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THOMAS M MAGUIRE DO
NPI 1457339665
Family Medicine in Macedonia, OH

Active since January 06, 2006PECOS EnrolledAccepts Medicare Assignment
2055 ALEXANDRIA WAY, MACEDONIA, OH 44056(330) 468-3312(888) 393-0987 Get Directions Write a Review

NPPES record last updated: November 6, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Thomas M Maguire Do NPPES

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

THOMAS M MAGUIRE DO (NPI 1457339665) is an individual family medicine provider in Macedonia, Ohio, licensed in Ohio (34-00-6039) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Akron General Medical Center, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (1993).

NPPES Registry Identity

NPI1457339665
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameTHOMAS M MAGUIRECredential: DO
Location Address2055 ALEXANDRIA WAYMacedonia, OH 44056-1998
Mailing Address2055 Alexandria WayMacedonia, OH 44056-1998 · (330) 468-3312 · Fax (888) 393-0987
Phone(330) 468-3312
Fax(888) 393-0987
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1993
Enumeration DateJanuary 6, 2006
Last NPPES UpdateNovember 6, 2018
✔ NPI 1457339665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 34-00-6039
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2055 ALEXANDRIA WAY, Macedonia, OH 44056
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Other Identifiers 1

Medicaid2009409OH

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

Thomas M Maguire 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 ID9931285517
PECOS Enrollment IDI20080324000228
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

4

Medicare enrollment records show Thomas Maguire reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lake Hospital System, Inc.
9.4 mi
Vascular Surgery
20050 HARVARD AVE
Warrensville Heights, OH 44122
  • Reassigned Medicare billing, Ohio enrollment
  • 285 clinicians in this Medicare group
NPI 1669609756 (440) 953-1898
The Cleveland Clinic Foundation
14 mi
General Acute Care Hospital
9500 EUCLID AVE
Cleveland, OH 44195
  • Reassigned Medicare billing, Ohio enrollment
  • 7,608 clinicians in this Medicare group
NPI 1679525919 (216) 444-2200
Incare Health Solutions, LLC
69 mi
Primary Care
375 N LEXINGTON SPRINGMILL RD
Ontario, OH 44906
  • Reassigned Medicare billing, Ohio enrollment
  • 221 clinicians in this Medicare group
NPI 1639621824 (419) 528-0047
Kings Daughters Medical Specialties Inc.
193 mi
Chiropractor
8750 OHIO RIVER RD
Wheelersburg, OH 45694
  • Reassigned Medicare billing, Ohio enrollment
  • 177 clinicians in this Medicare group
NPI 1063049880 (740) 574-9301

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 8

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 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.
264 services151 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.
225 services124 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
66 services66 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
40 services40 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
21 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
20 services20 patients

Hospital Affiliations CMS Care Compare 5

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

Akron General Medical Center

Acute Care Hospitals · Akron, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360027
Location1 Akron General AvenueAkron, OH 44307 · Summit County
Emergency services Birthing friendly

Marymount Hospital

Acute Care Hospitals · Garfield Heights, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360143
Location12300 Mccracken RoadGarfield Heights, OH 44125 · Cuyahoga County
Emergency services

South Pointe Hospital

Acute Care Hospitals · Warrensville Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360144
Location20000 Harvard RoadWarrensville Heights, OH 44122 · Cuyahoga County

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Hillcrest Hospital

Acute Care Hospitals · Mayfield Heights, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360230
Location6780 Mayfield RoadMayfield Heights, OH 44124 · Cuyahoga County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44056 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
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers14 claims32 services$5.37 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers13 claims14 services$26.75 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers14 claims36 services$1.65 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers24 claims27 services$67.76 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers21 claims21 services$202.32 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

MICHELLE PETRIE
Nurse Practitioner (Family)
2055 ALEXANDRIA WAY
MACEDONIA, OH 44056
Summit County (330) 468-3312
THE CLEVELAND CLINIC FOUNDATION
General Practice
2055 ALEXANDRIA WAY
MACEDONIA, OH 44056
Summit County (216) 444-2273
MAGUIRE MEDICAL LLC
Family Medicine
2055 ALEXANDRIA WAY
MACEDONIA, OH 44056
Summit County (330) 468-3312

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 Thomas Maguire's NPI number?

The NPI number for Thomas Maguire is 1457339665. It was assigned to this individual provider in the NPPES registry on January 6, 2006.

Where is Thomas Maguire located?

Thomas Maguire practices at 2055 Alexandria Way, Macedonia, OH 44056. The listed phone number is (330) 468-3312.

What is Thomas Maguire's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Thomas Maguire enrolled in Medicare?

Yes. Thomas 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.

Which organizations bill Medicare for Thomas Maguire's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Maguire reassigns Medicare benefits to 4 organizations: Lake Hospital System, Inc. (Warrensville Heights, OH), The Cleveland Clinic Foundation (Cleveland, OH), Incare Health Solutions, LLC (Ontario, OH) and Kings Daughters Medical Specialties Inc. (Wheelersburg, OH). 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 Thomas Maguire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Maguire accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Thomas 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 Thomas Maguire affiliated with any hospitals?

According to CMS data, Thomas Maguire is affiliated with Akron General Medical Center, Marymount Hospital, South Pointe Hospital, Cleveland Clinic and Hillcrest Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Maguire was last updated on November 6, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.