MARK J MCGINLEY MD
NPI 1457324733
Internal Medicine - Critical Care Medicine in Grand Junction, CO

Active since February 08, 2006PECOS Enrolled
2635 N 7TH ST, GRAND JUNCTION, CO 81501(307) 577-2289(307) 577-0479 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mark J Mcginley Md NPPES

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

MARK J MCGINLEY MD (NPI 1457324733) is an individual critical care medicine provider in Grand Junction, Colorado, licensed in Colorado (0051305) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1457324733
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameMARK J MCGINLEYCredential: MD
Location Address2635 N 7TH STGrand Junction, CO 81501-8209
Mailing AddressPo Box 55310Birmingham, AL 35255-5310
Fax(307) 577-0479
Sole ProprietorNo
Enumeration DateFebruary 8, 2006
Last NPPES UpdateOctober 23, 2024
NPPES CertifiedOctober 23, 2024
✔ NPI 1457324733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Licenses✔ Licensed in CO · 0051305✔ Licensed in WY · 6869A✔ Licensed in AL · 38407
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 6869A (WY), 38407 (AL)
2635 N 7TH ST, Grand Junction, CO 81501

Secondary Practice Locations 2

Location 11233 E 2nd StCasper, WY 82601-2926 · Phone (307) 577-2289 · Fax (307) 577-0479
Location 2619 19th St SBirmingham, AL 35249 · Phone (205) 934-4011

Other Identifiers 3

Other312312WY · Blue Shield
Medicaid119658800WY
OtherP00121575WY · Rr Medicare

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mark J Mcginley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Mark Mcginley reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nephrology
2635 N 7TH ST STE 20
Grand Junction, CO 81501
  • Reassigned Medicare billing, Colorado enrollment
  • 438 clinicians in this Medicare group
Internal Medicine
2101 N WATERMAN AVE
San Bernardino, CA 92404
  • Reassigned Medicare billing, California enrollment
  • 1,216 clinicians in this Medicare group
Clinical Medical Laboratory
720 20TH ST S
Birmingham, AL 35233
  • Reassigned Medicare billing, Alabama enrollment
  • 4,494 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
131 services47 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 81501 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
$132.55 typical visit price
range $58.06 – $174.82
Typical copayment $33.13 (range $14.51 – $43.70)
Most-billed visit code 99204
Established Patient
$102.03 typical visit price
range $18.88 – $142.79
Typical copayment $25.50 (range $4.72 – $35.69)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier12 claims12 services$907.03 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$91.91 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$35.43 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 20

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

Physical Therapist
2635 N 7TH ST
GRAND JUNCTION, CO 81501
Radiology (Diagnostic Radiology)
2635 N 7TH ST
GRAND JUNCTION, CO 81501
Speech-Language Pathologist
2635 N 7TH ST
GRAND JUNCTION, CO 81501
Radiology Practitioner Assistant
2635 N 7TH ST
GRAND JUNCTION, CO 81501
Student in an Organized Health Care Education/Training Program
2635 N 7TH ST
GRAND JUNCTION, CO 81501
Pediatrics (Neonatal-Perinatal Medicine)
2635 N 7TH ST
GRAND JUNCTION, CO 81501
Radiology (Diagnostic Radiology)
2635 N 7TH ST
GRAND JUNCTION, CO 81501
Emergency Medicine (Emergency Medical Services)
2635 N 7TH ST
GRAND JUNCTION, CO 81501

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 Mark Mcginley's NPI number?

The NPI number for Mark Mcginley is 1457324733. It was assigned to this individual provider in the NPPES registry on February 8, 2006.

Where is Mark Mcginley located?

Mark Mcginley practices at 2635 N 7th St, Grand Junction, CO 81501. The listed phone number is (307) 577-2289.

What is Mark Mcginley's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Mark Mcginley enrolled in Medicare?

Yes. Mark Mcginley is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mark Mcginley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mark Mcginley reassigns Medicare benefits to 3 organizations: Intermountain Medical Group Grand Junction, LLC (Grand Junction, CO), Inpatient Specialists Of California, PC (San Bernardino, CA) and University Of Alabama Health Services Foundation, PC (Birmingham, AL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mark Mcginley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mark Mcginley accept?

Health plans from Blue Cross Blue Shield of Wyoming list Mark Mcginley 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.

When was this NPI record last updated?

The NPPES record for Mark Mcginley was last updated on October 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.