John Mcgillicuddy, M.D.
NPI 1528283488 · Surgery Physician · Charleston, SC
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
John Mcgillicuddy, M.D. is a Surgery Physician provider in Charleston, SC (NPI 1528283488).
Provider details
- NPI number
- 1528283488
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 4301072012 (MI)
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
47 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) |
|---|---|---|
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 20 | $169 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 15 | $135 |
| Fusion of Lower Spine Bone Through Abdomen With Partial Removal of Disc22558 | 12 | $849 |
Typical Medicare-allowed amounts for these services range $135–$849 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 115 | 46 |
| Valganciclovir Hcl | 80 | 48 |
| Carvedilol | 51 | 17 |
| Gabapentin | 49 | 42 |
| Famotidine | 41 | 26 |
| Prednisone | 38 | 28 |
| Amlodipine Besylate | 38 | 13 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$122 across 4 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
- 2007-04-16
- Last updated
- 2020-10-22
- Certified
- 2020-10-22
Frequently asked questions
- What is John Mcgillicuddy's NPI number?
- John Mcgillicuddy's National Provider Identifier (NPI) is 1528283488, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is John Mcgillicuddy's specialty?
- John Mcgillicuddy is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is John Mcgillicuddy located?
- John Mcgillicuddy's practice location on file with NPPES is 171 Ashley Ave, Charleston, SC 29425-0100.
- What is John Mcgillicuddy's phone number?
- The practice phone number listed in the NPPES registry for John Mcgillicuddy is (843) 792-3368.
- Does John Mcgillicuddy accept Medicare?
- John Mcgillicuddy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is John Mcgillicuddy's NPI active?
- Yes — John Mcgillicuddy's NPI (1528283488) is active in the NPPES registry as of the last update on 2020-10-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.