICAL CAMPUS RD STE 250
HAGERSTOWN, MD 21742
Washington County (301) 790-8000

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 Brian Mckinnon's NPI number?

The NPI number for Brian Mckinnon is 1316945819. It was assigned to this individual provider in the NPPES registry on July 8, 2005.

Where is Brian Mckinnon located?

Brian Mckinnon practices at 11110 Medical Campus Rd Ste 250, Hagerstown, MD 21742. The listed phone number is (301) 665-4960.

What is Brian Mckinnon's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Brian Mckinnon enrolled in Medicare?

Yes. Brian Mckinnon 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 Brian Mckinnon accept?

Health plans from Blue Cross and Blue Shield of Texas and Community Health Choice list Brian Mckinnon 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 Brian Mckinnon affiliated with any hospitals?

According to CMS data, Brian Mckinnon is affiliated with Meritus Medical Center and University Of Texas Medical Branch Galveston.

When was this NPI record last updated?

The NPPES record for Brian Mckinnon was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.