DAVID EDWARD MCGINNIS M.D.
NPI 1689634115
Emergency Medicine in Fall River, MA

Active since March 27, 2006PECOS EnrolledAccepts Medicare Assignment
363 HIGHLAND AVE, FALL RIVER, MA 02720(508) 973-7447(508) 973-7424 Get Directions Write a Review

NPPES record last updated: April 23, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About David Edward Mcginnis M.d. NPPES

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

DAVID EDWARD MCGINNIS M.D. (NPI 1689634115) is an individual emergency medicine provider in Fall River, Massachusetts, licensed in Massachusetts (231821) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Beth Israel Deaconess Hospital Plymouth, and is a graduate of Temple University School Of Medicine (2001).

NPPES Registry Identity

NPI1689634115
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDAVID EDWARD MCGINNISCredential: M.D.
Location Address363 HIGHLAND AVEFall River, MA 02720-3703
Mailing Address200 Mill Rd Ste 180Fairhaven, MA 02719-5255 · (508) 973-2000 · Fax (508) 973-2001
Fax(508) 973-7424
Sole ProprietorYes
Medical School CMSTemple University School Of MedicineGraduated 2001
Enumeration DateMarch 27, 2006
Last NPPES UpdateApril 23, 2020
NPPES CertifiedApril 23, 2020
✔ NPI 1689634115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MA · 231821
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
363 HIGHLAND AVE, Fall River, MA 02720

Other Identifiers 1

Medicaid101081463MA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David Edward Mcginnis 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 ID840266052
PECOS Enrollment IDI20070911000215
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

5

Medicare enrollment records show David Mcginnis reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
363 HIGHLAND AVE
Fall River, MA 02720
  • Reassigned Medicare billing, Massachusetts enrollment
  • 163 clinicians in this Medicare group
Emergency Medicine
208 MILL RD
Fairhaven, MA 02719
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,144 clinicians in this Medicare group
Family Medicine
362 COURT ST
Plymouth, MA 02360
  • Reassigned Medicare billing, Massachusetts enrollment
  • 1,317 clinicians in this Medicare group
Urgent Care
2 JAN SEBASTIAN DR, 100
Sandwich, MA 02563
  • Reassigned Medicare billing, Massachusetts enrollment
  • 129 clinicians in this Medicare group
Internal Medicine
27 PARK ST, GLEASON HOUSE
Hyannis, MA 02601
  • Reassigned Medicare billing, Massachusetts enrollment
  • 423 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 18

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.
279 services267 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.
208 services193 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
154 services76 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
143 services133 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
92 services90 patients
Bacterial colony count, urine 87086
A bacterial colony count, urine, is a laboratory test that checks a urine sample for bacteria. It helps to identify if an infection is present in the urinary system. High numbers of bacteria in the urine can indicate a urinary tract infection (UTI).
60 services56 patients

Hospital Affiliations CMS Care Compare

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

Beth Israel Deaconess Hospital Plymouth

Acute Care Hospitals · Plymouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220060
Location275 Sandwich StreetPlymouth, MA 02360 · Plymouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02720 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$103.48 typical visit price
range $19.11 – $144.84
Typical copayment $25.87 (range $4.77 – $36.21)
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.

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.

Dietitian, Registered
363 HIGHLAND AVE
FALL RIVER, MA 02720
Nurse Practitioner (Critical Care Medicine)
363 HIGHLAND AVE
FALL RIVER, MA 02720
Nurse Practitioner
363 HIGHLAND AVE
FALL RIVER, MA 02720
Pediatrics
363 HIGHLAND AVE
FALL RIVER, MA 02720
Physician Assistant
363 HIGHLAND AVE
FALL RIVER, MA 02720
Nurse Practitioner (Acute Care)
363 HIGHLAND AVE
FALL RIVER, MA 02720
Physician Assistant (Medical)
363 HIGHLAND AVE
FALL RIVER, MA 02720
Nurse Practitioner (Adult Health)
363 HIGHLAND AVE
FALL RIVER, MA 02720

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 David Mcginnis's NPI number?

The NPI number for David Mcginnis is 1689634115. It was assigned to this individual provider in the NPPES registry on March 27, 2006.

Where is David Mcginnis located?

David Mcginnis practices at 363 Highland Ave, Fall River, MA 02720. The listed phone number is (508) 973-7447.

What is David Mcginnis's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is David Mcginnis enrolled in Medicare?

Yes. David Mcginnis 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.

Which organizations bill Medicare for David Mcginnis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Mcginnis reassigns Medicare benefits to 5 organizations: Southcoast Hospitals Group, Inc (Fall River, MA), Southcoast Physicians Group, Inc. (Fairhaven, MA), Atrius Health, Inc. (Plymouth, MA), Urgi Center Medical Group (Sandwich, MA) and Medical Affiliates Of Cape Cod, Inc. (Hyannis, MA). 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 David Mcginnis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is David Mcginnis affiliated with any hospitals?

According to CMS data, David Mcginnis is affiliated with Beth Israel Deaconess Hospital Plymouth.

When was this NPI record last updated?

The NPPES record for David Mcginnis was last updated on April 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.