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JOHN J MCGUINNESS MD
NPI 1649247347
Obstetrics & Gynecology in West Allis, WI

Active since March 02, 2006PECOS EnrolledAccepts Medicare Assignment
8905 W LINCOLN AVE, WEST ALLIS, WI 53227(414) 328-8650 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 23, 2021, May 9, 2019 (2 updates tracked since 2019).

About John J Mcguinness Md NPPES

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

JOHN J MCGUINNESS MD (NPI 1649247347) is an individual obstetrics & gynecology provider in West Allis, Wisconsin, licensed in Wisconsin (40861) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Aurora St Lukes Medical Center, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (1991).

NPPES Registry Identity

NPI1649247347
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJOHN J MCGUINNESSCredential: MD
Location Address8905 W LINCOLN AVEWest Allis, WI 53227-2468
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Phone(414) 328-8650
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 1991
Enumeration DateMarch 2, 2006
Last NPPES UpdateApril 17, 20252 updates tracked since enumeration
NPPES CertifiedApril 17, 2025
✔ NPI 1649247347 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in WI · 40861
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
8905 W LINCOLN AVE, West Allis, WI 53227
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Other Identifiers 1

Medicaid32613800WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and more.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 J Mcguinness 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 ID547243461
PECOS Enrollment IDI20040611000179
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

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.
19 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Aurora St Lukes Medical Center

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520138
Location2900 W Oklahoma AveMilwaukee, WI 53215 · Milwaukee County
Emergency services Birthing friendly

West Allis Memorial Hospital

Acute Care Hospitals · West Allis, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520139
Location8901 W Lincoln AveWest Allis, WI 53227 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53227 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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.

MICHELLE J. RICK R.N., NP-C
Nurse Practitioner
8905 W LINCOLN AVE, SUITE 501
WEST ALLIS, WI 53227
Milwaukee County (414) 978-2229
KAREN E. DOBBS M.D.
Obstetrics & Gynecology
8905 W LINCOLN AVE, SUITE 501
WEST ALLIS, WI 53227
Milwaukee County (414) 978-2229
STACY MICHELLE SYRCLE MD
Obstetrics & Gynecology
8905 W LINCOLN AVE, SUITE 501
WEST ALLIS, WI 53227
Milwaukee County (414) 978-2229
TAYLOR GEIER MD
Obstetrics & Gynecology
8905 W LINCOLN AVE
WEST ALLIS, WI 53227
Milwaukee County (414) 328-8650
CHERYL ANN JAEGER CNM
Advanced Practice Midwife
8905 W LINCOLN AVE, SUITE 515
WEST ALLIS, WI 53227
Milwaukee County (414) 328-8650
SCOTT A KAMELLE MD
Obstetrics & Gynecology (Gynecologic Oncology)
8905 W LINCOLN AVE
WEST ALLIS, WI 53227
Milwaukee County (414) 329-5651
DR. SUSAN L DARMSTADTER M.D.
Internal Medicine (Pulmonary Disease)
8905 W LINCOLN AVE, STE 401
WEST ALLIS, WI 53227
Milwaukee County (414) 328-8270
LISA B. LLOYD
Obstetrics & Gynecology
8905 W LINCOLN AVE, SUITE 501
WEST ALLIS, WI 53227
Milwaukee County (414) 978-2229

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 1649247347. It was assigned to this individual provider in the NPPES registry on March 2, 2006.

Where is John Mcguinness located?

John Mcguinness practices at 8905 W Lincoln Ave, West Allis, WI 53227. The listed phone number is (414) 328-8650.

What is John Mcguinness's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

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 Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners, Quartz and UnitedHealthcare 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 Aurora St Lukes Medical Center and West Allis Memorial Hospital.

When was this NPI record last updated?

The NPPES record for John Mcguinness was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.