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DR. RACHAEL PARKS MCGUIRK M.D.
NPI 1205275518
Family Medicine in Columbus, OH

Active since June 19, 2013PECOS EnrolledAccepts Medicare Assignment
2231 N HIGH ST, COLUMBUS, OH 43201(614) 293-2700(614) 293-2720 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 10, 2025, Mar 15, 2021, Jun 13, 2017 (3 updates tracked since 2017).

About Dr. Rachael Parks Mcguirk M.d. NPPES

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

DR. RACHAEL PARKS MCGUIRK M.D. (NPI 1205275518) is an individual family medicine provider in Columbus, Ohio, licensed in Ohio (35126596) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS, is affiliated with Ohio State University State Health System, and maintains a secondary practice location in Worthington.

NPPES Registry Identity

NPI1205275518
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RACHAEL PARKS MCGUIRKCredential: M.D.
Location Address2231 N HIGH STColumbus, OH 43201-1101
Mailing Address700 Ackerman Rd Ste 2120Columbus, OH 43202-1559 · (614) 293-5123 · Fax (614) 293-4980
Phone(614) 293-2700
Fax(614) 293-2720
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2014
Enumeration DateJune 19, 2013
Last NPPES UpdateMarch 10, 20253 updates tracked since enumeration
NPPES CertifiedMarch 10, 2025
✔ NPI 1205275518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35126596
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2231 N HIGH ST, Columbus, OH 43201
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Secondary Practice Location 1

Location 1160 W Wilson Bridge RdWorthington, OH 43085-2676 · Phone (614) 293-5123 · Fax (614) 293-4980

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Dr. Rachael Parks Mcguirk M.d. 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 ID2264658616
PECOS Enrollment IDI20170630001892
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 Reassignment

Medicare enrollment records show Rachael Mcguirk reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Osu General Internal Medicine LLC
2.8 mi
Internal Medicine
1800 ZOLLINGER RD
Columbus, OH 43221
  • Reassigned Medicare billing, Ohio enrollment
  • 303 clinicians in this Medicare group
NPI 1689919599 (614) 293-5123

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 9

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
99 services59 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
51 services44 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
35 services31 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
35 services35 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
20 services20 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
17 services13 patients

Hospital Affiliations CMS Care Compare

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

Ohio State University State Health System

Acute Care Hospitals · Columbus, OH
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number360085
Location410 West 10th AvenueColumbus, OH 43210 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43201 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier14 claims14 services$15.19 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier14 claims14 services$69.18 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

PAIGE LEZON
Student in an Organized Health Care Education/Training Program
2231 N HIGH ST
COLUMBUS, OH 43201
Franklin County (614) 293-2700
LEANNE MERTENS CNP
Nurse Practitioner (Family)
2231 N HIGH ST
COLUMBUS, OH 43201
Franklin County (215) 301-3801
OHIO STATE UNIVERSITY
Clinic/Center (Primary Care)
2231 N HIGH ST
COLUMBUS, OH 43201
Franklin County (614) 293-2655
DR. MILISA K RIZER MD MPH
Family Medicine
2231 N HIGH ST
COLUMBUS, OH 43201
Franklin County (614) 293-2700
DR. JAMES D. COYLE PHARM.D.
Pharmacist
2231 N HIGH ST, RARDIN FAMILY PRACTICE CENTER, RM 244
COLUMBUS, OH 43201
Franklin County (614) 293-2877
LYDIA MARIE KARLSSON MD
Family Medicine
2231 N HIGH ST
COLUMBUS, OH 43201
Franklin County (614) 293-2700
OHIO STATE UNIVERSITY DEPT. OF FAMILY MEDICINE
Clinic/Center (Primary Care)
2231 N HIGH ST
COLUMBUS, OH 43201
Franklin County (614) 293-2655
DR. TARUN R MANSUKHANI M.D.
Family Medicine
2231 N HIGH ST
COLUMBUS, OH 43201
Franklin County (614) 293-2700

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 Rachael Mcguirk's NPI number?

The NPI number for Rachael Mcguirk is 1205275518. It was assigned to this individual provider in the NPPES registry on June 19, 2013.

Where is Rachael Mcguirk located?

Rachael Mcguirk practices at 2231 N High St, Columbus, OH 43201. The listed phone number is (614) 293-2700.

What is Rachael Mcguirk's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rachael Mcguirk enrolled in Medicare?

Yes. Rachael Mcguirk 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 organization bills Medicare for Rachael Mcguirk's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rachael Mcguirk reassigns Medicare benefits to Osu General Internal Medicine LLC (Columbus, OH). The 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 Rachael Mcguirk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rachael Mcguirk accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 2 other insurers list Rachael Mcguirk 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 Rachael Mcguirk affiliated with any hospitals?

According to CMS data, Rachael Mcguirk is affiliated with Ohio State University State Health System.

When was this NPI record last updated?

The NPPES record for Rachael Mcguirk was last updated on March 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.