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Karen M. McGinnis, M.D.

NPI 1215991468ActiveIndividual· Surgery· Cooperstown, NY

Surgery (M.D.) in Cooperstown, New York, trained at Icahn School of Medicine at Mount Sinai (class of 1991). In 2024 Medicare paid $21,916 for 176 patients, and Part D covered 51 of their prescriptions, 82% of them generic. Organogenesis Inc. was the largest of 2 companies reporting payments in 2025, $85.97 in all, mostly food and beverage.

Overview

NPI1215991468
StatusActive
Entity typeIndividual
CredentialM.D.
Sole proprietorNo
NPI issuedApr 14, 2006
Last updated in NPPESNov 16, 2010

Specialties and licenses

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Thoracic Surgery (NY)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients176
Services billed333 across 18 procedure codes
Paid by Medicare$21,916

Part D prescriptions in 2024

Prescriptions (claims)51 · 56 30-day fills
Patients34
Total drug cost$2,738
Generic share82% of claims

Medicare sources and data years

Education and affiliations

Medical schoolIcahn School of Medicine at Mount Sinai
Graduation year1991
Medicare specialtyThoracic Surgery
TelehealthOffers telehealth

Medical group

Hospital affiliation

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$85.97 · 3 payments from 2 companies
  • 2024$59.56 · 3 payments from 2 companies

Top paying companies in 2025

CompanyAmountPayments
Organogenesis Inc.$67.402
Smith+nephew, Inc.$18.571

What the 2025 payments were for

  • Food and Beverage$85.97 · 3 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other general surgeons in Cooperstown

All 16 general surgeons in Cooperstown · All general surgeons in New York