SCOTT M MCGINNIS M.D.
NPI 1912932906
Psychiatry & Neurology - Neurology in Boston, MA

Active since July 11, 2006PECOS EnrolledAccepts Medicare Assignment
221 LONGWOOD AVE, M80, BOSTON, MA 02115(617) 732-8060(617) 738-9122 Get Directions Write a Review

NPPES record last updated: June 22, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Scott M Mcginnis M.d. NPPES

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

SCOTT M MCGINNIS M.D. (NPI 1912932906) is an individual neurology provider in Boston, Massachusetts, licensed in Massachusetts (229844) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and is a graduate of Baylor College Of Medicine (2002).

NPPES Registry Identity

NPI1912932906
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameSCOTT M MCGINNISCredential: M.D.
Location Address221 LONGWOOD AVE, M80Boston, MA 02115-5804
Mailing Address221 Longwood Ave, Bl104lBoston, MA 02115-5804 · (617) 525-9539 · Fax (617) 738-9122
Fax(617) 738-9122
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2002
Enumeration DateJuly 11, 2006
Last NPPES UpdateJune 22, 2012
NPI 1912932906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in MA · 229844
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
221 LONGWOOD AVE, Boston, MA 02115

Other Identifiers 1

Medicaid2125188MA

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

Scott M 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 ID7911905245
PECOS Enrollment IDI20061121000627
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 10

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
157 services126 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
91 services37 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.
81 services23 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
73 services56 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
43 services43 patients
Exam of neurobehavioral status, first hour 96116
An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.
20 services20 patients

Hospital Affiliations CMS Care Compare 4

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

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220071
Location55 Fruit StreetBoston, MA 02114 · Suffolk County
Emergency services Birthing friendly

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220101
Location2014 Washington StreetNewton, MA 02462 · Middlesex County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Faulkner Hospital-Brigham And Women's

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220119
Location1153 Centre StreetBoston, MA 02130 · Suffolk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02115 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

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.

Social Worker (Clinical)
221 LONGWOOD AVE
BOSTON, MA 02115
Obstetrics & Gynecology (Gynecology)
221 LONGWOOD AVE, BRIGHAM AND WOMENS HOSP DEPT OF OBSTETRICS AND GYNECOLO
BOSTON, MA 02115
Psychiatry & Neurology (Psychiatry)
221 LONGWOOD AVE
BOSTON, MA 02115
Psychiatry & Neurology (Psychiatry)
221 LONGWOOD AVE, 4TH FL/PSYCHIATRY
BOSTON, MA 02115
Specialist
221 LONGWOOD AVE
BOSTON, MA 02115
Dermatology
221 LONGWOOD AVE
BOSTON, MA 02115
General Acute Care Hospital
221 LONGWOOD AVE, BWH-ENDOCRINOLOGY
BOSTON, MA 02115
Dermatology
221 LONGWOOD AVE
BOSTON, MA 02115

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 Mcginnis's NPI number?

The NPI number for Scott Mcginnis is 1912932906. It was assigned to this individual provider in the NPPES registry on July 11, 2006.

Where is Scott Mcginnis located?

Scott Mcginnis practices at 221 Longwood Ave M80, Boston, MA 02115. The listed phone number is (617) 732-8060.

What is Scott Mcginnis's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Scott Mcginnis enrolled in Medicare?

Yes. Scott 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 Scott Mcginnis accept?

Health plans from Anthem Blue Cross and Blue Shield list Scott 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 Scott Mcginnis affiliated with any hospitals?

According to CMS data, Scott Mcginnis is affiliated with Massachusetts General Hospital, Newton-Wellesley Hospital, Brigham And Women's Hospital and Faulkner Hospital-Brigham And Women's.

When was this NPI record last updated?

The NPPES record for Scott Mcginnis was last updated on June 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.