MS. TONI R MCGINNIS NP
NPI 1891057964
Nurse Practitioner - Family in Buffalo, MO

Active since June 13, 2012PECOS EnrolledAccepts Medicare Assignment
119 N ASH ST, BUFFALO, MO 65622(417) 269-2200(417) 269-2202 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 12, 2024, Dec 5, 2022 (2 updates tracked since 2022).

About Ms. Toni R Mcginnis Np NPPES

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

MS. TONI R MCGINNIS NP (NPI 1891057964) is an individual family provider in Buffalo, Missouri, licensed in Missouri (2012016687) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Cox Medical Centers, and maintains a secondary practice location in Springfield.

NPPES Registry Identity

NPI1891057964
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. TONI R MCGINNISCredential: NP
Location Address119 N ASH STBuffalo, MO 65622-8590
Mailing AddressPo Box 505673Saint Louis, MO 63150-5673
Fax(417) 269-2202
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 13, 2012
Last NPPES UpdateJune 12, 20242 updates tracked since enumeration
NPPES CertifiedApril 29, 2024
NPI 1891057964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MO · 2012016687
119 N ASH ST, Buffalo, MO 65622

Other Names 1

Former Name (1)Ms. Toni R Cozad Np

Secondary Practice Location 1

Location 13800 S National Ave Ste 160Springfield, MO 65807-5228 · Phone (000) 000-0000

Accepted 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

Ms. Toni R Mcginnis Np 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 ID9032365366
PECOS Enrollment IDI20120802000048
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 2

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.
29 services27 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Cox Medical Centers

Acute Care Hospitals · Springfield, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260040
Location3801 South National AvenueSpringfield, MO 65807 · Greene County
Emergency services Birthing friendly

Cox Medical Center Branson

Acute Care Hospitals · Branson, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260094
Location525 Branson Landing Blvd, PO Box 650Branson, MO 65615 · Taney County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65622 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
$81.64 typical visit price
range $52.28 – $161.24
Typical copayment $20.41 (range $13.07 – $40.31)
Most-billed visit code 99203
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers16 claims16 services$6.87 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Rural Health)
119 N ASH ST
BUFFALO, MO 65622
Dental Hygienist
119 N ASH ST
BUFFALO, MO 65622
Family Medicine
119 N ASH ST
BUFFALO, MO 65622
Clinic/Center (Federally Qualified Health Center (FQHC))
119 N ASH ST
BUFFALO, MO 65622
Clinic/Center (Federally Qualified Health Center (FQHC))
119 N ASH ST
BUFFALO, MO 65622

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 Toni Mcginnis's NPI number?

The NPI number for Toni Mcginnis is 1891057964. It was assigned to this individual provider in the NPPES registry on June 13, 2012. The provider is also known as Ms. Toni R Cozad Np.

Where is Toni Mcginnis located?

Toni Mcginnis practices at 119 N Ash St, Buffalo, MO 65622. The listed phone number is (417) 269-2200.

What is Toni Mcginnis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Toni Mcginnis enrolled in Medicare?

Yes. Toni 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.

What insurance does Toni Mcginnis accept?

Health plans from Cox HealthPlans list Toni Mcginnis 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 Toni Mcginnis affiliated with any hospitals?

According to CMS data, Toni Mcginnis is affiliated with Cox Medical Centers and Cox Medical Center Branson.

When was this NPI record last updated?

The NPPES record for Toni Mcginnis was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.