Mark Douglas McGinnis, MD
Orthopaedic Surgery Physician · Hartford, KY
Mark Douglas McGinnis, MD is an orthopaedic surgery physician with a practice address in Hartford, Kentucky, and NPI 1528276029, issued on May 18, 2007. Check the license (Kentucky 46213, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.
- Name
- Mark Douglas McGinnis
- Credential
- MD
- Primary taxonomy
- Orthopaedic Surgery Physician 207X00000X
- License numbers
- 46213 KY
2012003467 MO
Self-reported in NPPES; status is on the state search - Practice location
- 1215 Old Main St Ste 500B, Hartford, KY 42347
- Phone
- (270) 730-5344
- Enumerated
- May 18, 2007
- Record last updated
- Mar 19, 2024
- Medicaid IDs
- 7100132770 KY
201195300 IN - Medicare enrollment
- Enrolled (PECOS I20131105001354); accepts Medicare assignment
- Medical or professional school
- University Of Louisville School Of Medicine, 2007
- Entity
- Type 1 · individual
8 nearest orthopaedic surgery physician records → All 364 in Kentucky → Look up another NPI →
Verify Mark Douglas McGinnis in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersKentucky Board of Medical Licensure
Search for license 46213Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
2.1 times the Medicare Part D claims of the average orthopaedic surgery physician in 2024
710 Medicare Part D claims for 173 beneficiaries, against an average of 346 among the 16,516 providers of this specialty who prescribed in Part D. 242 claims were for opioids.
Most prescribed
- Ondansetron Hcl163 claims
- Oxycodone-Acetaminophen131 claims
- Cefadroxil106 claims
- Gabapentin91 claims
- Hydrocodone-Acetaminophen75 claims
- Celecoxib23 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.
Industry payments in 2024: $1,154.36
15 payments; by number, the most common kind was food and beverage; the largest payer was Stryker Corporation. The 15,003 providers of this specialty with any payment received $23,022.89 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through 2 group practices
- Ohio County Hospital CorporationHartford, KY
- Owensboro Health, IncOwensboro, KY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Mark Douglas McGinnis among 364 orthopaedic surgery physician records in Kentucky
Mark Douglas McGinnis, MD is one of 364 orthopaedic surgery physician records with a practice address in Kentucky. 80% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2007, is newer than 54% of them.
- NPI issued2007 · 54% of these records are older, 38% newer
- In a Medicare fileYes · 80% of these records are
- In the CMS Doctors and Clinicians fileYes · 72% of these records are
- Graduated2007 · median 2002 among the 260 with a school on file
- Record last updated2024 · 57% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207X00000X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
2 orthopaedic surgery physician records list a practice address in Hartford
They are 2 of the 75 NPPES records with a practice address in Hartford, and 364 orthopaedic surgery physician records in Kentucky.
All 364 in Kentucky → Every provider in Hartford → Orthopaedic Surgery Physician nationwide →
The 8 orthopaedic surgery physician records with the nearest ZIP codes
- Donald Arms, MDHartford, KY 423471548233661
- Vincent Genovese, M.D.Greenville, KY 423451508822925
- James Carothers, MDOwensboro, KY 423031376546275
- Scott Farner, M.D.Owensboro, KY 423031477726537
- Philip Hurley, MDOwensboro, KY 423031073516878
- Anthony McBride, MDOwensboro, KY 423031598707465
- Robert Moore, MDOwensboro, KY 423031053314849
- Reid Wilson, M.D.Owensboro, KY 423031699948588
Common questions
What is Mark Douglas McGinnis, MD's NPI number?
Mark Douglas McGinnis, MD's National Provider Identifier (NPI) is 1528276029, issued on May 18, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Mark Douglas McGinnis, MD located?
The NPPES record lists a practice address at 1215 Old Main St Ste 500B, Hartford, KY, 42347. Phone: (270) 730-5344. Providers update this record themselves, so call before visiting.
How can I verify Mark Douglas McGinnis, MD's license?
NPPES lists Kentucky license number 46213, as entered by the provider. Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Mark Douglas McGinnis, MD prescribe under Medicare Part D?
In 2024, Mark Douglas McGinnis, MD had 710 Medicare Part D claims for 173 beneficiaries; the average among orthopaedic surgery physician prescribers was 346. Part D covers Medicare prescriptions only.
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.