Individual provider Active NPI

Paul Matthew McNeill, MD

  • Vascular Surgery Physician
  • Frederick, MD
National Provider Identifier
1437111960
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
D0045892 Issued in MD
Practice address
77 Thomas Johnson Dr
Suite E
Frederick, MD 21702-4893
Phone
(301) 695-8346
Fax
(301) 668-7819
NPI assigned
Apr 3, 2006
Last updated
May 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X D0045892 MD Primary

Addresses

Primary practice location

77 Thomas Johnson Dr
Suite E
Frederick, MD 21702-4893

Mailing address

77 Thomas Johnson Dr Ste E
Frederick, MD 21702-4893
Phone (301) 695-8346

Other practice location 1

1982 Scotland Ave Ste A
Chambersburg, PA 17201-1450
Phone (866) 695-8346

Other practice location 2

6410 Rockledge Dr Ste 500
Bethesda, MD 20817-1843
Phone (301) 581-0170

Other practice location 3

1165 Imperial Dr Ste 202
Hagerstown, MD 21740-6583
Phone (866) 695-8346

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD, PA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20050127000110 DC Practitioner - Vascular Surgery 9133102478 Reassigns benefits to 2 organizations
I20120315000438 MD Practitioner - Vascular Surgery 9133102478 Reassigns benefits to 2 organizations
I20180828003155 PA Practitioner - Vascular Surgery 9133102478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Virginia Commonwealth University, School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Surgical Care PCGroup PAC ID 2163404740, 7 clinicians

Practice addresses (Care Compare)

1165 Imperial Dr
Suite 202
Hagerstown, MD 21740-6583
Phone (866) 695-8346

1982 Scotland Ave
Suite a
Chambersburg, PA 17201-1450
Phone (866) 695-8346

6410 Rockledge Dr
Suite 500
Bethesda, MD 20817-1843
Phone (301) 581-0170

77 Thomas Johnson Dr
Frederick, MD 21702-4893
Phone (301) 695-8346

Merit-based Incentive Payment System (MIPS)

Final score
92.43 of 100Reported as group
Quality
100
Improvement activities
40
Cost
74.75

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal275

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0045892MDMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Surgical Care PC Vascular Surgery CurrentSince Oct 1, 2007 Accepting new patients
MSC Ambulatory Surgical Center, LLC CurrentSince Jul 15, 2009 Accepting new patients
MSC Ambulatory Surgical Center LLC CurrentSince Jul 15, 2009 Accepting new patients
Center for Laser Surgery LLC PastSince Jul 1, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

6410 Rockledge Dr
Ste 500
Bethesda, MD 20817
Phone (301) 581-0170

77 Thomas Johnson Dr
Ste E
Frederick, MD 21702
Phone (301) 695-8346

1165 Imperial Dr
Ste 202
Hagerstown, MD 21740
Phone (301) 251-8611

1982 Scotland Ave
#A
Chambersburg, PA 17201
Phone (855) 695-8346

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1437111960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 THOMAS JOHNSON DR STE E",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024893",
            "telephone_number": "301-695-8346",
            "fax_number": "301-624-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 THOMAS JOHNSON DR",
            "address_2": "SUITE E",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024893",
            "telephone_number": "301-695-8346",
            "fax_number": "301-668-7819"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1982 Scotland Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Chambersburg",
            "state": "PA",
            "postal_code": "172011450",
            "country_code": "US",
            "telephone_number": "866-695-8346",
            "fax_number": "301-624-5837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6410 Rockledge Dr Ste 500",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208171843",
            "country_code": "US",
            "telephone_number": "301-581-0170",
            "fax_number": "301-624-5837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1165 Imperial Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Hagerstown",
            "state": "MD",
            "postal_code": "217406583",
            "country_code": "US",
            "telephone_number": "866-695-8346",
            "fax_number": "301-624-5837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCNEILL",
        "first_name": "PAUL",
        "middle_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MD",
            "license": "D0045892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.