Dr Mark Douglas Mcginnis, MD - Medicare Orthopedic Surgery in Hartford, KY

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Dr Mark Douglas Mcginnis, MD is a medicare enrolled "Orthopaedic Surgery" physician in Hartford, Kentucky. He went to University Of Louisville School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Kentucky Orthopedic Rehabilitation Llc, Ohio County Hospital Corporation and his current practice location is 1215 Old Main St Ste 500b, Hartford, Kentucky. You can reach out to his office (for appointments etc.) via phone at (270) 730-5344.

Dr Mark Douglas Mcginnis is licensed to practice in Kentucky (license number 46213) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1528276029.

Contact Information

Dr Mark Douglas Mcginnis, MD
1215 Old Main St Ste 500b,
Hartford, KY 42347-1619
(270) 730-5344
Not Available

Map and Direction




Physician's Profile

Full NameDr Mark Douglas Mcginnis
GenderMale
SpecialityOrthopedic Surgery
Experience17 Years
Location1215 Old Main St Ste 500b, Hartford, Kentucky
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Mark Douglas Mcginnis attended and graduated from University Of Louisville School Of Medicine in 2007
  NPI Data:
  • NPI Number: 1528276029
  • Provider Enumeration Date: 05/18/2007
  • Last Update Date: 03/19/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9234372590
  • Enrollment ID: I20130905000669

Medical Identifiers

Medical identifiers for Dr Mark Douglas Mcginnis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528276029NPI-NPPES
7100132770MedicaidKY
201195300MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207XX0005XOrthopaedic Surgery - Sports Medicine 2012003467 (Missouri)Secondary
207X00000XOrthopaedic Surgery 46213 (Kentucky)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
CaretendersOwensboro, KYHome health agency
Ohio County HospitalHartford, KYHospital
Owensboro Health Regional HospitalOwensboro, KYHospital
Owensboro Health Muhlenberg Community HospitalGreenville, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kentucky Orthopedic Rehabilitation Llc0345157293731
Ohio County Hospital Corporation357747726474

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Mark Douglas Mcginnis allows following entities to bill medicare on his behalf.
Entity NameOhio County Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407049000
PECOS PAC ID: 3577477264
Enrollment ID: O20031117000774
Entity NameOwensboro Health Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235518242
PECOS PAC ID: 0648255034
Enrollment ID: O20040621000818

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mark Douglas Mcginnis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Mark Douglas Mcginnis, MD
1215 Old Main St,
Hartford, KY 42347-1619

Ph: (270) 730-5344		Dr Mark Douglas Mcginnis, MD
1215 Old Main St Ste 500b,
Hartford, KY 42347-1619

Ph: (270) 730-5344

Reviews and Comments


Orthopaedic Surgery Doctors in Hartford, KY

Donald Mark Arms, MD
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1215 Old Main St, Hartford, KY 42347
Phone: 270-730-5344    
Mikel Tihista,
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1215 Old Main St, Hartford, KY 42347
Phone: 270-730-5344    Fax: 270-298-9506

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.