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JAMES WAYNE MCKINLEY M.D.
NPI 1902896863
Family Medicine - Sports Medicine in Tyler, TX

Active since October 24, 2005PECOS EnrolledAccepts Medicare Assignment
13.47/100
CMS Quality Rating
1814 ROSELAND BLVD, TYLER, TX 75701(903) 526-8754 Get Directions Write a Review

NPPES record last updated: June 1, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James Wayne Mckinley M.d. NPPES

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

JAMES WAYNE MCKINLEY M.D. (NPI 1902896863) is an individual sports medicine provider in Tyler, Texas, licensed in Texas (H4539) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Tyler Regional Hospital, and is a graduate of University Of Texas Medical School At Houston (1987).

NPPES Registry Identity

NPI1902896863
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameJAMES WAYNE MCKINLEYCredential: M.D.
Location Address1814 ROSELAND BLVDTyler, TX 75701-4234
Mailing Address5701 Old Bullard Rd,, Pmb 56Tyler, TX 75703-4340 · (903) 312-4004 · Fax (888) 242-8720
Phone(903) 526-8754
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At HoustonGraduated 1987
Enumeration DateOctober 24, 2005
Last NPPES UpdateJune 1, 2011
✔ NPI 1902896863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in TX · H4539
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
1814 ROSELAND BLVD, Tyler, TX 75701
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Other Identifiers 3

Medicare UPINE45985TX
Medicaid123027808TX
Medicare PIN8F9581TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice.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 Wayne Mckinley 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 ID3072586551
PECOS Enrollment IDI20040813000297
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 8

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.

Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
274 services268 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.
193 services146 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
169 services127 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.
60 services60 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
57 services57 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.
47 services47 patients

Hospital Affiliations CMS Care Compare 3

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

Ut Health East Texas Tyler Regional Hospital

Acute Care Hospitals · Tyler, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450083
Location1000 South Beckham AveTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Baylor Scott & White Texas Spine & Joint Hospital

Acute Care Hospitals · Tyler, TX
OwnershipPhysician
CMS Certification Number450864
Location1814 Roseland BoulevardTyler, TX 75701 · Smith County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

13.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality0
Promoting Interoperability0
Improvement Activities0
Cost44.93

Reported Quality Measures

Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy
Percentage of patients aged 18 years and older with nonvalvular atrial fibrillation (AF) or atrial flutter who were prescribed warfarin OR another FDA- approved anticoagulant drug for the prevention of thromboembolism during the measurement period
56%41 patients2/55-star benchmark: 100%
Coronary Artery Disease (CAD): Antiplatelet Therapy
Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease (CAD) seen within a 12 month period who were prescribed aspirin or clopidogrel
79%105 patients3/55-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%132 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
75%114 patients4/55-star benchmark: 95%
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
3 suppliers31 claims31 services$58.24 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
2 suppliers15 claims15 services$64.13 avg. paid by Medicare
Cervical, flexible, non-adjustable, prefabricated, off-the-shelf (foam collar) L0120
DME-Orthotic Devices · category DF000N
2 suppliers15 claims15 services$20.62 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 20

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

JONATHAN BLAU MD PA
Physical Medicine & Rehabilitation (Pain Medicine)
1814 ROSELAND BLVD, SUITE 200
TYLER, TX 75701
Smith County (903) 593-6500
SUSAN KAY BASS-FINCK PA
Physician Assistant
1814 ROSELAND BLVD, SUITE 200
TYLER, TX 75701
Smith County (903) 593-6500
SHERI KAY STILLWELL LCSW
Social Worker (Clinical)
1814 ROSELAND BLVD, SUITE 200
TYLER, TX 75701
Smith County (903) 531-2500
LABORATORY CORPORATION OF AMERICA
Clinical Medical Laboratory
1814 ROSELAND BLVD
TYLER, TX 75701
Smith County (903) 526-1993
CLAY MCCOY
Physical Therapy Assistant
1814 ROSELAND BLVD
TYLER, TX 75701
Smith County (903) 525-3300
JAMES P MICHAELS MD PA
Pain Medicine (Interventional Pain Medicine)
1814 ROSELAND BLVD, SUITE 300
TYLER, TX 75701
Smith County (903) 597-2508
DAVID HUSTON P.A.
Physician Assistant
1814 ROSELAND BLVD, SUITE 200
TYLER, TX 75701
Smith County (903) 531-2500
ARMANDO LOERA PT
Physical Therapist
1814 ROSELAND BLVD
TYLER, TX 75701
Smith County (903) 594-7400

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 Mckinley's NPI number?

The NPI number for James Mckinley is 1902896863. It was assigned to this individual provider in the NPPES registry on October 24, 2005.

Where is James Mckinley located?

James Mckinley practices at 1814 Roseland Blvd, Tyler, TX 75701. The listed phone number is (903) 526-8754.

What is James Mckinley's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is James Mckinley enrolled in Medicare?

Yes. James Mckinley 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 Mckinley accept?

Health plans from Blue Cross and Blue Shield of Texas and Community Health Choice list James Mckinley 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 Mckinley affiliated with any hospitals?

According to CMS data, James Mckinley is affiliated with Ut Health East Texas Tyler Regional Hospital, Christus Mother Frances Hospital and Baylor Scott & White Texas Spine & Joint Hospital.

When was this NPI record last updated?

The NPPES record for James Mckinley was last updated on June 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.