Mark Mcginnis, MD
NPI 1528276029 · Orthopaedic Surgery Physician · Hartford, KY
Enrolled with Medicare as Practitioner - Orthopedic Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mark Mcginnis, MD is a Orthopaedic Surgery Physician provider in Hartford, KY (NPI 1528276029).
Provider details
- NPI number
- 1528276029
- Entity type
- Individual
- Primary specialty
- Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2012003467 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
558 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 72 | $93 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 71 | $117 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 62 | $127 |
| Aspiration And/Or Injection of Fluid From Large Joint20610 | 57 | $46 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 53 | $149 |
| Aspiration And/Or Injection of Fluid From Large Joint |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Ondansetron Hcl | 163 | 131 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 131 | 90 |
| Cefadroxil | 106 | 98 |
| Gabapentin | 91 | 75 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 75 | 57 |
| Celecoxib | 23 | 23 |
| Meloxicam | 20 | 19 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,154 across 15 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-05-18
- Last updated
- 2024-03-19
- Certified
- 2024-03-19
Frequently asked questions
- What is Mark Mcginnis's NPI number?
- Mark Mcginnis's National Provider Identifier (NPI) is 1528276029, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Mcginnis's specialty?
- Mark Mcginnis is listed in the NPPES registry with a primary specialty of Orthopaedic Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Mark Mcginnis located?
- Mark Mcginnis's practice location on file with NPPES is 1215 Old Main St Ste 500b, Hartford, KY 42347-1619.
- What is Mark Mcginnis's phone number?
- The practice phone number listed in the NPPES registry for Mark Mcginnis is (270) 730-5344.
- Does Mark Mcginnis accept Medicare?
- Mark Mcginnis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mark Mcginnis's NPI active?
- Yes — Mark Mcginnis's NPI (1528276029) is active in the NPPES registry as of the last update on 2024-03-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.