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KELLY MCGUIRE
NPI 1063247153
Physician Assistant in San Diego, CA

Active since September 06, 2024PECOS EnrolledAccepts Medicare Assignment
3900 FIFTH AVE STE 340, SAN DIEGO, CA 92103(582) 500-2868 Get Directions Write a Review

NPPES record last updated: February 27, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 27, 2025, Sep 6, 2024 (2 updates tracked since 2024).

About Kelly Mcguire NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY MCGUIRE (NPI 1063247153) is an individual physician assistant in San Diego, California, licensed in California (65611) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1063247153
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKELLY MCGUIRE
Location Address3900 FIFTH AVE STE 340San Diego, CA 92103-3138
Mailing Address3900 Fifth Ave Ste 340San Diego, CA 92103-3138 · (582) 500-2868
Phone(582) 500-2868
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 6, 2024
Last NPPES UpdateFebruary 27, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2025
✔ NPI 1063247153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 65611
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3900 FIFTH AVE STE 340, San Diego, CA 92103
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kelly Mcguire is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335677491
PECOS Enrollment IDI20250116003555
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXIS ANSARI LCSW
Social Worker (Clinical)
3900 FIFTH AVE STE 340
SAN DIEGO, CA 92103
San Diego County (858) 250-0286

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Mcguire's NPI number?

The NPI number for Kelly Mcguire is 1063247153. It was assigned to this individual provider in the NPPES registry on September 6, 2024.

Where is Kelly Mcguire located?

Kelly Mcguire practices at 3900 Fifth Ave Ste 340, San Diego, CA 92103. The listed phone number is (582) 500-2868.

What is Kelly Mcguire's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kelly Mcguire enrolled in Medicare?

Yes. Kelly Mcguire is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kelly Mcguire was last updated on February 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.