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DR. MICHAEL RAYNARD MAGOON MD
NPI 1073572780
Emergency Medicine in San Antonio, TX

Active since March 21, 2006Opted out of Medicare · through Dec 13, 2026
6104 BROADWAY STE C-1, SAN ANTONIO, TX 78209(210) 756-0800(210) 756-0900 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael Raynard Magoon Md NPPES

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

DR. MICHAEL RAYNARD MAGOON MD (NPI 1073572780) is an individual emergency medicine provider in San Antonio, Texas, licensed in Texas (J4899) and active in the NPI registry since March 2006. He has opted out of Medicare through December 13, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1073572780
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. MICHAEL RAYNARD MAGOONCredential: MD
Location Address6104 BROADWAY STE C-1San Antonio, TX 78209-4553
Mailing Address8107 Princess CtSan Antonio, TX 78209-2253 · (210) 862-6064 · Fax (210) 756-0900
Phone(210) 756-0800
Fax(210) 756-0900
Sole ProprietorNo
Enumeration DateMarch 21, 2006
Last NPPES UpdateNovember 10, 2025
NPPES CertifiedNovember 10, 2025
✔ NPI 1073572780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TX · J4899
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedGeneral PracticeTaxonomy 208D00000X · License J4899 (TX)
6104 BROADWAY STE C-1, San Antonio, TX 78209
Open in Google Maps ↗

Other Identifiers 1

Other8CR994TX · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Michael Raynard Magoon Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 13, 2024 through December 13, 2026.

Opt-Out Effective DateDecember 13, 2024
Opt-Out In Effect ThroughDecember 13, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78209 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
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.

MAGOON PRIVATE CLINIC, PLLC
General Practice
6104 BROADWAY STE C-1
ALAMO HEIGHTS, TX 78209
Bexar County (210) 756-0800

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 Michael Magoon's NPI number?

The NPI number for Michael Magoon is 1073572780. It was assigned to this individual provider in the NPPES registry on March 21, 2006.

Where is Michael Magoon located?

Michael Magoon practices at 6104 Broadway Ste C-1, San Antonio, TX 78209. The listed phone number is (210) 756-0800.

What is Michael Magoon's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Michael Magoon enrolled in Medicare?

No. Michael Magoon has opted out of Medicare through December 13, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Michael Magoon accept?

Health plans from Baylor Scott and White Health Plan list Michael Magoon as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Michael Magoon was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.