Individual provider Active NPI

Jamie L McGinness, M.D.

  • MOHS-Micrographic Surgery Physician
  • Springfield, IL
National Provider Identifier
1447291356
Registry record updated Aug 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
036124865 Issued in IL
Practice address
900 N 1St St
Springfield, IL 62702-3749
Phone
(217) 528-7541
NPI assigned
Jun 10, 2006
Last updated
Aug 3, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X 036124865 IL Primary
Dermatology Physician 207N00000X 036124865 IL

Addresses

Primary practice location

900 N 1St St
Springfield, IL 62702-3749

Mailing address

1191 Fortune Blvd
Ste 2
Shiloh, IL 62269-7377
Phone (618) 622-7546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130503000211 IL Practitioner - Dermatology 0749292092 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Missouri, Columbia School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Metro East Dermatology and Skin Cancer Center LLCGroup PAC ID 9739451956, 7 clinicians

Practice addresses (Care Compare)

1000 Eleven S BLDG
3B
Columbia, IL 62236-1077
Phone (618) 622-7546

12860 Troxler Ave
Highland, IL 62249-2898
Phone (618) 622-7546

331 Regency Park
O Fallon, IL 62269-1887
Phone (618) 622-7546

350 W S 1St St
Red Bud, IL 62278-1116
Phone (618) 622-7546

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
81.6
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision85
Removal of skin lesions32
Removal of skin cancer418
Removal or shaving of skin growth1-10
Skin biopsy52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mitas LLC CurrentSince Apr 2, 2021 Accepting new patients
Skin Cancer Surgery Center LLC CurrentSince Jun 1, 2023 Accepting new patients
University of Cincinnati Physicians, Inc. Past Accepting new patients
University Dermatology Consultants, Inc Dermatology Past Accepting new patients

Locations

1191 Fortune Blvd
Ste 2
Shiloh, IL 62269
Phone (618) 607-0061

331 Regency Park
Shiloh, IL 62269
Phone (618) 622-7546

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": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1501718400000",
    "number": "1447291356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 FORTUNE BLVD",
            "address_2": "STE 2",
            "city": "SHILOH",
            "state": "IL",
            "postal_code": "622697377",
            "telephone_number": "618-622-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N 1ST ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627023749",
            "telephone_number": "217-528-7541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGINNESS",
        "first_name": "JAMIE",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2017-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "IL",
            "license": "036124865",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036124865",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.