DENISE A MCGUFFIN MD
NPI 1245328574
Internal Medicine in Normal, IL
About Denise A Mcguffin Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DENISE A MCGUFFIN MD (NPI 1245328574) is an individual internal medicine provider in Normal, Illinois, licensed in Illinois (036114173) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Carle Bromenn Medical Center, and is a graduate of Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University (2002).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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
Denise A Mcguffin 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.
Medicare Billing Reassignments
4Medicare enrollment records show Denise Mcguffin reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Normal, IL 61761
- Reassigned Medicare billing, Illinois enrollment
- 4,870 clinicians in this Medicare group
Normal, IL 61761
- Reassigned Medicare billing, Illinois enrollment
- 698 clinicians in this Medicare group
Eureka, IL 61530
- Reassigned Medicare billing, Illinois enrollment
- 97 clinicians in this Medicare group
Urbana, IL 61801
- Reassigned Medicare billing, Illinois enrollment
- Medicare enrollment name: Carle Health Care Incorporated
- 2,516 clinicians in this Medicare group
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 6
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Carle Bromenn Medical Center
Acute Care Hospitals · Normal, ILCarle Eureka Hospital
Critical Access Hospitals · Eureka, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61761 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
NORMAL, IL 61761
NORMAL, IL 61761
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 Denise Mcguffin's NPI number?
The NPI number for Denise Mcguffin is 1245328574. It was assigned to this individual provider in the NPPES registry on October 11, 2006.
Where is Denise Mcguffin located?
Denise Mcguffin practices at 1304 Franklin Ave, Normal, IL 61761. The listed phone number is (309) 454-1400.
What is Denise Mcguffin's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Denise Mcguffin enrolled in Medicare?
Yes. Denise Mcguffin 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 organizations bill Medicare for Denise Mcguffin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Denise Mcguffin reassigns Medicare benefits to 4 organizations: Advocate Health And Hospitals Corp. (Normal, IL), Carle West Physician Group Inc (Normal, IL), Carle Eureka Hospital (Eureka, IL) and Carle Health Medical Group (Urbana, IL). Each 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 Denise Mcguffin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Denise Mcguffin affiliated with any hospitals?
According to CMS data, Denise Mcguffin is affiliated with Carle Bromenn Medical Center and Carle Eureka Hospital.
When was this NPI record last updated?
The NPPES record for Denise Mcguffin was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Denise A Mcguffin, MD · NPI 1245328574
Internal Medicine physician in Normal, Illinois. Individual provider, active in the CMS NPPES registry since October 11, 2006.
## Identity
- **NPI:** 1245328574 (Entity type: Individual)
- **Enumerated:** October 11, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 036114173 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1304 FRANKLIN AVE, Normal, IL 61761-3558
- **Phone:** (309) 454-1400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Advocate Health And Hospitals Corp. (NPI 1295066975, Normal, IL); Carle West Physician Group Inc (NPI 1467074138, Normal, IL); Carle Eureka Hospital (NPI 1184644023, Eureka, IL); Carle Health Medical Group (NPI 1154653947, Urbana, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University, class of 2002
## Record status
- **NPPES last updated:** October 27, 2021
- **Other identifiers:** Medicaid 036114173 (IL)
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Source: [NPI Profile](https://npiprofile.com/npi/1245328574) · Data from the CMS NPPES public registry.