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MICHAEL MARTIN MCGUIRE PA-C, ATC
NPI 1164931960
Physician Assistant in O Fallon, IL

Active since September 25, 2017PECOS EnrolledAccepts Medicare Assignment
670 PIERCE BLVD STE 200, O FALLON, IL 62269(618) 206-2094 Get Directions Write a Review

NPPES record last updated: December 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 11, 2025, Nov 5, 2025, Sep 17, 2025 and 2 more (5 updates tracked since 2020).

About Michael Martin Mcguire Pa-c, Atc NPPES

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

MICHAEL MARTIN MCGUIRE PA-C, ATC (NPI 1164931960) is an individual physician assistant in O Fallon, Illinois, licensed in Illinois (085.011631) and active in the NPI registry since September 2017. He is enrolled in Medicare PECOS, is affiliated with St Josephs Hospital, and is a graduate of Indiana Medical College, School Of Medicine Of Purdue University (2025).

NPPES Registry Identity

NPI1164931960
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMICHAEL MARTIN MCGUIRECredential: PA-C, ATC
Location Address670 PIERCE BLVD STE 200O Fallon, IL 62269-2579
Mailing Address670 Pierce BlvdO Fallon, IL 62269-2579 · (618) 206-2094 · Fax (618) 607-5127
Phone(618) 206-2094
Sole ProprietorNo
Medical School CMSIndiana Medical College, School Of Medicine Of Purdue UniversityGraduated 2025
Enumeration DateSeptember 25, 2017
Last NPPES UpdateDecember 11, 20255 updates tracked since enumeration
NPPES CertifiedDecember 11, 2025
✔ NPI 1164931960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085.011631
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.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License 003657-1 (NY)
670 PIERCE BLVD STE 200, O Fallon, IL 62269
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Michael Martin Mcguire Pa-c, Atc 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 ID5193222768
PECOS Enrollment IDI20251009000644
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.

Hospital Affiliations CMS Care Compare 2

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

St Josephs Hospital

Acute Care Hospitals · Breese, IL
OwnershipVoluntary non-profit - Church
CMS Certification Number140145
Location9515 Holy Cross LnBreese, IL 62230 · Clinton County
Emergency services Birthing friendly

Hshs St Elizabeth's Hospital

Acute Care Hospitals · O Fallon, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140187
LocationOne St Elizabeth BoulevardO Fallon, IL 62269 · St. Clair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62269 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$70.42 typical visit price
range $17.51 – $139.99
Typical copayment $17.60 (range $4.37 – $34.99)
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.

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 Mcguire's NPI number?

The NPI number for Michael Mcguire is 1164931960. It was assigned to this individual provider in the NPPES registry on September 25, 2017.

Where is Michael Mcguire located?

Michael Mcguire practices at 670 Pierce Blvd Ste 200, O Fallon, IL 62269. The listed phone number is (618) 206-2094.

What is Michael Mcguire's specialty?

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

Is Michael Mcguire enrolled in Medicare?

Yes. Michael 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.

What insurance does Michael Mcguire accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Michael Mcguire 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.

Is Michael Mcguire affiliated with any hospitals?

According to CMS data, Michael Mcguire is affiliated with St Josephs Hospital and Hshs St Elizabeth's Hospital.

When was this NPI record last updated?

The NPPES record for Michael Mcguire was last updated on December 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.