DR. DAVID E MCGINNIS M.D.
NPI 1316918980
Specialist in Lutherville, MD
NPI Status: Active since January 31, 2006
Contact Information
10753 FALLS RD
SUITE 225
LUTHERVILLE, MD
ZIP 21093
Phone: (410) 583-2848
Fax: (410) 583-2841
- Individual
- Male
- Specialist
- Medicare Quality Reporting
About DAVID MCGINNIS
This page provides the complete NPI Profile along with additional information for David Mcginnis, a provider established in Lutherville, Maryland with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1316918980 assigned on January 2006. The practitioner's primary taxonomy code is 174400000X with license number G11238 (MD). The provider is registered as an individual and his NPI record was last updated 3 years ago.
- NPI
- 1316918980
- Provider Name
- DR. DAVID E MCGINNIS M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 10753 FALLS RD SUITE 225 LUTHERVILLE, MD 21093
- Location Phone
- (410) 583-2848
- Location Fax
- (410) 583-2841
- Mailing Address
- 10753 FALLS RD SUITE 225 LUTHERVILLE, MD 21093
- Mailing Phone
- (410) 583-2848
- Mailing Fax
- (410) 583-2841
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-31-2006
- Last Update Date
- 06-20-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- G11238
- License State
- MD
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 021650 | OTHER (01) | MD | JOHNS HOPKINS EHP PROV # |
| T6320003 | OTHER (01) | MD | BCBS FEDERAL PROV. # |
| 660002745 | OTHER (01) | MD | TRAVELERS RR MEDICARE |
| 54256004 | OTHER (01) | MD | BCBS MD PROVIDER # |
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Administration of chemotherapy into vein, 1 hour or less
Administration of chemotherapy into vein, each additional hour
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 40-54 minutes
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)
Injection, denosumab, 1 mg
Injection, infliximab, excludes biosimilar, 10 mg
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.
This service was performed 139 times for 38 patientsChemotherapy is a treatment method that uses drugs to destroy cancer cells. The drugs are administered into a vein, usually in the arm. Each additional hour of chemotherapy allows for more of the medication to enter your bloodstream to fight against the cancer cells.
This service was performed 82 times for 22 patientsThis procedure involves giving anti-cancer drugs, which don't contain hormones, into the muscle or under the skin. These drugs help to stop the growth of cancer cells. The process is usually quick and done by a healthcare professional.
This service was performed 36 times for 23 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 22 times for 22 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 479 times for 238 patientsThis service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
This service was performed 26 times for 26 patientsThis is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.
This service was performed 16 times for 12 patientsAbatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.
This service was performed 4,950 times for 12 patientsDenosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
This service was performed 780 times for 12 patientsInfliximab is a medication given via injection to treat certain autoimmune conditions. It works by blocking the action of a substance in your body that causes inflammation. Each dose is based on your medical condition and response to treatment.
This service was performed 3,190 times for 17 patientsAn electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
This service was performed 16 times for 15 patientsQuality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Clinical Information Reconciliation | 29% | 38 |
| For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation. The MIPS eligible clinician must implement clinical information reconciliation for the following three clinical information sets: (1) Medication. Review of the patient's medication, including the name, dosage, frequency, and route of each medication. (2) Medication allergy. Review of the patient's known medication allergies. (3) Current Problem list. Review of the patient's current and active diagnoses. | ||
| Consultation of the Prescription Drug Monitoring Program | Yes | N/A |
| Clinicians would attest to reviewing the patients’ history of controlled substance prescription using state prescription drug monitoring program (PDMP) data prior to the issuance of a Controlled Substance Schedule II (CSII) opioid prescription lasting longer than 3 days. For the transition year, clinicians would attest to 60 percent review of applicable patient’s history. For the Quality Payment Program Year 2 and future years, clinicians would attest to 75 percent review of applicable patient’s history performance. | ||
| Diabetes: Medical Attention for Nephropathy | 100% | 37 |
| The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period | ||
| e-Prescribing | 57% | 1681 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology. | ||
| Immunization Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data and receive immunization forecasts and histories from the public health immunization registry/immunization information system (IIS). | ||
