PHILIP WILLIAM MCGUIRE MD
NPI 1215920103
Pathology - Anatomic Pathology & Clinical Pathology in Hammond, IN

Q: What is Philip Mcguire's NPI number?

The NPI number for Philip Mcguire is 1215920103. It was assigned to this individual provider in the NPPES registry on August 25, 2005.

Q: What is Philip Mcguire's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Philip Mcguire was last updated on February 6, 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.

Active since August 25, 2005PECOS EnrolledAccepts Medicare Assignment

80.97/100

CMS Quality Rating

2434 INTERSTATE PLAZA DR, HAMMOND, IN 46324(800) 937-5521(219) 845-4088 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Philip William Mcguire Md NPPES

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

PHILIP WILLIAM MCGUIRE MD (NPI 1215920103) is an individual anatomic pathology & clinical pathology provider in Hammond, Indiana, licensed in Indiana (01033795A) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Franciscan Health Michigan City, and is a graduate of Indiana University School Of Medicine (1984).

NPPES Registry Identity

NPI1215920103

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NamePHILIP WILLIAM MCGUIRECredential: MD

Location Address2434 INTERSTATE PLAZA DRHammond, IN 46324-2671

Mailing Address5700 Southwyck BlvdToledo, OH 43614-1509 · (800) 288-8325 · Fax (419) 866-5453

Phone(800) 937-5521

Fax(219) 845-4088

Sole ProprietorNo

Medical School CMSIndiana University School Of MedicineGraduated 1984

Enumeration DateAugust 25, 2005

Last NPPES UpdateFebruary 6, 2024

NPPES CertifiedFebruary 6, 2024

✔ NPI 1215920103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

Licenses✔ Licensed in IN · 01033795A✔ Licensed in IL · 036071972

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedPathology · CytopathologyTaxonomy 207ZC0500X · License 01033795A (IN), 03607 (IL)

Also ListedPathology · HematologyTaxonomy 207ZH0000X · License 01033795A (IN), 036071972 (IL)

2434 INTERSTATE PLAZA DR, Hammond, IN 46324

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Other Identifiers 7

Other351173213IN · Ispat/inland

Other2826773004IN · Cigna

Other82427IN · Bc/bs

Other351173213IN · Hfn

Medicaid100387750AIN

Other01630255IL · Bc/bs

Other351173213IN · Sagamore

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

Philip William 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 ID9436059201

PECOS Enrollment IDI20071115000090

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.

Areas of Expertise CMS Part B claims 4

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.

Cell examination of specimen, selective cellular enhancement technique 88112

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

209 services172 patients

Screening cytopathology, cervical or vaginal (any reporting system), collected in preservative fluid, automated thin layer preparation, requiring interpretation by physician G0124

This is a routine health check where a sample of cells is collected from the lower region of the female reproductive system. The sample is preserved and prepared using automated technology for detailed examination. A doctor interprets the results to check for any abnormalities.

118 services117 patients

Pap test 88141

A Pap test is a routine exam that checks for changes in cells that could signal a health concern. During this test, a small sample of cells is gently collected from the lower region of the body. The sample is then examined under a microscope to ensure everything looks normal.

27 services27 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

22 services19 patients

Hospital Affiliations CMS Care Compare

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

Franciscan Health Michigan City

Acute Care Hospitals · Michigan City, IN

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number150015

Location3500 Franciscan WayMichigan City, IN 46360 · La Porte County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46324 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$94.22 typical visit price

range $16.93 – $132.22

Typical copayment $23.55 (range $4.23 – $33.05)

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.

80.97/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

77.62

Improvement Activities

Other Providers at the Same Location NPPES 7

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

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