1. Home
  2. Directory
  3. Nebraska
  4. Columbus
  5. Orthopaedic Surgery
  6. NPI Profile

MICHAEL H. MCGUIRE M.D.
NPI 1366553331
Orthopaedic Surgery in Columbus, NE

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
66.03/100
CMS Quality Rating
4508 38TH STREET, SUITE 133, COLUMBUS, NE 68601(402) 563-3644(402) 564-5805 Get Directions Write a Review

NPPES record last updated: March 24, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Michael H. Mcguire M.d. NPPES

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

MICHAEL H. MCGUIRE M.D. (NPI 1366553331) is an individual orthopaedic surgery provider in Columbus, Nebraska, licensed in Nebraska (17696) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Creighton University School Of Medicine (1975).

NPPES Registry Identity

NPI1366553331
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameMICHAEL H. MCGUIRECredential: M.D.
Location Address4508 38TH STREET, SUITE 133Columbus, NE 68601-1668
Mailing Address2500 California PlzOmaha, NE 68178-0001
Phone(402) 563-3644
Fax(402) 564-5805
Sole ProprietorNo
Medical School CMSCreighton University School Of MedicineGraduated 1975
Enumeration DateAugust 31, 2006
Last NPPES UpdateMarch 24, 2011
✔ NPI 1366553331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in NE · 17696
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.
4508 38TH STREET, Columbus, NE 68601
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINB73853NE
Medicare PIN276852NE
Medicare PIN099256NE
Medicare PIN200006268NE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company.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

Michael H. Mcguire M.d. 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 ID4082752886
PECOS Enrollment IDI20091117000044
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68601 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
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$66.00 typical visit price
range $16.90 – $131.25
Typical copayment $16.50 (range $4.22 – $32.81)
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.

66.03/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.46
Promoting Interoperability0
Improvement Activities40
Cost73.66

Other Providers at the Same Location NPPES

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

COLUMBUS ORTHOPEDIC & SPORTS MEDICINE CLINIC P C
Orthopaedic Surgery
4508 38TH STREET, SUITE 133
COLUMBUS, NE 68601
Platte County (402) 563-3644

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 Michael Mcguire's NPI number?

The NPI number for Michael Mcguire is 1366553331. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Michael Mcguire located?

Michael Mcguire practices at 4508 38th Street Suite 133, Columbus, NE 68601. The listed phone number is (402) 563-3644.

What is Michael Mcguire's specialty?

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

Is Michael Mcguire enrolled in Medicare?

Yes. Michael 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.

What insurance does Michael Mcguire accept?

Health plans from Blue Cross and Blue Shield of Nebraska, Medica and Oscar Insurance Company list Michael 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.

When was this NPI record last updated?

The NPPES record for Michael Mcguire was last updated on March 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.