JAMES WAYNE MCKINLEY (M.D.) – Sports Medicine (Family Medicine) Physician, NPI 1902896863

JAMES WAYNE MCKINLEY (M.D.) is a healthcare provider. based in Tyler, Texas. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. H4539 (TX). The NPI Number for JAMES WAYNE MCKINLEY (M.D.) is 1902896863

Main info

Male
39 Years Of Experience
Accepts Medicare Assignment
Name
JAMES WAYNE MCKINLEY (M.D.)
NPI
1902896863
Phone
(903) 312-4004
Address
5701 OLD BULLARD RD,
Enumeration Date
24 October 2005
Last Update Date
1 June 2011

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
Secondary Phone
2146968033
Graduation Year
1987 (39 years ago)
PAC ID
3072586551
Group Practice PAC ID
9133655616
Professional Enrollment ID
I20040813000297
Address ID
TX757014262TY1814XBLVD301
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

8,705 FAMILY PRACTICE in TX

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Provider Addresses for JAMES WAYNE MCKINLEY (M.D.)

  • 5701, Old Bullard Road, Tyler, Smith County, Texas, 75703, United States

    PMB 56

    TYLER, TX 757034340

    Phone: (903) 312-4004

    Fax: (888) 242-8720

    Type: Mailing

  • Baylor Scott & White Texas Spine & Joint Hospital, 1814, Roseland Boulevard, Azalea Historic District, Tyler, Smith County, Texas, 75701, United States

    TYLER, TX 757014234

    Phone: (903) 526-8754

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 40 Open Payments records for all available years, with a total value of $114,267.

Total Amount is formed as General ($114,267) + Research ($0) + Ownership ($0) = $114,267.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($114,267).

Total Amount

$114,267

General + Research + Ownership

Payments

40

Total payment records

General Amount

$114,267

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2004-08-13

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
I20040813000297IFamily 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
99238Hospital discharge day management, 30 minutes or less282275$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes211151$0
99231Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes206149$0
99203New patient office or other outpatient visit, 30-44 minutes9494$0
99204New patient office or other outpatient visit, 45-59 minutes7171$0
View full utilization report →

Insurance plans in this area (ZIP 75703)

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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: 9133655616View full group profile
NameSpecialtyState
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Emergency MedicineTX
Nurse PractitionerTX
Internal MedicineTX
Nurse PractitionerTX
Internal MedicineCT
Family Practice, Pain Management, Sports MedicineTX

Reviews

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Frequently asked questions

How is JAMES WAYNE MCKINLEY (M.D.) identified in CMS data?
CMS-hosted NPPES data lists JAMES WAYNE MCKINLEY (M.D.) with NPI 1902896863.
Is JAMES WAYNE MCKINLEY (M.D.) listed as active for patients and plans?
The listing shows JAMES WAYNE MCKINLEY (M.D.) as active in the NPI system.
What is JAMES WAYNE MCKINLEY (M.D.)'s primary classification?
Sports Medicine (Family Medicine) Physician is the headline specialty for JAMES WAYNE MCKINLEY (M.D.) here. Clinical services aligned with this taxonomy classification.
Where is JAMES WAYNE MCKINLEY (M.D.) based?
JAMES WAYNE MCKINLEY (M.D.) is tied to Tyler, Texas in the data we show; additional addresses may exist on the full record.
Why does JAMES WAYNE MCKINLEY (M.D.) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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