JOHN LYLE MCGUINNESS
NPI 1639263759
Internal Medicine in Mooresville, NC

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
89.63/100
CMS Quality Rating
106 LANGTREE VILLAGE DR STE 200, MOORESVILLE, NC 28117(704) 384-7101(704) 384-7102 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 7, 2026, Jan 3, 2025, Sep 9, 2020 and 13 more (16 updates tracked since 2016).

About John Lyle Mcguinness NPPES

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

JOHN LYLE MCGUINNESS (NPI 1639263759) is an individual internal medicine provider in Mooresville, North Carolina, licensed in North Carolina (2006-01517) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Novant Health Rowan Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1639263759
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOHN LYLE MCGUINNESS
Location Address106 LANGTREE VILLAGE DR STE 200Mooresville, NC 28117-7594
Mailing AddressPo Box 60447Charlotte, NC 28260-0447
Fax(704) 384-7102
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateOctober 3, 2006
Last NPPES UpdateJanuary 7, 202616 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2026
NPI 1639263759 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NC · 2006-01517
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

106 LANGTREE VILLAGE DR STE 200, Mooresville, NC 28117

Secondary Practice Locations 2

Location 113460 Plaza Road Ext Ste 100Charlotte, NC 28215-8923 · Phone (704) 316-4990 · Fax (704) 316-4998
Location 2137 Professional Park Dr, Suite AMooresville, NC 28117-6540 · Phone (704) 663-4443

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

John Lyle Mcguinness 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 ID749289965
PECOS Enrollment IDI20061215000151
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 7

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.

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.
377 services194 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.
334 services177 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.
288 services160 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.
104 services104 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
29 services25 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
16 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Novant Health Rowan Medical Center

Acute Care Hospitals · Salisbury, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340015
Location612 Mocksville AveSalisbury, NC 28144 · Rowan County
Emergency services Birthing friendly

Novant Health Presbyterian Medical Center

Acute Care Hospitals · Charlotte, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340053
Location200 Hawthorne Lane Box 33549Charlotte, NC 28233 · Mecklenburg County
Emergency services Birthing friendly

Lake Norman Regional Medical Center

Acute Care Hospitals · Mooresville, NC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number340129
Location171 Fairview RoadMooresville, NC 28117 · Iredell County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28117 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

89.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.66
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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 suppliers35 claims105 services$6.22 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers16 claims26 services$1.11 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 14

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

Internal Medicine (Pulmonary Disease)
106 LANGTREE VILLAGE DR STE 200
MOORESVILLE, NC 28117
Obstetrics & Gynecology
106 LANGTREE VILLAGE DR STE 200
MOORESVILLE, NC 28117
Physician Assistant
106 LANGTREE VILLAGE DR STE 200
MOORESVILLE, NC 28117
Family Medicine
106 LANGTREE VILLAGE DR STE 200
MOORESVILLE, NC 28117
Obstetrics & Gynecology
106 LANGTREE VILLAGE DR STE 200
MOORESVILLE, NC 28117
Obstetrics & Gynecology
106 LANGTREE VILLAGE DR STE 200
MOORESVILLE, NC 28117
Family Medicine
106 LANGTREE VILLAGE DR STE 200
MOORESVILLE, NC 28117
Advanced Practice Midwife
106 LANGTREE VILLAGE DR STE 200
MOORESVILLE, NC 28117

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 John Mcguinness's NPI number?

The NPI number for John Mcguinness is 1639263759. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is John Mcguinness located?

John Mcguinness practices at 106 Langtree Village Dr Ste 200, Mooresville, NC 28117. The listed phone number is (704) 384-7101.

What is John Mcguinness's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Mcguinness enrolled in Medicare?

Yes. John Mcguinness 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 John Mcguinness accept?

Health plans from Blue Cross and Blue Shield of NC list John Mcguinness 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 John Mcguinness affiliated with any hospitals?

According to CMS data, John Mcguinness is affiliated with Novant Health Rowan Medical Center, Novant Health Presbyterian Medical Center and Lake Norman Regional Medical Center.

When was this NPI record last updated?

The NPPES record for John Mcguinness was last updated on January 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.