Keith Mcinnerney, PA-C
NPI 1972901650 · Medical Physician Assistant · Southlake, TX
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Keith Mcinnerney, PA-C is a Medical Physician Assistant provider in Southlake, TX (NPI 1972901650).
Provider details
- NPI number
- 1972901650
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- 2585 (OK)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
11 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
595 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 | 140 | $107 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 103 | $12 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 58 | $76 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 51 | $140 |
| Detection Test By Immunoassay Technique for Influenza Virus87400 | 48 | $14 |
| Detection Test By Immunoassay With Direct Visual Observation for Severe Acute Respiratory Syndrome Coronavirus 2 (covid-19)87811 |
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 |
|---|---|---|
| Prednisone | 70 | 68 |
| Azithromycin | 60 | 59 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 38 | 37 |
| Doxycycline Hyclate | 33 | 32 |
| Albuterol Sulfatebrand: Albuterol Sulfate Hfa | 29 | 29 |
| Nirmatrelvir/Ritonavirbrand: Paxlovid | 28 | 28 |
| Cefdinir | 28 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$33 across 2 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
Additional practice locations (1)
- 908 N Rockford RdSuite aArdmore, OK 73401-2540Phone: (580) 226-7771Fax: (580) 226-7788
Registry dates
- Enumerated
- 2014-12-12
- Last updated
- 2021-03-10
- Certified
- 2021-03-10
Frequently asked questions
- What is Keith Mcinnerney's NPI number?
- Keith Mcinnerney's National Provider Identifier (NPI) is 1972901650, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keith Mcinnerney's specialty?
- Keith Mcinnerney is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Keith Mcinnerney located?
- Keith Mcinnerney's practice location on file with NPPES is 630 N Kimball Ave Ste 100, Southlake, TX 76092-6886.
- What is Keith Mcinnerney's phone number?
- The practice phone number listed in the NPPES registry for Keith Mcinnerney is (817) 421-8777.
- Does Keith Mcinnerney accept Medicare?
- Keith Mcinnerney is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Keith Mcinnerney's NPI active?
- Yes — Keith Mcinnerney's NPI (1972901650) is active in the NPPES registry as of the last update on 2021-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.