JAMES JOSEPH MCGUIRE JR. MD
NPI 1295848778
Obstetrics & Gynecology in Bethlehem, PA

Q: What is James Mcguire's NPI number?

The NPI number for James Mcguire is 1295848778. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Q: What is James Mcguire's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for James Mcguire was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.

Active since August 17, 2006PECOS EnrolledAccepts Medicare Assignment

95.64/100

CMS Quality Rating

306 S NEW ST STE 301, BETHLEHEM, PA 18015(484) 526-6161 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About James Joseph Mcguire Jr. Md NPPES

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

JAMES JOSEPH MCGUIRE JR. MD (NPI 1295848778) is an individual obstetrics & gynecology provider in Bethlehem, Pennsylvania, licensed in Pennsylvania (MD025655E) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with St Lukes Quakertown Hospital, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1295848778

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameJAMES JOSEPH MCGUIRE JR.Credential: MD

Location Address306 S NEW ST STE 301Bethlehem, PA 18015-1652

Mailing Address306 S New St Ste 301Bethlehem, PA 18015-1652 · (484) 526-6161

Phone(484) 526-6161

Sole ProprietorNo

Medical School CMSOtherGraduated 1980

Enumeration DateAugust 17, 2006

Last NPPES UpdateJanuary 14, 2026

NPPES CertifiedJanuary 14, 2026

✔ NPI 1295848778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in PA · MD025655E

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

306 S NEW ST STE 301, Bethlehem, PA 18015

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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

James Joseph Mcguire Jr. 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 ID1254345689

PECOS Enrollment IDI20060206000441

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

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

St. Luke's Physician Group, Inc.

Same address

Neurology with Special Qualifications in Child Neurology

306 S NEW ST STE 303
Bethlehem, PA 18015

Reassigned Medicare billing, Pennsylvania enrollment
Medicare enrollment name: St Lukes Physician Group Inc
2,851 clinicians in this Medicare group

NPI 1013495332 (484) 526-5580

St. Luke's Hospital

0.3 mi

Pediatrics

240 UNION STATION PLZ
Bethlehem, PA 18015

Reassigned Medicare billing, Pennsylvania enrollment
66 clinicians in this Medicare group

NPI 1700925468 (610) 954-3060

Star Community Health, Inc

0.4 mi

General Practice

511 E 3RD ST STE 202
Bethlehem, PA 18015

Reassigned Medicare billing, Pennsylvania enrollment
318 clinicians in this Medicare group

NPI 1033686159 (484) 526-4700

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 7

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

123 services123 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.

61 services38 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

49 services39 patients

Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830

An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.

24 services21 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

23 services23 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.

21 services21 patients

Hospital Affiliations CMS Care Compare 5

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

St Lukes Quakertown Hospital

Acute Care Hospitals · Quakertown, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390035

Location3000 St. Luke's DriveQuakertown, PA 18951 · Bucks County

Emergency services Birthing friendly

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390049

Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County

Emergency services Birthing friendly

Grand View Health

Acute Care Hospitals · Sellersville, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390057

Location700 Lawn AvenueSellersville, PA 18960 · Bucks County

Emergency services

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390133

Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County

Emergency services Birthing friendly

St Luke's Hospital - Easton Campus

Acute Care Hospitals · Easton, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390162

Location250 South 21st StreetEaston, PA 18042 · Northampton County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18015 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

$126.34 typical visit price

range $54.64 – $166.87

Typical copayment $31.58 (range $13.66 – $41.71)

Most-billed visit code 99204

Established Patient

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

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.

95.64/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.57

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTIN ABBRUZZI DO

Obstetrics & Gynecology

306 S NEW ST STE 301
BETHLEHEM, PA 18015

Northampton County (484) 526-7060

LAUREN A COLAVITA CRNP

Physician Assistant

306 S NEW ST STE 301
BETHLEHEM, PA 18015

Northampton County (484) 503-7474

JOHNNIE SPRINGS WILLIS MD

Obstetrics & Gynecology

306 S NEW ST STE 301
BETHLEHEM, PA 18015

Northampton County (484) 526-7060

MRS. RAQUEL NUNEZ MSN CRNP FNP-C

Nurse Practitioner (Family)

306 S NEW ST STE 301
BETHLEHEM, PA 18015

Northampton County (484) 526-7060

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 James Mcguire's NPI number?

The NPI number for James Mcguire is 1295848778. It was assigned to this individual provider in the NPPES registry on August 17, 2006.

Where is James Mcguire located?

James Mcguire practices at 306 S New St Ste 301, Bethlehem, PA 18015. The listed phone number is (484) 526-6161.

What is James Mcguire's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is James Mcguire enrolled in Medicare?

Yes. James 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 James Mcguire's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Mcguire reassigns Medicare benefits to 3 organizations: St. Luke's Physician Group, Inc. (Bethlehem, PA), St. Luke's Hospital (Bethlehem, PA) and Star Community Health, Inc (Bethlehem, PA). 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 James Mcguire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is James Mcguire affiliated with any hospitals?

According to CMS data, James Mcguire is affiliated with St Lukes Quakertown Hospital, St Luke's Hospital Bethlehem, Grand View Health, Lehigh Valley Hospital and St Luke's Hospital - Easton Campus.

When was this NPI record last updated?

The NPPES record for James Mcguire was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.