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In 2012, it was announced that McGinley would be a recurring character on USA Network's Burn Notice as Michael Westen's original CIA trainer, Tom Card. He was first introduced in the second episode of the show's sixth season.

McGinley serves on the Board of the Global Down Syndrome Foundation, based in Denver. He is a celebrity Ambassador for the National Down Syndrome Society. In addition, he is a Global Ambassador for Special Olympics and was an integral part in crafting its "R-word: Spread The Word, To End The Word" campaign. McGinley is a vocal supporter for the special needs community, and commented in late 2011 on the experience of raising a teenager with Down syndrome along with two young daughters:

In 2009, he was cast in the film adaptation of the comic book Superman/Batman: Public Enemies, and he plays the role of the classic Superman villain, Metallo.

In 2008, McGinley was named an Honorary Patron of the University Philosophical Society, Trinity College, Dublin.

Since the NFL season of 2007, McGinley has played the "Commish" of the More Taste League commercials for Miller Lite. He has done commercials for the Champions Tour, a professional golf tour for men over the age of 50. In 2008, McGinley was the narrator of the documentary of the 2008 Stanley Cup Championship of the Detroit Red Wings. In 2009, McGinley started narrating commercials for ESPN.com.

McGinley wrote a 2005 book titled, Untalkative Bunny: How to be Heard Without saying a Word which featured the title character from the show Untalkative Bunny on its cover.

He is known for his work on Minority Report (2002), Superfire (2002) and Ultimate Spider-Man (2005).

In 2001, McGinley began work as a regular on the NBC television series Scrubs as the acerbic Dr. Perry Cox. Throughout the series Dr. Cox acts as an unwilling mentor to the protagonist J.D. (Zach Braff). McGinley has said that there are three things over the course of the series that he improvises: his constant usage of girls' names for JD, which he does with all his real friends; his whistle, which he describes as "a bad habit"; and his habit of touching his nose, a tribute to Robert Redford's character in The Sting, and which he says means "It's gonna be OK."

McGinley received critical acclaim for his performance as a serial killer in Dean Koontz's suspense drama, Intensity (1997). It became Fox Television's highest-rated miniseries. He worked with Koontz and Fox once more in Sole Survivor (2000).

He worked continually throughout the 1990s, appearing in films such as Point Break (1991), Highlander II: The Quickening (1991), Article 99 (1992), Wagons East (1994), Seven (1995), The Rock (1996), Set It Off (1996), Nothing to Lose (1997) and Office Space (1999) (McGinley improvised several takes about his character's fondness for Michael Bolton). In 2007, he had a role as Chuck in the film Are We Done Yet? He had a small role as a gay highway patrolman in the film Wild Hogs which co-stars his Article 99 co-star Ray Liotta, although they don't share any screen credit.

McGinley, who is one of five children, was born in the Greenwich Village section of New York City, the son of a schoolteacher and a stockbroker. His paternal great-grandfather was from Donegal, Ireland. McGinley was raised in Millburn, New Jersey, and attended Millburn High School, where he played wide receiver for the school's football team. He studied acting at Syracuse University, and later at New York University's Graduate Acting Program at the Tisch School of the Arts, graduating in 1984. Upon completing his education, McGinley did a variety of different work, including Off Broadway and Broadway productions, and a two-year stint on the soap opera Another World.

John McGinley was born on April 6, 1972 in Bossier City, Louisiana, USA as John Andrew McGinley IV.

John Christopher McGinley (born August 3, 1959) is an American actor. He is notable for his roles as Perry Cox in Scrubs, Bob Slydell in Office Space, Captain Hendrix in The Rock, Sergeant Red O'Neill in Oliver Stone's Platoon, Marv in Stone's Wall Street, FBI agent Ben Harp in Point Break, and the serial killer Edgler Foreman Vess in the TV miniseries of Intensity, based on the novel by Dean Koontz. He has written and produced for television and film. Apart from acting, McGinley is an author, a board member and international spokesman for the Global Down Syndrome Foundation, and a spokesman for the National Down Syndrome Society.