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JAMES MCGINTY
NPI 1780673574
Surgery in New York, NY

Active since October 14, 2005PECOS EnrolledAccepts Medicare Assignment
94.95/100
CMS Quality Rating
1111 AMSTERDAM AVE, 4TH FLOOR, NEW YORK, NY 10025(212) 636-1000(212) 523-2351 Get Directions Write a Review

NPPES record last updated: October 17, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James Mcginty NPPES

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

JAMES MCGINTY (NPI 1780673574) is an individual surgery provider in New York, New York, licensed in New York (2240701) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Englewood Hospital And Medical Center, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1780673574
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJAMES MCGINTY
Location Address1111 AMSTERDAM AVE, 4TH FLOORNew York, NY 10025-1716
Mailing AddressPo Box 95000-2398Philadelphia, PA 19195-2398 · (212) 636-1000
Phone(212) 636-1000
Fax(212) 523-2351
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateOctober 14, 2005
Last NPPES UpdateOctober 17, 2012
✔ NPI 1780673574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 2240701
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1111 AMSTERDAM AVE, New York, NY 10025
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Other Identifiers 3

Medicare UPINH61748
Medicaid02267072NY
Medicare PIN4677I01NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

James Mcginty 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 ID6507859493
PECOS Enrollment IDI20170628001323
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 4

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.

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.
41 services41 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.
27 services23 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.
24 services19 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
19 services18 patients

Hospital Affiliations CMS Care Compare

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

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10025 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

94.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability100
Improvement Activities40

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.

DR. TAKEHIRO KASAHARA D.M.D.
Dentist (Oral and Maxillofacial Surgery)
1111 AMSTERDAM AVE
NEW YORK, NY 10025
New York County (212) 523-3171
DR. MELVIN KU M.D.
Emergency Medicine
1111 AMSTERDAM AVE
NEW YORK, NY 10025
New York County (212) 523-3981
RAVI KATARI
Emergency Medicine
1111 AMSTERDAM AVE
NEW YORK, NY 10025
New York County (212) 523-4000
YAMINI POTINI MD
Hospitalist
1111 AMSTERDAM AVE
NEW YORK, NY 10025
New York County (212) 523-4000
HANNAH KITTRELL RD, CDN
Dietitian, Registered
1111 AMSTERDAM AVE
NEW YORK, NY 10025
New York County (212) 523-3618
DR. STANLEY CORTELL M.D.
Internal Medicine (Nephrology)
1111 AMSTERDAM AVE, MINTURN ROOM 205
NEW YORK, NY 10025
New York County (212) 523-3530
MR. EZEQUIEL JOSUE RODRIGUEZ RPA-C
Physician Assistant
1111 AMSTERDAM AVE, ORTHO DEPT. CLARK 7
NEW YORK, NY 10025
New York County (212) 523-2650
MR. MICHAEL STEPHEN BALLETTA
Nurse Practitioner (Adult Health)
1111 AMSTERDAM AVE
NEW YORK, NY 10025
New York County (212) 523-5918

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 James Mcginty's NPI number?

The NPI number for James Mcginty is 1780673574. It was assigned to this individual provider in the NPPES registry on October 14, 2005.

Where is James Mcginty located?

James Mcginty practices at 1111 Amsterdam Ave 4th Floor, New York, NY 10025. The listed phone number is (212) 636-1000.

What is James Mcginty's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is James Mcginty enrolled in Medicare?

Yes. James Mcginty 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 James Mcginty accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list James Mcginty 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 James Mcginty affiliated with any hospitals?

According to CMS data, James Mcginty is affiliated with Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for James Mcginty was last updated on October 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.