DR. JOHN M JR. MCKINNEY (M.D.) – Vascular Surgery Physician, NPI 1457330813
Vascular Surgery Physician
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NPPES metrics only — not quality of care.
85 THORACIC SURGERY in AL
Provider Addresses for DR. JOHN M JR. MCKINNEY (M.D.)
301, Brown Springs Road, Mitylene, Montgomery, Montgomery County, Alabama, 36117, United States
MONTGOMERY, AL 361177005
Phone: (334) 273-4159
Fax: (334) 273-4556
Type: Mailing
4300 W Main St Ste 21
Dothan, AL 363051058
Phone: (334) 699-7900
Type: Location
4370 W Main St
Dothan, AL 363051056
Phone: (334) 699-7900
Type: Location
3191 Harbor Blvd Ste B
Port Charlotte, FL 339526755
Phone: (941) 744-2640
Fax: (941) 744-2650
Type: Location
2055 E South Blvd Ste 603
Montgomery, AL 361162014
Phone: (334) 747-8800
Fax: (334) 747-8810
Type: Location
833 Princeton Ave SW Ste 200A
Birmingham, AL 352111321
Phone: (205) 786-2776
Type: Location
PO BOX 844658
DALLAS, TX 752844658
Phone: (800) 994-0371
Type: Mailing
2401 S 31ST ST
TEMPLE, TX 765082014
Phone: (254) 724-2111
Type: Location
2055 E SOUTH BLVD STE 603
MONTGOMERY, AL 361162014
Phone: (334) 747-8800
Fax: (334) 747-8810
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: 2023-07-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 4 Medicare enrollment records; no due dates published yet.
Enrollment records
4
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 |
|---|---|---|---|---|
| I20070328000474 | I | Thoracic Surgery | FL | TBD |
| I20171031002986 | I | Thoracic Surgery | AL | TBD |
| I20220718002741 | I | Thoracic Surgery | TX | TBD |
| I20230706003462 | I | Thoracic Surgery | GA | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 36117)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| THORACIC SURGERY | FL | 33533 | Heart artery bypass to repair one artery | 14 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Radiation Oncology | TX | |
| U R O L O G Y | TX | |
| General Surgery | OK | |
| Certified Registered Nurse Anesthetist (Crna) | TX | |
| - | TX | |
| Anesthesiology Assistant | TX | |
| - | TX | |
| - | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| - | TX |
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