Active NPI
Brian John McKinnon, MD
- Otolaryngology Physician
- Hagerstown, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- D0042364
- Practice address
- 11110 Medical Campus Rd Ste 250
Hagerstown, MD 21742-6756 - Phone
- (301) 665-4960
- NPI assigned
- Jul 8, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | D0042364 | MD | Primary |
| Otolaryngology Physician | 207Y00000X | S2843 | TX |
Addresses
Primary practice location
11110 Medical Campus Rd Ste 250
Hagerstown, MD 21742-6756
Mailing address
11110 Medical Campus Rd Ste 250
Hagerstown, MD 21742-6756
Phone (301) 665-4960
Other practice location 1
1600 W League City Pkwy, Ste D
League City, TX 77573-6442
Phone (281) 338-0829
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1032208420002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Boston University School of Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Meritus Medical Center Inc
Practice addresses (Care Compare)
11110 Medical Campus Rd
Hagerstown, MD 21742-6700
17301 Valley Mall Rd
Suite 125
Hagerstown, MD 21740-6966
Phone (301) 790-9237
301 University Blvd
Galveston, TX 77555-5302
Phone (409) 772-2222
Hospital & facility affiliations
- University of Texas Medical Branch Galveston
- Meritus Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.88 of 100
- Quality
- 73.38
- Improvement activities
- 40
- Cost
- 78.42
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Practices of Antietam, LLC | Current | Accepting new patients | |
| Medical Practices of Antietam LLC | Current | Accepting new patients | |
| Utmb Faculty Group Practice | Otolaryngology | Current | Accepting new patients |
| Medical Practices of Antietam LLC | Current | Accepting new patients | |
| University of Texas Medical Branch at Galveston | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Ozarks Medical Center | Otolaryngology | Past | Accepting new patients |
Locations
11116 Medical Campus Rd
Hagerstown, MD 21742
Phone (301) 766-7600
11110 Medical Campus Rd
Ste 250
Hagerstown, MD 21742
Phone (301) 665-4960
17301 Valley Mall Rd
#125
Hagerstown, MD 21740
Phone (301) 790-9237
3 Byrkit Dr
Williamsport, MD 21795
Phone (301) 582-1150
301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883
511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001
1600 W League City Pkwy
Ste D
League City, TX 77573
Phone (281) 338-0829
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Hagerstown, MD
- NPI 1710854963
-
- Sports Medicine (Internal Medicine) Physician
- Hagerstown, MD
- NPI 1184481459
-
- General Practice Physician
- Hagerstown, MD
- NPI 1558430843
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- Community/Retail Pharmacy
- Friendswood, TX
- NPI 1699532861
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hagerstown, MD
- NPI 1942281266
-
- General Acute Care Hospital
- Galveston, TX
- NPI 1548226988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759363200000",
"number": "1316945819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11110 MEDICAL CAMPUS RD STE 250",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217426756",
"telephone_number": "301-665-4960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11110 MEDICAL CAMPUS RD STE 250",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217426756",
"telephone_number": "301-665-4960"
}
],
"practiceLocations": [
{
"address_1": "1600 W League City Pkwy, Ste D",
"address_purpose": "LOCATION",
"city": "League City",
"state": "TX",
"postal_code": "775736442",
"country_code": "US",
"telephone_number": "281-338-0829",
"fax_number": "281-557-7284",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCKINNON",
"first_name": "BRIAN",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-08",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "MD",
"license": "D0042364",
"primary": true
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "TX",
"license": "S2843",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1032208420002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.