MICHAEL G MCINNIS (MD) – Internal Medicine Physician, NPI 1033189956

MICHAEL G MCINNIS (MD) is a healthcare provider. based in Mansfield, Texas. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. L5834 (TX). The NPI Number for MICHAEL G MCINNIS (MD) is 1033189956

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL G MCINNIS (MD)
NPI
1033189956
Phone
(817) 473-7184
Address
252 MATLOCK RD
Enumeration Date
24 January 2006
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
8174737184
Graduation Year
2000 (26 years ago)
PAC ID
3375697667
Group Practice PAC ID
9931001567
Professional Enrollment ID
I20090824000250
Address ID
TX760634295MA252XXRDXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

13,290 INTERNAL MEDICINE in TX

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Provider Addresses for MICHAEL G MCINNIS (MD)

  • Matlock Road, Mansfield, Tarrant County, Texas, 76063, United States

    SUITE 130

    MANSFIELD, TX 760636413

    Phone: (817) 473-7184

    Fax: (817) 473-7186

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $165.

Total Amount is formed as General ($165) + Research ($0) + Ownership ($0) = $165.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($40).

Total Amount

$165

General + Research + Ownership

Payments

8

Total payment records

General Amount

$165

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2009-08-24

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090824000250IInternal MedicineTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes460277$0
99213Established patient office or other outpatient visit, 20-29 minutes194141$0
99497Advance care planning, first 30 minutes189189$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit182182$0
G0008Administration of influenza virus vaccine9494$0
View full utilization report →

Insurance plans in this area (ZIP 76063)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9931001567View full group profile
NameSpecialtyState
Internal Medicine, Pediatric MedicineTX
Physician AssistantNC
Family PracticeTX
Family PracticeTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
Physician AssistantTX
-TX
Nurse PractitionerTX

Reviews

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Frequently asked questions

Is MICHAEL G MCINNIS (MD) listed with a National Provider Identifier?
Yes — MICHAEL G MCINNIS (MD) has NPI 1033189956 on file in the registry.
Is there an active status for MICHAEL G MCINNIS (MD)?
For scheduling context, MICHAEL G MCINNIS (MD) is shown as active in the registry.
What clinical focus is listed for MICHAEL G MCINNIS (MD)?
At a glance, MICHAEL G MCINNIS (MD) is tied to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MICHAEL G MCINNIS (MD)?
Travel planning: use Mansfield, Texas as the reference point for MICHAEL G MCINNIS (MD), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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