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DR. DUNCAN LAYNE MCGUIRE DO
NPI 1265926018
Emergency Medicine in Ferndale, MI

Active since June 15, 2018PECOS EnrolledAccepts Medicare Assignment
84.72/100
CMS Quality Rating
755 W BRECKENRIDGE ST, FERNDALE, MI 48220(248) 259-8658 Get Directions Write a Review

NPPES record last updated: October 10, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 10, 2022, Jul 29, 2022, Jun 22, 2021 and 2 more (5 updates tracked since 2018).

About Dr. Duncan Layne Mcguire Do NPPES

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

DR. DUNCAN LAYNE MCGUIRE DO (NPI 1265926018) is an individual emergency medicine provider in Ferndale, Michigan, licensed in Michigan (5101025045) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Ascension Providence Hospital, Southfield And Novi, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1265926018
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. DUNCAN LAYNE MCGUIRECredential: DO
Location Address755 W BRECKENRIDGE STFerndale, MI 48220-1251
Mailing Address755 W Breckenridge StFerndale, MI 48220-1251
Phone(248) 259-8658
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 15, 2018
Last NPPES UpdateOctober 10, 20225 updates tracked since enumeration
NPPES CertifiedOctober 10, 2022
✔ NPI 1265926018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in MI · 5101025045
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
755 W BRECKENRIDGE ST, Ferndale, MI 48220
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Dr. Duncan Layne Mcguire Do 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 ID9638426869
PECOS Enrollment IDI20201008000591
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 Reassignments

3

Medicare enrollment records show Duncan Mcguire reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Independent Emergency Physicians, P.C.
4.3 mi
Emergency Medical Services
16001 W 9 MILE RD
Southfield, MI 48075
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Independent Emergency Physicians PC
  • 273 clinicians in this Medicare group
NPI 1780791343 (248) 849-3015
Independent Observation Physicians PLLC
4.3 mi
Emergency Medical Services
16001 W 9 MILE RD
Southfield, MI 48075
  • Reassigned Medicare billing, Michigan enrollment
  • 239 clinicians in this Medicare group
NPI 1700119500 (248) 849-3000
Degara App, PLLC
74 mi
Emergency Medicine
401 W GREENLAWN AVE
Lansing, MI 48910
  • Reassigned Medicare billing, Michigan enrollment
  • 295 clinicians in this Medicare group
NPI 1265976971 (517) 975-6000

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 5

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
175 services173 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
116 services110 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
93 services84 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
77 services77 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
27 services20 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension Providence Hospital, Southfield And Novi

Acute Care Hospitals · Southfield, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230019
Location16001 W Nine Mile RdSouthfield, MI 48075 · Oakland County
Emergency services Birthing friendly

Ascension St John Hospital

Acute Care Hospitals · Detroit, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230165
Location22101 Moross RdDetroit, MI 48236 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48220 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

84.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.68
Promoting Interoperability100
Improvement Activities40
Cost68.39

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 Duncan Mcguire's NPI number?

The NPI number for Duncan Mcguire is 1265926018. It was assigned to this individual provider in the NPPES registry on June 15, 2018.

Where is Duncan Mcguire located?

Duncan Mcguire practices at 755 W Breckenridge St, Ferndale, MI 48220. The listed phone number is (248) 259-8658.

What is Duncan Mcguire's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Duncan Mcguire enrolled in Medicare?

Yes. Duncan 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.

Which organizations bill Medicare for Duncan Mcguire's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Duncan Mcguire reassigns Medicare benefits to 3 organizations: Independent Emergency Physicians, P.C. (Southfield, MI), Independent Observation Physicians PLLC (Southfield, MI) and Degara App, PLLC (Lansing, MI). 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 Duncan Mcguire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Duncan Mcguire accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Duncan 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 Duncan Mcguire affiliated with any hospitals?

According to CMS data, Duncan Mcguire is affiliated with Ascension Providence Hospital, Southfield And Novi and Ascension St John Hospital.

When was this NPI record last updated?

The NPPES record for Duncan Mcguire was last updated on October 10, 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.