MARK J MCGINLEY (MD) – Critical Care Medicine (Internal Medicine) Physician, NPI 1457324733
Critical Care Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
256 PULMONARY DISEASE in AL
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Provider Addresses for MARK J MCGINLEY (MD)
19th Street South, Phelan Park Historic District, Five Points South, Birmingham, Jefferson County, Alabama, 35233, United States
BIRMINGHAM, AL 35249
Phone: (205) 934-4011
Type: Location
1233 E 2nd St
Casper, WY 826012926
Phone: (307) 577-2289
Fax: (307) 577-0479
Type: Location
619 19th St S
Birmingham, AL 35249
Phone: (205) 934-4011
Type: Location
Cadbury, Bournville, Stirchley, Birmingham, West Midlands, England, B30 2LU, United Kingdom
BIRMINGHAM, AL 352555310
Phone:
Type: Mailing
2635 N 7TH ST
GRAND JUNCTION, CO 815018209
Phone: (307) 577-2289
Fax: (307) 577-0479
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-08-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20141230001292 | I | Pulmonary Disease | CO | TBD |
| I20180206001205 | I | Critical Care (Intensivists) | CA | TBD |
| I20190807003882 | I | Pulmonary Disease | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 152 | 64 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 30 | 23 | $0 |
Insurance plans in this area (ZIP 35249)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nephrology, Internal Medicine | CO | |
| Internal Medicine | TX | |
| Nurse Practitioner | CO | |
| - | CO | |
| - | CO | |
| Cardiovascular Disease (Cardiology) | VA | |
| Physician Assistant | CO | |
| Physician Assistant | WV | |
| Internal Medicine | NJ | |
| - | CO |
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