NPPES file of Aug 9, 2026

Kenneth McGaffin, MD

Cardiovascular Disease Physician · Monroeville, PA

Kenneth McGaffin, MD is a cardiovascular disease physician with a practice address in Monroeville, Pennsylvania, and NPI 1750481800, issued on Sep 25, 2006. Check the license (Pennsylvania MD419469, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1750481800
Name
Kenneth McGaffin
Credential
MD
Primary taxonomy
Cardiovascular Disease Physician 207RC0000X
License number
MD419469 PA
Self-reported in NPPES; status is on the state search
Practice location
3824 Northern Pike, Monroeville, PA 15146
Phone
(412) 380-2750
Enumerated
Sep 25, 2006
Record last updated
Nov 3, 2020 (not updated in 6 years: call before relying on the address or phone)
Fax
(412) 380-2883
Medicaid ID
1013147340003 PA
Medicare enrollment
Enrolled (PECOS I20060109000421); accepts Medicare assignment
Medical or professional school
Georgetown University School Of Medicine, 1999
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 3824 Northern Pike

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Sandra BlaserAdvanced Practice Midwife1689634644
  2. Francis Colangelo, MDInternal Medicine Physician1255374633
  3. James Costlow, MDInternal Medicine Physician1043228059
  4. Allison Daugherty, PA-CMedical Physician Assistant1083041909
  5. Aashish Dua, MDInterventional Cardiology Physician1114961018
  6. John Fisch, MDSpecialist1538129580

Verify Kenneth McGaffin in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
    Search for license MD419469
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Pennsylvania license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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2.0 times the Medicare Part D claims of the average cardiovascular disease physician in 2024

6,179 Medicare Part D claims for 733 beneficiaries, against an average of 3,078 among the 20,728 providers of this specialty who prescribed in Part D. Brand-name drugs were 21% of claims.

  1. Kenneth McGaffin6,179
  2. Specialty average3,078

Most prescribed

  1. Atorvastatin Calcium488 claims
  2. Eliquis438 claims
  3. Metoprolol Succinate380 claims
  4. Ezetimibe294 claims
  5. Furosemide261 claims
  6. Amlodipine Besylate259 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 93.8 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score85.1
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $74.98

4 payments; by number, the most common kind was food and beverage; the largest payer was Boston Scientific Corporation. The 16,686 providers of this specialty with any payment received $3,819.56 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Kenneth McGaffin$74.98
  2. Specialty average$3,819.56

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Premier Medical Associates PCMonroeville, PA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Kenneth McGaffin among 1,476 cardiovascular disease physician records in Pennsylvania

Kenneth McGaffin, MD is one of 1,476 cardiovascular disease physician records with a practice address in Pennsylvania. 85% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 20% of them.

  • NPI issued2006 · 20% of these records are older, 45% newer
  • In a Medicare fileYes · 85% of these records are
  • In the CMS Doctors and Clinicians fileYes · 68% of these records are
  • Graduated1999 · median 2000 among the 1,003 with a school on file
  • Record last updated2020 · 62% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RC0000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Cardiovascular Disease Physician providers in Pennsylvania

There are 1,476 cardiovascular disease physician records in Pennsylvania.

The 8 cardiovascular disease physician records with the nearest ZIP codes

  1. Abdulrab Aziz, M.D.Monroeville, PA 151461750429130
  2. Jayshiv Badlani, M.D.Monroeville, PA 151461821416199
  3. Angelo Castiglione, M.D.Monroeville, PA 151461275696932
  4. Chelcie CostabileMonroeville, PA 151461083853717
  5. Steven Hussein, MDMonroeville, PA 151461770525388
  6. Sandeep Jain, MDMonroeville, PA 151461407352685
  7. Sonya John, MDMonroeville, PA 151461245791367
  8. Amy Marino, M.D.Monroeville, PA 151461598183352

Common questions

What is Kenneth McGaffin, MD's NPI number?

Kenneth McGaffin, MD's National Provider Identifier (NPI) is 1750481800, issued on Sep 25, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Kenneth McGaffin, MD located?

The NPPES record lists a practice address at 3824 Northern Pike, Monroeville, PA, 15146. Phone: (412) 380-2750. Providers update this record themselves, so call before visiting.

How can I verify Kenneth McGaffin, MD's license?

NPPES lists Pennsylvania license number MD419469, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Kenneth McGaffin, MD prescribe under Medicare Part D?

In 2024, Kenneth McGaffin, MD had 6,179 Medicare Part D claims for 733 beneficiaries; the average among cardiovascular disease physician prescribers was 3,078. Part D covers Medicare prescriptions only.

What is Kenneth McGaffin, MD's MIPS final score?

The 2023 MIPS final score is 93.8 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.