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ALBERT M. MAGUIRE MD
NPI 1235298209
Ophthalmology - Retina Specialist in Philadelphia, PA

Active since December 06, 2006PECOS Enrolled
85.48/100
CMS Quality Rating
3801 FILBERT ST, PHILADELPHIA, PA 19104(215) 662-8675 Get Directions Write a Review

NPPES record last updated: April 11, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Albert M. Maguire Md NPPES

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

ALBERT M. MAGUIRE MD (NPI 1235298209) is an individual retina specialist in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD046589L) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235298209
Entity TypeIndividualMale
Primary Taxonomy207WX0107X
Provider Legal NameALBERT M. MAGUIRECredential: MD
Location Address3801 FILBERT STPhiladelphia, PA 19104-2640
Mailing Address3801 Filbert StPhiladelphia, PA 19104-2640 · (215) 662-8675
Phone(215) 662-8675
Sole ProprietorNo
Enumeration DateDecember 6, 2006
Last NPPES UpdateApril 11, 2018
✔ NPI 1235298209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0107X
License✔ Licensed in PA · MD046589L
Definition
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Also ListedOphthalmologyTaxonomy 207W00000X · License MD046589L (PA)
3801 FILBERT ST, Philadelphia, PA 19104
Open in Google Maps ↗

Other Identifiers 1

Medicaid001232968PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Albert M. Maguire Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Albert Maguire reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Of Penn-Medical Group
0.1 mi
Sports Medicine
3737 MARKET ST, 9TH FLOOR
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,488 clinicians in this Medicare group
NPI 1285022202 (215) 662-8777

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 12

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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
663 services395 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
605 services362 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
538 services294 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
521 services282 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
204 services90 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
194 services65 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19104 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
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

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.

85.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.6
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.

DR. QI N CUI M.D., PH.D.
Ophthalmology (Glaucoma Specialist)
3801 FILBERT ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-8100
STEPHEN E ORLIN MD
Ophthalmology (Cornea and External Diseases Specialist)
3801 FILBERT ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-8100
KENNETH SHINDLER MD
Ophthalmology (Neuro-ophthalmology)
3801 FILBERT ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-8100
ALEXANDER J BRUCKER MD
Ophthalmology (Retina Specialist)
3801 FILBERT ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-8100
DR. BENJAMIN J KIM MD
Ophthalmology (Retina Specialist)
3801 FILBERT ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-8100
TOMAS SANTIAGO ALEMAN MD
Ophthalmology (Retina Specialist)
3801 FILBERT ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-8100
DR. FRANCIS E ROSATO JR. M.D.
Surgery
3801 FILBERT ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-9198
ROBERTA E GAUSAS MD
Ophthalmology (Ophthalmic Plastic and Reconstructive Surgery)
3801 FILBERT ST
PHILADELPHIA, PA 19104
Philadelphia County (215) 662-8100

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 Albert Maguire's NPI number?

The NPI number for Albert Maguire is 1235298209. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Albert Maguire located?

Albert Maguire practices at 3801 Filbert St, Philadelphia, PA 19104. The listed phone number is (215) 662-8675.

What is Albert Maguire's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Is Albert Maguire enrolled in Medicare?

Yes. Albert Maguire is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Albert Maguire's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Albert Maguire reassigns Medicare benefits to University Of Penn-Medical Group (Philadelphia, PA). 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 Albert Maguire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Albert Maguire was last updated on April 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.