MICHAEL CLIFTON MCGINNIS M.D.
NPI 1801841358
Pathology - Anatomic Pathology & Clinical Pathology in Hollister, CA

Q: What is Michael Mcginnis's NPI number?

The NPI number for Michael Mcginnis is 1801841358. It was assigned to this individual provider in the NPPES registry on May 23, 2006.

Q: What is Michael Mcginnis's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Michael Mcginnis was last updated on July 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since May 23, 2006PECOS EnrolledAccepts Medicare Assignment

83.57/100

CMS Quality Rating

911 SUNSET DR, HOLLISTER, CA 95023(831) 637-5711 Get Directions Write a Review

NPPES record last updated: July 20, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Michael Clifton Mcginnis M.d. NPPES

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

MICHAEL CLIFTON MCGINNIS M.D. (NPI 1801841358) is an individual anatomic pathology & clinical pathology provider in Hollister, California, licensed in California (141451) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Nevada School Of Medicine (1990).

NPPES Registry Identity

NPI1801841358

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameMICHAEL CLIFTON MCGINNISCredential: M.D.

Location Address911 SUNSET DRHollister, CA 95023-5606

Mailing Address5700 Southwyck BlvdToledo, OH 43614-1509 · (800) 288-8325 · Fax (419) 866-5453

Phone(831) 637-5711

Sole ProprietorNo

Medical School CMSUniversity Of Nevada School Of MedicineGraduated 1990

Enumeration DateMay 23, 2006

Last NPPES UpdateJuly 20, 2016

✔ NPI 1801841358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

Licenses✔ Licensed in CA · 141451✔ Licensed in NY · 255317

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

911 SUNSET DR, Hollister, CA 95023

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Other Identifiers 20

Other302894Avmed,inc

Other39305NJ · Uhp Of Nj

Medicaid100208290AOK

Other4093337American Travelers Assur.

Medicaid0052167NJ

Other60015389NJ · Horizon Nj Health

Medicare PIN731498545OK

Medicare PIN085100WXGNJ

OtherP00208899NJ · Rr Medicare

Other2359696000NJ · Amerihealth

Other250774730N01NY · Hip Of Ny

Other1590753OK · Ghi

OtherP3431936Oxford

Other2K7528NJ · Healthnet

Other5001628NJ · Ghi

Other100745580BSoonercare

Medicare UPING20266OK

Medicaid2738769NY

Other91001516800NJ · Americhoice

Other2144647United Healthcare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Mending Health.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

Michael Clifton 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 ID1153384169

PECOS Enrollment IDI20161107000380

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 25

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.

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

38,304 services3,928 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

11,600 services2,477 patients

Detection test by nucleic acid for organism, quantification 87799

A detection test by nucleic acid quantification is a lab procedure used to identify specific organisms in your body. It measures the amount of an organism's genetic material, helping to diagnose and monitor certain diseases.

8,696 services2,465 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

5,798 services2,476 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

5,798 services2,477 patients

Molecular pathology procedure; physician interpretation and report G0452

A molecular pathology procedure involves analyzing your body's cells at a molecular level to identify any abnormalities. This can help detect diseases early. A physician will interpret the results and provide a detailed report, explaining the findings clearly.

4,833 services1,335 patients

Preparation of specimen, manual 88381

The preparation of a specimen manually is a procedure where a sample from your body is collected by a healthcare professional. This could be blood, urine, or tissue. The sample is then prepared in a lab for further analysis to help diagnose or monitor your health condition.

2,915 services2,477 patients

Detection test by nucleic acid for organism, amplified probe technique 87798

A nucleic acid detection test is a procedure to identify specific organisms in your body. This test uses an amplified probe technique, which magnifies the genetic material of the organism, making it easier to detect. It's a precise way to diagnose infections.

1,365 services87 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

746 services323 patients

Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic G2012

A virtual check-in is a short online or phone consultation with your healthcare provider. It's for established patients and isn't related to a recent appointment. It's a convenient way to discuss health concerns without needing to visit the office in person.

442 services134 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

416 services119 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

134 services27 patients

Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique 87640

A detection test for Staphylococcus aureus uses a method called the amplified probe technique. This method identifies the bacteria's unique genetic material, or nucleic acid, helping to confirm its presence. It's a highly accurate way to detect this type of bacteria.

105 services87 patients

Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique 87651

This test detects Group A Streptococcus bacteria in your body. It uses an amplified probe technique, which amplifies the bacteria's nucleic acid, making it easier to identify. This test helps diagnose conditions like strep throat or scarlet fever.

105 services87 patients

Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique 87653

A detection test by nucleic acid for Group B Strep uses an amplified probe technique. This test identifies the presence of Group B Strep bacteria in the body. It involves collecting a sample, usually a swab, which is then examined in a lab for the bacteria's genetic material.

105 services87 patients

Special stained specimen slides to examine tissue including interpretation and report 88313

71 services45 patients

Pathology clinical consultation for clinical problem, 5-20 minutes 80503

A pathology clinical consultation is a brief meeting with a medical expert to discuss health concerns. The consultation, lasting between 5-20 minutes, involves reviewing your medical history and possibly conducting tests to diagnose or understand your health condition better.

68 services61 patients

Pap test, evaluation of fine needle aspirate, immediate, each additional evaluation episode 88177

A Pap test is a procedure that checks for abnormal cells in the body, which could indicate a serious condition. The evaluation of a fine needle aspirate is a process where a small sample is taken with a thin needle for examination. This can be done multiple times for a thorough analysis.

64 services21 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

57 services41 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

51 services39 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

39 services33 patients

Preparation of tissue for examination by removing any calcium present 88311

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

30 services25 patients

Evaluation of fine needle aspirate 88172

Evaluation of fine needle aspirate is a diagnostic procedure where a thin needle is used to collect cells from a lump or mass. This sample is then examined under a microscope to determine the nature of the lump, whether it's benign (non-cancerous) or malignant (cancerous).

29 services22 patients

Evaluation of fine needle aspirate with interpretation and report 88173

This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.

27 services21 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

20 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95023 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

$157.65 typical visit price

range $70.72 – $207.37

Typical copayment $39.41 (range $17.68 – $51.84)

Most-billed visit code 99204

Established Patient

$122.36 typical visit price

range $24.01 – $170.46

Typical copayment $30.59 (range $6.00 – $42.61)

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.

83.57/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

33.93

Improvement Activities

Cost

100

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.

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