DAVID EDWARD MCGINNIS (M.D.) – Emergency Medicine Physician, NPI 1689634115
Emergency Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
146 ADDICTION MEDICINE in MA
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Provider Addresses for DAVID EDWARD MCGINNIS (M.D.)
180, Mill Road, Nasketucket, Fairhaven, Bristol County, Massachusetts, 02719, United States
FAIRHAVEN, MA 027195255
Phone: (508) 973-2000
Fax: (508) 973-2001
Type: Mailing
Charlton Memorial Hospital, 363, Highland Avenue, Fall River Station, Fall River, Bristol County, Massachusetts, 02720, United States
FALL RIVER, MA 027203703
Phone: (508) 973-7447
Fax: (508) 973-7424
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $59.
Total Amount is formed as General ($59) + Research ($0) + Ownership ($0) = $59.
Last reported payment date: 2023-11-08 • Largest payer in this snapshot: Sumitomo Pharma America, Inc. ($59).
Total Amount
$59
General + Research + Ownership
Payments
3
Total payment records
General Amount
$59
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-08
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Sumitomo Pharma America, Inc. | $59 |
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: 2007-09-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20070911000215 | I | Addiction Medicine | MA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 167 | 166 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 108 | 106 | $0 |
| 87428 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza | 45 | 45 | $0 |
| 81002 | Urinalysis, manual test | 40 | 40 | $0 |
| 87086 | Bacterial colony count, urine | 29 | 28 | $0 |
Insurance plans in this area (ZIP 02719)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ADDICTION MEDICINE | MA | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 375 | 343 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MA | |
| Family Practice | MA | |
| D E R M A T O L O G Y | MA | |
| Emergency Medicine | MA | |
| Internal Medicine, Cardiovascular Disease (Cardiology) | MA | |
| - | MA | |
| O B S T E T R I C S/ G Y N E C O L O G Y | MA | |
| - | MA | |
| Internal Medicine | MA | |
| O T O L A R Y N G O L O G Y | MA |
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