DR. TIMOTHY R MCGHEE M.D.
NPI 1598800344
Family Medicine in Madisonville, KY

Active since February 20, 2007PECOS EnrolledAccepts Medicare Assignment
444 S MAIN ST, MADISONVILLE, KY 42431(270) 821-4444(270) 824-6612 Get Directions Write a Review

NPPES record last updated: November 27, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Timothy R Mcghee M.d. NPPES

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

DR. TIMOTHY R MCGHEE M.D. (NPI 1598800344) is an individual family medicine provider in Madisonville, Kentucky, licensed in Kentucky (42259) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Owensboro Health Muhlenberg Community Hospital, and is a graduate of University Of Kentucky College Of Medicine (2005).

NPPES Registry Identity

NPI1598800344
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. TIMOTHY R MCGHEECredential: M.D.
Location Address444 S MAIN STMadisonville, KY 42431-2846
Mailing Address444 S Main StMadisonville, KY 42431-2846 · (270) 821-4444 · Fax (270) 824-6612
Fax(270) 824-6612
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 2005
Enumeration DateFebruary 20, 2007
Last NPPES UpdateNovember 27, 2023
NPPES CertifiedSeptember 9, 2020
NPI 1598800344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in KY · 42259
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
444 S MAIN ST, Madisonville, KY 42431

Other Identifiers 2

Other000000617751KY · Anthem # With Chs, Inc.
Medicaid7100029680KY

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

Dr. Timothy R Mcghee M.d. 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 ID8628155066
PECOS Enrollment IDI20090717000318
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 14

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.
652 services250 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
420 services44 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.
332 services165 patients
Injection, ceftriaxone sodium, per 250 mg J0696
Ceftriaxone sodium is an antibiotic injection used to treat a variety of bacterial infections. Each injection contains 250 mg of the medicine. It works by stopping the growth of bacteria in your body.
210 services46 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
205 services140 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
202 services202 patients

Hospital Affiliations CMS Care Compare 3

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

Owensboro Health Muhlenberg Community Hospital

Acute Care Hospitals · Greenville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180004
Location440 Hopkinsville StreetGreenville, KY 42345 · Muhlenberg County
Emergency services

Owensboro Health Regional Hospital

Acute Care Hospitals · Owensboro, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180038
Location1201 Pleasant Valley RoadOwensboro, KY 42303 · Daviess County
Emergency services Birthing friendly

Baptist Health Deaconess Madisonville

Acute Care Hospitals · Madisonville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180093
Location900 Hospital DriveMadisonville, KY 42431 · Hopkins County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42431 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers61 claims117 services$5.76 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers25 claims27 services$0.98 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers39 claims39 services$19.12 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
4 suppliers49 claims49 services$99.43 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers14 claims14 services$184.46 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.

Family Medicine
444 S MAIN ST
MADISONVILLE, KY 42431
Physical Therapist
444 S MAIN ST
MADISONVILLE, KY 42431
Nurse Practitioner (Family)
444 S MAIN ST
MADISONVILLE, KY 42431
Family Medicine
444 S MAIN ST
MADISONVILLE, KY 42431
Pain Medicine (Interventional Pain Medicine)
444 S MAIN ST, SUITE 133
MADISONVILLE, KY 42431
Family Medicine
444 S MAIN ST
MADISONVILLE, KY 42431
Radiology (Diagnostic Radiology)
444 S MAIN ST
MADISONVILLE, KY 42431
Physician Assistant
444 S MAIN ST
MADISONVILLE, KY 42431

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 Timothy Mcghee's NPI number?

The NPI number for Timothy Mcghee is 1598800344. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Where is Timothy Mcghee located?

Timothy Mcghee practices at 444 S Main St, Madisonville, KY 42431. The listed phone number is (270) 821-4444.

What is Timothy Mcghee's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Timothy Mcghee enrolled in Medicare?

Yes. Timothy Mcghee 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 Timothy Mcghee accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Timothy Mcghee 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 Timothy Mcghee affiliated with any hospitals?

According to CMS data, Timothy Mcghee is affiliated with Owensboro Health Muhlenberg Community Hospital, Owensboro Health Regional Hospital and Baptist Health Deaconess Madisonville.

When was this NPI record last updated?

The NPPES record for Timothy Mcghee was last updated on November 27, 2023. 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.