| Patient-Specific Education | 6% | 697 |
| The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Pneumococcal Vaccination Status for Older Adults | 34% | 293 |
| Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
| Preventive Care and Screening: Influenza Immunization | 16% | 464 |
| Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization | ||
| Provide Patient Access | 7% | 697 |
| For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified EHR technology. | ||
| Secure Messaging | 91% | 697 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative). | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Send a Summary of Care | 13% | 773 |
| For at least one transition of care or referral, the MIPS eligible clinician that transitions or refers their patient to another setting of care or health care provider-(1) creates a summary of care record using certified EHR technology; and (2) electronically exchanges the summary of care record. | ||
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 1 | 6 | 9 | 1 | 8 | 9 | 8 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 2 | 6 | 18 | 1 | 16 | 9 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 2 + 6 + 1 + 8 + 1 + 1 + 6 + 9 + 1 + 6 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1316918980 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1710962378 | MELVIN MILES FRIEDMAN M.D. Individual | Orthopaedic Surgery (Sports Medicine) | 10753 FALLS RD 215 LUTHERVILLE, MD 21093 (410) 583-2858 |
| 1699741736 | DR. BASHIR ZIKRIA M.D. Individual | Orthopaedic Surgery (Sports Medicine) | 10753 FALLS RD LUTHERVILLE, MD 21093 (410) 583-2950 |
| 1336244748 | DAVID G. ROBERTS III M.D., LLC. Individual | Internal Medicine | 10753 FALLS RD SUITE 255 LUTHERVILLE, MD 21093 (410) 583-7979 |
| 1750467478 | TERRENCE G MCGEE PT Individual | Physical Therapist | 10753 FALLS RD SUITE 235 LUTHERVILLE, MD 21093 (410) 583-2665 |
| 1831258276 | LISA CULP PT Individual | Physical Therapist | 10753 FALLS RD SUITE 235 LUTHERVILLE, MD 21093 (410) 583-2665 |
| 1477616696 | MS. BONNIE ENGEL ZIEGELSTEIN P.T. Individual | Physical Therapist | 10753 FALLS RD SUITE 235 LUTHERVILLE, MD 21093 (410) 583-2665 |
| 1134283799 | DR. FARAH MELISSA ZEISES DPT Individual | Physical Therapist | 10753 FALLS RD SUITE 235 LUTHERVILLE, MD 21093 (410) 583-2665 |
| 1801950134 | HEATHER ANN PRENDER P.T. Individual | Physical Therapist | 10753 FALLS RD SUITE 235 LUTHERVILLE, MD 21093 (410) 583-2665 |
| 1821137514 | MRS. JENNIFER ELIZABETH MOSIER OTR Individual | Occupational Therapist | 10753 FALLS RD LUTHERVILLE, MD 21093 (410) 583-2665 |
| 1922149814 | ANNETTE LYNN LAVEZZA OTR Individual | Occupational Therapist (Neurorehabilitation) | 10753 FALLS RD SUITE 235 LUTHERVILLE, MD 21093 (410) 583-2665 |
| 1275676611 | KATHRYN KAUFMAN OTR Individual | Occupational Therapist | 10753 FALLS RD SUITE 235 LUTHERVILLE, MD 21093 (410) 583-2665 |
| 1073657755 | MS. GAYLE GROSS Individual | Occupational Therapist | 10753 FALLS RD LUTHERVILLE, MD 21093 (410) 583-2665 |
| 1164567095 | NICOLE TAMARA ANTOINE Individual | Occupational Therapist | 10753 FALLS RD LUTHERVILLE, MD 21093 (410) 583-2665 |
| 1447454996 | MRS. BROOKE ELIZABETH HARRIS OTRL Individual | Occupational Therapist (Hand) | 10753 FALLS RD SUITE 235 LUTHERVILLE, MD 21093 (410) 583-2665 |
| 1194902460 | ZACHARY L CHATTLER DPM PA Organization | Durable Medical Equipment & Medical Supplies | 10753 FALLS RD SUITE 265 LUTHERVILLE, MD 21093 (410) 583-2877 |
| 1861670515 | DR. LAURA BERNADETTE MCCARTHY DPT Individual | Physical Therapist | 10753 FALLS RD SUITE 235 LUTHERVILLE, MD 21093 (410) 583-2665 |
| 1649416256 | KAMAL ALEXANDER HAMOD MD, MPH, PA Organization | Obstetrics & Gynecology | 10753 FALLS RD PAVILLION 2, SUITE 345 LUTHERVILLE, MD 21093 (410) 847-3500 |
| 1568696706 | PATRICK EDWARD SCHENNING DPT, ATC Individual | Physical Therapist | 10753 FALLS RD SUITE 235 LUTHERVILLE, MD 21093 (410) 583-2665 |
| 1770718231 | ANDREA N. LASNER MSPT Individual | Physical Therapist | 10753 FALLS RD SUITE 235 LUTHERVILLE, MD 21093 (410) 583-2665 |
| 1386979599 | MISS SUSAN IRENE LACKNER PT Individual | Physical Therapist | 10753 FALLS RD SUITE 235 LUTHERVILLE, MD 21093 (410) 583-2665 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1316918980, enumerated in the NPI registry as an "individual" on January 31, 2006
The provider is located at 10753 Falls Rd Suite 225 Lutherville, Md 21093 and the phone number is (410) 583-2848
The provider's speciality is Specialist with taxonomy code 174400000X
The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The most common procedures or services performed by this practitioner are: Administration of chemotherapy into vein, 1 hour or less, Administration of chemotherapy into vein, each additional hour, Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less, Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered), Injection, denosumab, 1 mg, Injection, infliximab, excludes biosimilar, 10 mg and Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report.
This NPI record was last updated on January 31, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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