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MR. MICHAEL KARL MCKINNEY MD PA
NPI 1528050135
Internal Medicine - Gastroenterology in Cottonwood, AZ

Active since August 19, 2005PECOS EnrolledAccepts Medicare Assignment
62.34/100
CMS Quality Rating
401 S CALVARY WAY, STE. D, COTTONWOOD, AZ 86326(928) 203-9600(928) 203-9601 Get Directions Write a Review

NPPES record last updated: February 11, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Michael Karl Mckinney Md Pa NPPES

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

MR. MICHAEL KARL MCKINNEY MD PA (NPI 1528050135) is an individual gastroenterology provider in Cottonwood, Arizona, licensed in Arizona (24574) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Oklahoma College Of Medicine (1978).

NPPES Registry Identity

NPI1528050135
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameMR. MICHAEL KARL MCKINNEYCredential: MD PA
Location Address401 S CALVARY WAY, STE. DCottonwood, AZ 86326-4165
Mailing Address401 S Calvary Way, Ste. DCottonwood, AZ 86326-4165 · (928) 203-9600 · Fax (928) 203-9601
Phone(928) 203-9600
Fax(928) 203-9601
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1978
Enumeration DateAugust 19, 2005
Last NPPES UpdateFebruary 11, 2014
✔ NPI 1528050135 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in AZ · 24574
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

401 S CALVARY WAY, Cottonwood, AZ 86326
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona.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

Mr. Michael Karl Mckinney Md Pa 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 ID3072533611
PECOS Enrollment IDI20051129000245
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 10

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 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.
73 services64 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.
53 services53 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
52 services51 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.
51 services46 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
42 services42 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.
39 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86326 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

62.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality35.77
Improvement Activities40
Cost60.12

Reported Quality Measures

Controlling High Blood Pressure
91%95 patients5/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
97%32 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
70%1,065 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
55%58 patients2/55-star benchmark: 91%
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 6

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

INDEPENDENT MEDICAL AND SURGICAL
Anesthesiologist Assistant
401 S CALVARY WAY, SUITE D
COTTONWOOD, AZ 86326
Yavapai County (928) 649-2600
EZ SLEEP LAB,LLC
Clinic/Center (Sleep Disorder Diagnostic)
401 S CALVARY WAY, SUITE B
COTTONWOOD, AZ 86326
Yavapai County (602) 550-4065
SERJIK NAZARIAN D.P.M.
Podiatrist (Foot & Ankle Surgery)
401 S CALVARY WAY, STE A
COTTONWOOD, AZ 86326
Yavapai County (928) 282-3305
DONALD J CURRAN DO PLLC
Psychiatry & Neurology (Geriatric Psychiatry)
401 S CALVARY WAY, SUITE B
COTTONWOOD, AZ 86326
Yavapai County (843) 651-2624
SEDONA FOOT & ANKLE SPECIALISTS P C
Podiatrist (Primary Podiatric Medicine)
401 S CALVARY WAY, STE A
COTTONWOOD, AZ 86326
Yavapai County (928) 282-3305
KAREN E APODACA MD
Family Medicine
401 S CALVARY WAY, SUITE B
COTTONWOOD, AZ 86326
Yavapai County (928) 634-6369

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 Michael Mckinney's NPI number?

The NPI number for Michael Mckinney is 1528050135. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Where is Michael Mckinney located?

Michael Mckinney practices at 401 S Calvary Way Ste. D, Cottonwood, AZ 86326. The listed phone number is (928) 203-9600.

What is Michael Mckinney's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Michael Mckinney enrolled in Medicare?

Yes. Michael 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 Michael Mckinney accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Michael 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.

When was this NPI record last updated?

The NPPES record for Michael Mckinney was last updated on February 11, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.