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DENISE A MCGUFFIN MD
NPI 1245328574
Internal Medicine in Normal, IL

Active since October 11, 2006PECOS EnrolledAccepts Medicare Assignment
1304 FRANKLIN AVE, NORMAL, IL 61761(309) 454-1400 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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

NPI1245328574
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDENISE A MCGUFFINCredential: MD
Location Address1304 FRANKLIN AVENormal, IL 61761-3558
Mailing Address611 W. Park St, FapcUrbana, IL 61801
Phone(309) 454-1400
Sole ProprietorNo
Medical School CMSClvlnd Clinic Lerner College Of Med Of Case Wstn Rsv UniversityGraduated 2002
Enumeration DateOctober 11, 2006
Last NPPES UpdateOctober 27, 2021
NPPES CertifiedOctober 6, 2021
✔ NPI 1245328574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IL · 036114173
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.
1304 FRANKLIN AVE, Normal, IL 61761
Open in Google Maps ↗

Other Identifiers 1

Medicaid036114173IL

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

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.

PECOS PAC ID8729003348
PECOS Enrollment IDI20051012000468
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
498 services208 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
135 services131 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
119 services72 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
49 services40 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
20 services20 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
18 services16 patients

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, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140127
Location1304 Franklin AvenueNormal, IL 61761 · Mc Lean County
Emergency services Birthing friendly

Carle Eureka Hospital

Critical Access Hospitals · Eureka, IL
OwnershipVoluntary non-profit - Private
CMS Certification Number141309
Location101 S Major StEureka, IL 61530 · Woodford County
Emergency services

Physician 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.

New Patient
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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
4 suppliers38 claims39 services$16.00 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
4 suppliers46 claims47 services$77.09 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.

GIRISHKUMAR DHORAJIA MD
Psychiatry & Neurology (Psychiatry)
1304 FRANKLIN AVE, ADVOCATE BROMENN MEDICAL CENTER
NORMAL, IL 61761
McLean County (309) 268-5376
DR. DANA L ALTENBURGER MD
Pathology (Anatomic Pathology & Clinical Pathology)
1304 FRANKLIN AVE
NORMAL, IL 61761
McLean County (309) 268-2657
JULIE LEWIS M.D.
Emergency Medicine
1304 FRANKLIN AVE, EMERGENCY DEPARTMENT
NORMAL, IL 61761
McLean County (309) 454-1400
DR. SARAVANAKUMAR MANICKAM MD
Anesthesiology
1304 FRANKLIN AVE
NORMAL, IL 61761
McLean County (309) 268-5867
ELIZABETH ANNE MADLEM APRN, CNP
Nurse Practitioner (Family)
1304 FRANKLIN AVE
NORMAL, IL 61761
McLean County (309) 454-1400
ANN SCHOEN CRNA
Nurse Practitioner (Psychiatric/Mental Health)
1304 FRANKLIN AVE
NORMAL, IL 61761
McLean County (309) 454-1400
ABDI HASSAN
Nurse Anesthetist, Certified Registered
1304 FRANKLIN AVE
NORMAL, IL 61761
McLean County (309) 268-5227
DR. STEPHANIE SULLIVAN M.D.
Emergency Medicine
1304 FRANKLIN AVE
NORMAL, IL 61761
McLean County (309) 454-1400

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.

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 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.