JUSTIN M MCINNIS (MD) – Family Medicine Physician, NPI 1801002837

JUSTIN M MCINNIS (MD) is a healthcare provider. based in Jacksonville, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. N0262 (TX). The NPI Number for JUSTIN M MCINNIS (MD) is 1801002837

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
JUSTIN M MCINNIS (MD)
NPI
1801002837
Phone
(903) 541-5390
Address
203 NACOGDOCHES ST STE 280
Enumeration Date
15 May 2007
Last Update Date
8 December 2009

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON
Secondary Phone
9032846105
Graduation Year
2005 (21 years ago)
PAC ID
2365513330
Group Practice PAC ID
9133396674
Professional Enrollment ID
I20080618000593
Address ID
TX757669052JA2114XSTXX400
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

8,706 FAMILY PRACTICE in TX

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Provider Addresses for JUSTIN M MCINNIS (MD)

  • Nacogdoches Street, Jacksonville, Cherokee County, Texas, 75766, United States

    JACKSONVILLE, TX 757662444

    Phone: (903) 541-5390

    Fax: (903) 541-5393

    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 85 Open Payments records for all available years, with a total value of $1,466.

Total Amount is formed as General ($1,466) + Research ($0) + Ownership ($0) = $1,466.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: PFIZER INC. ($256).

Total Amount

$1,466

General + Research + Ownership

Payments

85

Total payment records

General Amount

$1,466

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

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: 2008-06-18

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
I20080618000593IFamily PracticeTXTBD

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
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month1,767237$0
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month1,469221$0
99214Established patient office or other outpatient visit, 30-39 minutes962375$0
80053Blood test, comprehensive group of blood chemicals645322$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count626332$0
View full utilization report →

Insurance plans in this area (ZIP 75766)

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Provider's Procedures

JUSTIN M MCINNIS (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINETX81002Urinalysis, manual test152128
FAMILY MEDICINETX83036Hemoglobin A1C level3323
FAMILY MEDICINETX95004Injection of allergenic extracts into skin, accessed through the skin55112

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: 9133396674View full group profile
NameSpecialtyState
Family PracticeTX
Family PracticeTX
Family PracticeTX
General Practice, Sports Medicine, Family PracticeTX

Reviews

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Frequently asked questions

What NPI should I save for JUSTIN M MCINNIS (MD)?
Save NPI 1801002837 if you need a stable reference for JUSTIN M MCINNIS (MD).
Is JUSTIN M MCINNIS (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does JUSTIN M MCINNIS (MD) treat or focus on?
Patients typically see JUSTIN M MCINNIS (MD) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for JUSTIN M MCINNIS (MD)?
We surface Jacksonville, Texas for JUSTIN M MCINNIS (MD) based on available NPPES addresses.
How can I contact JUSTIN M MCINNIS (MD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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