DR. SCOTT WILLIAM MCKINSTRY M.D.
NPI 1740281302
Internal Medicine - Cardiovascular Disease in Corpus Christi, TX
Active since August 04, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1521 S STAPLES ST, SUITE 700, CORPUS CHRISTI, TX 78404(361) 888-8271(361) 885-3699 Get Directions Write a Review
About Dr. Scott William Mckinstry M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SCOTT WILLIAM MCKINSTRY M.D. (NPI 1740281302) is an individual cardiovascular disease provider in Corpus Christi, Texas, licensed in Texas (K8333) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Christus Spohn Hospital Corpus Christi, and is a graduate of Washington University School Of Medicine (1993).
NPPES Registry Identity
NPI1740281302
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. SCOTT WILLIAM MCKINSTRYCredential: M.D.
Location Address1521 S STAPLES ST, SUITE 700Corpus Christi, TX 78404-3150
Mailing Address1521 S Staples St Ste 700Corpus Christi, TX 78404-3160 · (361) 888-8271 · Fax (361) 885-3699
Phone(361) 888-8271
Fax(361) 885-3699
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1993
Enumeration DateAugust 4, 2005
Last NPPES UpdateAugust 29, 20232 updates tracked since enumeration
NPPES CertifiedAugust 29, 2023
✔ NPI 1740281302 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in TX · K8333
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1521 S STAPLES ST, Corpus Christi, TX 78404
Other Identifiers 1
Medicaid104908202TX
Accepted Insurance
The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, UnitedHealthcare.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. Scott William Mckinstry 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 ID1557355930
PECOS Enrollment IDI20100203000857
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 13
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.
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
639 services558 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.
164 services106 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
142 services138 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
45 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.
43 services41 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.
39 services39 patients
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Christus Spohn Hospital Corpus Christi
Acute Care Hospitals · Corpus Christi, TXOwnershipVoluntary non-profit - Private
CMS Certification Number450046
Location600 Elizabeth StreetCorpus Christi, TX 78404 · Nueces County
Emergency services Birthing friendly
Christus Spohn Hospital Kleberg
Acute Care Hospitals · Kingsville, TXOwnershipVoluntary non-profit - Private
CMS Certification Number450163
Location1311 General Cavazos BlvdKingsville, TX 78363 · Kleberg County
Emergency services Birthing friendly
Corpus Christi Medical Center,the
Acute Care Hospitals · Corpus Christi, TXOwnershipVoluntary non-profit - Other
CMS Certification Number450788
Location6629 Woodridge RoadCorpus Christi, TX 78414 · Nueces County
Emergency services Birthing friendly
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78404 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.
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.
100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practiceQuality
98.45
Improvement Activities
40
Reported Quality Measures
ACCPin3 Heart Failure: Patient Self Care Education
Patients, age 18 and older, with a principle diagnosis of heart failure (LVEF <40) who received educational counseling on weight monitoring, sodium restriction, physical activity and medication instruction.
35%43 patients2/55-star benchmark: 99%
Cardiac Rehabilitation Patient Referral from an Outpatient Setting
Percentage of patients evaluated in an outpatient setting who within the previous 12 months have experienced an acute myocardial infarction (MI), coronary artery bypass graft (CABG) surgery, a percutaneous coronary intervention (PCI), cardiac valve surgery…
11%144 patients1/55-star benchmark: 91%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%717 patients5/55-star benchmark: 100%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
81%113 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%1,420 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
87%1,325 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
56%55 patients3/55-star benchmark: 98%
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet
Percentage of patients 18 years of age and older who were diagnosed with acute myocardial infarction (AMI), coronary artery bypass graft (CABG) or percutaneous coronary interventions (PCI) in the 12 months prior to the measurement period, or who had an active…
87%468 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%1,484 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
57%1,166 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
24%1,053 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 288 patients
Patients tobacco: 31% · 26 patients
93%288 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
98%1,140 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
70%1,140 patients4/55-star benchmark: 79%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: - Adults aged >= 21 years who were previously diagnosed with or currently have an active…
76%791 patients4/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 694 patients
6%694 patients3/55-star benchmark: 100%
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Specialist
1521 S STAPLES ST, SUITE #605
CORPUS CHRISTI, TX 78404
CORPUS CHRISTI, TX 78404
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1521 S STAPLES ST, SUITE 303
CORPUS CHRISTI, TX 78404
CORPUS CHRISTI, TX 78404
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1521 S STAPLES ST, SUITE 303
CORPUS CHRISTI, TX 78404
CORPUS CHRISTI, TX 78404
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 Scott Mckinstry's NPI number?
The NPI number for Scott Mckinstry is 1740281302. It was assigned to this individual provider in the NPPES registry on August 4, 2005.
Where is Scott Mckinstry located?
Scott Mckinstry practices at 1521 S Staples St Suite 700, Corpus Christi, TX 78404. The listed phone number is (361) 888-8271.
What is Scott Mckinstry's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Scott Mckinstry enrolled in Medicare?
Yes. Scott Mckinstry 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 Scott Mckinstry accept?
Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list Scott Mckinstry 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 Scott Mckinstry affiliated with any hospitals?
According to CMS data, Scott Mckinstry is affiliated with Christus Spohn Hospital Corpus Christi, Christus Spohn Hospital Kleberg and Corpus Christi Medical Center,the.
When was this NPI record last updated?
The NPPES record for Scott Mckinstry was last updated on August 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.
