Individual provider Active NPI

Philip J McGann, MD

  • Ophthalmology Physician
  • Frederick, MD
National Provider Identifier
1528238557
Registry record updated Sep 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
D0029921 Issued in MD
Practice address
1003 W 7TH St
Suite 400
Frederick, MD 21701-8532
Phone
(301) 662-3721
Fax
(301) 631-5668
NPI assigned
Mar 5, 2008
Last updated
Sep 25, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X D0029921 MD Primary

Addresses

Primary practice location

1003 W 7TH St
Suite 400
Frederick, MD 21701-8532

Mailing address

1003 W 7TH St
#400
Frederick, MD 21701-8532
Phone (301) 662-3721

Other identifiers 1

IdentifierTypeStateIssuer
463421700MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20080623000075 MD Practitioner - Ophthalmology 0446321202

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
22.44 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.79

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0029921MDMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
Western Maryland Eye Surgical Center,Philip McGann, M.D., PA PastSince Nov 12, 2011 Accepting new patients

Organizations & group practices 3

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": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348531200000",
    "number": "1528238557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 W 7TH ST",
            "address_2": "#400",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217018532",
            "telephone_number": "301-662-3721",
            "fax_number": "301-631-5668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 W 7TH ST",
            "address_2": "SUITE 400",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217018532",
            "telephone_number": "301-662-3721",
            "fax_number": "301-631-5668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGANN",
        "first_name": "PHILIP",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-05",
        "last_updated": "2012-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MD",
            "license": "D0029921",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "463421700",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.