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PATRICK MCGUIRE MD
NPI 1164041661
Emergency Medicine in Harrisburg, PA

Active since April 14, 2020PECOS EnrolledAccepts Medicare Assignment
92.3/100
CMS Quality Rating
205 SOUTH FRONT STREET, BRADY 3, HARRISBURG, PA 17104(253) 344-8284 Get Directions Write a Review

NPPES record last updated: June 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 11, 2024, Jul 17, 2020, Jun 26, 2020 and 1 more (4 updates tracked since 2020).

About Patrick Mcguire Md NPPES

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

PATRICK MCGUIRE MD (NPI 1164041661) is an individual emergency medicine provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (MD478852) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Upmc Carlisle, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1164041661
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NamePATRICK MCGUIRECredential: MD
Location Address205 SOUTH FRONT STREET, BRADY 3Harrisburg, PA 17104
Mailing Address1212 Gordon AveReno, NV 89509-2627 · (253) 344-8284
Phone(253) 344-8284
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 14, 2020
Last NPPES UpdateJune 11, 20244 updates tracked since enumeration
NPPES CertifiedJune 11, 2024
✔ NPI 1164041661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in PA · MD478852✔ Licensed in PA · MT221739✔ Licensed in NH · 24193
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 ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT221739 (PA)
205 SOUTH FRONT STREET, Harrisburg, PA 17104
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Secondary Practice Locations 3

Location 11212 Gordon AveReno, NV 89509-2627 · Phone (253) 344-8284
Location 210 Alice Peck Day DrLebanon, NH 03766-2900 · Phone (603) 448-3121
Location 31 Medical Center DrLebanon, NH 03756-0001 · Phone (603) 650-5000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Patrick Mcguire Md 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 ID8022431220
PECOS Enrollment IDI20230825000489
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Patrick Mcguire reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pinnacle Health Medical Services
Same address
Internal Medicine
205 S FRONT ST, BMAB 3
Harrisburg, PA 17104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,902 clinicians in this Medicare group
NPI 1255342721 (717) 231-8508
Pinnacle Health Emergency Department Services LLC
0.4 mi
Emergency Medicine
111 S FRONT ST
Harrisburg, PA 17101
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 209 clinicians in this Medicare group
NPI 1487693404 (717) 782-3380
Penn State Health Medical Group, LLC
1.9 mi
Pulmonary Disease
50 N 12TH ST
Lemoyne, PA 17043
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 994 clinicians in this Medicare group
NPI 1801433149 (717) 234-2561
Southwestern Vermont Medical Center Inc.
262 mi
Oncology
140 HOSPITAL DR, SUITE 116
Bennington, VT 05201
  • Reassigned Medicare billing, Vermont enrollment
  • 143 clinicians in this Medicare group
NPI 1962650556 (802) 447-1836

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
263 services256 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
105 services104 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
89 services87 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
55 services37 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Upmc Carlisle

Acute Care Hospitals · Carlisle, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390058
Location361 Alexander Spring RoadCarlisle, PA 17015 · Cumberland County
Emergency services Birthing friendly

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Upmc Hanover

Acute Care Hospitals · Hanover, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390233
Location300 Highland AveHanover, PA 17331 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17104 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.29
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 20

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

MRS. ELENA YURIEVNA NEBRAT
Nurse Practitioner (Acute Care)
205 SOUTH FRONT STREET, 4TH FLOOR, BMA
HARRISBURG, PA 17104
Dauphin County (717) 231-8555
REBECCA CLONINGER PA-C
Physician Assistant (Surgical)
205 SOUTH FRONT STREET, 6TH FLOOR BMA
HARRISBURG, PA 17104
Dauphin County (717) 988-9370
LINDSEY G ROMBERGER CRNP
Nurse Practitioner (Psychiatric/Mental Health)
205 SOUTH FRONT STREET, 5TH FLOOR BMA
HARRISBURG, PA 17104
Dauphin County (717) 231-8360
ISABELLE ANN ZITTO PA-C
Physician Assistant
205 SOUTH FRONT STREET, 4TH FLOOR BMA
HARRISBURG, PA 17104
Dauphin County (717) 731-0101
MR. ANHAD SINGH BHULLAR MD
Student in an Organized Health Care Education/Training Program
205 SOUTH FRONT STREET, BRADY 916
HARRISBURG, PA 17104
Dauphin County (717) 231-8755
RICHARD T. MILLER M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
205 SOUTH FRONT STREET, 4TH FLOOR, BMA
HARRISBURG, PA 17104
Dauphin County (717) 231-8555
BART THACI MD
Neurological Surgery
205 SOUTH FRONT STREET, 6TH FLOOR BMA
HARRISBURG, PA 17104
Dauphin County (717) 988-9370
SYDNEY MARIE DIULUS D.O.
Student in an Organized Health Care Education/Training Program
205 SOUTH FRONT STREET, BRADY HALL 908
HARRISBURG, PA 17104
Dauphin County (717) 231-8494

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 Patrick Mcguire's NPI number?

The NPI number for Patrick Mcguire is 1164041661. It was assigned to this individual provider in the NPPES registry on April 14, 2020.

Where is Patrick Mcguire located?

Patrick Mcguire practices at 205 South Front Street Brady 3, Harrisburg, PA 17104. The listed phone number is (253) 344-8284.

What is Patrick Mcguire's specialty?

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

Is Patrick Mcguire enrolled in Medicare?

Yes. Patrick 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.

Which organizations bill Medicare for Patrick Mcguire's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patrick Mcguire reassigns Medicare benefits to 4 organizations: Pinnacle Health Medical Services (Harrisburg, PA), Pinnacle Health Emergency Department Services LLC (Harrisburg, PA), Penn State Health Medical Group, LLC (Lemoyne, PA) and Southwestern Vermont Medical Center Inc. (Bennington, VT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Patrick Mcguire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Patrick Mcguire affiliated with any hospitals?

According to CMS data, Patrick Mcguire is affiliated with Upmc Carlisle, Upmc Pinnacle Hospitals and Upmc Hanover.

When was this NPI record last updated?

The NPPES record for Patrick Mcguire was last updated on June 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.