DR. RYAN STEPHEN MCGUIRE M.D,
NPI 1225442650
Internal Medicine in Philadelphia, PA

Active since June 13, 2014PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
230 N BROAD ST, PHILADELPHIA, PA 19102(215) 762-7000 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ryan Stephen Mcguire M.d, NPPES

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

DR. RYAN STEPHEN MCGUIRE M.D, (NPI 1225442650) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT206554) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with West Virginia University Hospitals, Inc, and is a graduate of Northeastern Ohio University College Of Medicine (2014).

NPPES Registry Identity

NPI1225442650
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RYAN STEPHEN MCGUIRECredential: M.D,
Location Address230 N BROAD STPhiladelphia, PA 19102-1121
Mailing Address322 Tuvira LnCherry Hill, NJ 08003-2669 · (330) 980-6700
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 2014
Enumeration DateJune 13, 2014
Last NPPES UpdateApril 12, 2022
NPPES CertifiedApril 12, 2022
NPI 1225442650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · MT206554
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
230 N BROAD ST, Philadelphia, PA 19102

Accepted 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

Dr. Ryan Stephen Mcguire 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 ID1759610017
PECOS Enrollment IDI20190911002656
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 3

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.

Exam to measure eye deviation and range of motion 92060
This is an eye exam that checks for any misalignment in your eyes, also known as deviation. It also assesses the movement range of your eyes. The procedure is painless and helps in detecting conditions like strabismus or other vision issues.
50 services38 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.
39 services29 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

West Virginia University Hospitals, Inc

Acute Care Hospitals · Morgantown, WV
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510001
Location1 Medical Center DriveMorgantown, WV 26506 · Monongalia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19102 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

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.

Emergency Medicine
230 N BROAD ST
PHILADELPHIA, PA 19102
Pharmacist
230 N BROAD ST, B40
PHILADELPHIA, PA 19102
Anesthesiology
230 N BROAD ST
PHILADELPHIA, PA 19102
Surgery
230 N BROAD ST
PHILADELPHIA, PA 19102
Thoracic Surgery (Cardiothoracic Vascular Surgery)
230 N BROAD ST, 744 N TOWER
PHILADELPHIA, PA 19102
Surgery
230 N BROAD ST, HAHNEMANN UNIVERSITY HOSPITAL, MAIL STOP 993
PHILADELPHIA, PA 19102
Radiology (Diagnostic Radiology)
230 N BROAD ST
PHILADELPHIA, PA 19102
Internal Medicine
230 N BROAD ST
PHILADELPHIA, PA 19102

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 Ryan Mcguire's NPI number?

The NPI number for Ryan Mcguire is 1225442650. It was assigned to this individual provider in the NPPES registry on June 13, 2014.

Where is Ryan Mcguire located?

Ryan Mcguire practices at 230 N Broad St, Philadelphia, PA 19102. The listed phone number is (215) 762-7000.

What is Ryan Mcguire's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ryan Mcguire enrolled in Medicare?

Yes. Ryan 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 Ryan Mcguire accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia and 1 other insurer list Ryan 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 Ryan Mcguire affiliated with any hospitals?

According to CMS data, Ryan Mcguire is affiliated with West Virginia University Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Ryan Mcguire was last updated on April 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.