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DR. MARK J MAGUIRE MD
NPI 1295848422
Orthopaedic Surgery in Tulsa, OK

Active since August 15, 2006PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
6475 S YALE AVE, SUITE 202, TULSA, OK 74136(918) 494-4460(918) 494-4442 Get Directions Write a Review

NPPES record last updated: June 5, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Mark J Maguire Md NPPES

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

DR. MARK J MAGUIRE MD (NPI 1295848422) is an individual orthopaedic surgery provider in Tulsa, Oklahoma, licensed in Oklahoma (15807) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Francis Hospital, Inc, and is a graduate of University Of Oklahoma College Of Medicine (1985).

NPPES Registry Identity

NPI1295848422
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. MARK J MAGUIRECredential: MD
Location Address6475 S YALE AVE, SUITE 202Tulsa, OK 74136-7816
Mailing Address6600 S Yale Ave, Suite 1400Tulsa, OK 74136-3347 · (918) 488-6001 · Fax (918) 488-6010
Phone(918) 494-4460
Fax(918) 494-4442
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1985
Enumeration DateAugust 15, 2006
Last NPPES UpdateJune 5, 2014
✔ NPI 1295848422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in OK · 15807✔ Licensed in KS · 04-23154
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
6475 S YALE AVE, Tulsa, OK 74136
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINE27644

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, CommunityCare, Mending Health and more.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. Mark J Maguire 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 ID9436243599
PECOS Enrollment IDI20140630001622
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 11

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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
139 services111 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.
127 services127 patients
X-ray of knee, 3 views 73562
An X-ray of the knee, 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the knee from three different angles. This helps medical professionals to diagnose and monitor conditions like arthritis, fractures, or infections. The process is quick and painless.
113 services81 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.
110 services87 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
48 services41 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
44 services35 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Francis Hospital, Inc

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370091
Location6161 South YaleTulsa, OK 74136 · Tulsa County
Emergency services Birthing friendly

Saint Francis Hospital South, LLC

Acute Care Hospitals · Tulsa, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370218
Location10501 East 91st Street SouthTulsa, OK 74133 · Tulsa County
Emergency services Birthing friendly

Saint Francis Hospital Vinita, Inc

Acute Care Hospitals · Vinita, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370237
Location735 North Foreman StreetVinita, OK 74301 · Craig County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74136 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.76
Promoting Interoperability99
Improvement Activities40
Cost54.37

Reported Quality Measures

Risk-standardized complication rate (RSCR) following elective primary total hip arthroplasty (THA) and/or total knee arthroplasty (TKA) for Merit-based Incentive Payment System (MIPS)
Lower rates are better for this measure.
0.03%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

EASTERN OKLAHOMA ORTHOPEDIC CENTER INC
Orthopaedic Surgery
6475 S YALE AVE, STE. 301
TULSA, OK 74136
Tulsa County (918) 494-9300
LINDSEY LEE GARRISON
Specialist/Technologist (Athletic Trainer)
6475 S YALE AVE, SUITE 301
TULSA, OK 74136
Tulsa County (918) 494-9321
RACHEL RHODES DOLAN P.A.-C
Physician Assistant
6475 S YALE AVE, #201
TULSA, OK 74136
Tulsa County (918) 499-2000
SAINT FRANCIS BREAST CENTER MRI, LLC
Clinic/Center (Magnetic Resonance Imaging (MRI))
6475 S YALE AVE, SUITE 411
TULSA, OK 74136
Tulsa County (918) 494-9270
MARK A CAPEHART MD
Orthopaedic Surgery
6475 S YALE AVE, STE 301
TULSA, OK 74136
Tulsa County (918) 494-9300
LANETTE FAY SMITH MD
Surgery
6475 S YALE AVE, SUITE 400
TULSA, OK 74136
Tulsa County (918) 585-5658
OMAR HERNAN ZALDIVAR JR. A.T.
Specialist/Technologist (Athletic Trainer)
6475 S YALE AVE, STE. 301
TULSA, OK 74136
Tulsa County (918) 494-9300
ALAN G LEWIS MD
Orthopaedic Surgery
6475 S YALE AVE, STE. 301
TULSA, OK 74136
Tulsa County (918) 494-9300

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 Mark Maguire's NPI number?

The NPI number for Mark Maguire is 1295848422. It was assigned to this individual provider in the NPPES registry on August 15, 2006.

Where is Mark Maguire located?

Mark Maguire practices at 6475 S Yale Ave Suite 202, Tulsa, OK 74136. The listed phone number is (918) 494-4460.

What is Mark Maguire's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Mark Maguire enrolled in Medicare?

Yes. Mark Maguire 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 Mark Maguire accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, CommunityCare, Mending Health and UnitedHealthcare list Mark Maguire 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 Mark Maguire affiliated with any hospitals?

According to CMS data, Mark Maguire is affiliated with Saint Francis Hospital, Inc, Saint Francis Hospital South, LLC and Saint Francis Hospital Vinita, Inc.

When was this NPI record last updated?

The NPPES record for Mark Maguire was last updated on June 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.