MARGARET A MAWHIRTER PA-C
NPI 1346870128
Physician Assistant in Marysville, OH

Active since January 22, 2020PECOS EnrolledAccepts Medicare Assignment
87.77/100
CMS Quality Rating
140 COLEMANS CROSSING BLVD STE 100, MARYSVILLE, OH 43040(937) 578-2650 Get Directions Write a Review

NPPES record last updated: January 28, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 28, 2026, Jan 22, 2020 (2 updates tracked since 2020).

About Margaret A Mawhirter Pa-c NPPES

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

MARGARET A MAWHIRTER PA-C (NPI 1346870128) is an individual physician assistant in Marysville, Ohio, licensed in Ohio (50.006309RX) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1346870128
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARGARET A MAWHIRTERCredential: PA-C
Location Address140 COLEMANS CROSSING BLVD STE 100Marysville, OH 43040-7195
Mailing Address140 Colemans Crossing Blvd Ste 100Marysville, OH 43040-7195 · (937) 578-2650
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJanuary 22, 2020
Last NPPES UpdateJanuary 28, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 28, 2026
NPI 1346870128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in OH · 50.006309RX
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
140 COLEMANS CROSSING BLVD STE 100, Marysville, OH 43040

Accepted 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

Margaret A Mawhirter Pa-c 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 ID7012343841
PECOS Enrollment IDI20200213002874
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

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.

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.
20 services17 patients

Hospital Affiliations CMS Care Compare

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

Memorial Hospital

Acute Care Hospitals · Marysville, OH
5/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number360092
Location500 London AvenueMarysville, OH 43040 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43040 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

87.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.17
Promoting Interoperability100
Improvement Activities40
Cost71.09

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 Margaret Mawhirter's NPI number?

The NPI number for Margaret Mawhirter is 1346870128. It was assigned to this individual provider in the NPPES registry on January 22, 2020.

Where is Margaret Mawhirter located?

Margaret Mawhirter practices at 140 Colemans Crossing Blvd Ste 100, Marysville, OH 43040. The listed phone number is (937) 578-2650.

What is Margaret Mawhirter's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Margaret Mawhirter enrolled in Medicare?

Yes. Margaret Mawhirter 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 Margaret Mawhirter accept?

Health plans from CareSource, MedMutual, Molina Healthcare and Oscar Health Insurance list Margaret Mawhirter 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 Margaret Mawhirter affiliated with any hospitals?

According to CMS data, Margaret Mawhirter is affiliated with Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Margaret Mawhirter was last updated on January 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.