HEATHER MCGUIRE MD
NPI 1508806100
Internal Medicine - Nephrology in Twin Falls, ID
About Heather Mcguire Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEATHER MCGUIRE MD (NPI 1508806100) is an individual nephrology provider in Twin Falls, Idaho, licensed in Idaho (M-17224) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with St Lukes Magic Valley Medical Center, and maintains a secondary practice location in Billings.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
Accepted 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
Heather Mcguire 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.
Medicare Billing Reassignment
Medicare enrollment records show Heather Mcguire reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Twin Falls, ID 83301
- Reassigned Medicare billing, Idaho enrollment
- Medicare enrollment name: St Lukes Clinic LLC
- 322 clinicians in this Medicare group
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 9
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Lukes Magic Valley Medical Center
Acute Care Hospitals · Twin Falls, IDSt Luke's Jerome
Critical Access Hospitals · Jerome, IDMinidoka Memorial Hospital
Critical Access Hospitals · Rupert, IDSt Luke's Wood River Medical Center
Critical Access Hospitals · Ketchum, IDCassia Regional Hospital
Critical Access Hospitals · Burley, IDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 83301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 10
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
TWIN FALLS, ID 83301
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 Heather Mcguire's NPI number?
The NPI number for Heather Mcguire is 1508806100. It was assigned to this individual provider in the NPPES registry on June 8, 2006.
Where is Heather Mcguire located?
Heather Mcguire practices at 746 N College Rd Ste A, Twin Falls, ID 83301. The listed phone number is (208) 814-8230.
What is Heather Mcguire's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Heather Mcguire enrolled in Medicare?
Yes. Heather 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 organization bills Medicare for Heather Mcguire's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heather Mcguire reassigns Medicare benefits to St Luke's Clinic LLC (Twin Falls, ID). The 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 Heather Mcguire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Heather Mcguire accept?
Health plans from Blue Cross Blue Shield of Wyoming, Moda Health Plan, Inc., PacificSource Health Plans and Providence Health Plan list Heather 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.
Is Heather Mcguire affiliated with any hospitals?
According to CMS data, Heather Mcguire is affiliated with St Lukes Magic Valley Medical Center, St Luke's Jerome, Minidoka Memorial Hospital, St Luke's Wood River Medical Center and Cassia Regional Hospital.
When was this NPI record last updated?
The NPPES record for Heather Mcguire was last updated on August 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.