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BRIAN N. MCGUIRE MD
NPI 1528033867
Emergency Medicine in Middletown, CT

Active since February 21, 2006PECOS EnrolledAccepts Medicare Assignment
97.27/100
CMS Quality Rating
28 CRESCENT ST, MIDDLETOWN, CT 06457(860) 344-6394(860) 344-6748 Get Directions Write a Review

NPPES record last updated: November 16, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brian N. Mcguire Md NPPES

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

BRIAN N. MCGUIRE MD (NPI 1528033867) is an individual emergency medicine provider in Middletown, Connecticut, licensed in Connecticut (040860) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Connecticut School Of Medicine (2000).

NPPES Registry Identity

NPI1528033867
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameBRIAN N. MCGUIRECredential: MD
Location Address28 CRESCENT STMiddletown, CT 06457-3654
Mailing Address28 Crescent StMiddletown, CT 06457-3654 · (860) 344-6394 · Fax (860) 344-6748
Phone(860) 344-6394
Fax(860) 344-6748
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2000
Enumeration DateFebruary 21, 2006
Last NPPES UpdateNovember 16, 2007
✔ NPI 1528033867 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CT · 040860
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
28 CRESCENT ST, Middletown, CT 06457
Open in Google Maps ↗

Other Identifiers 4

Other930000939CT · Medicare Prov #
Medicare UPINH 88379CT
Medicare PIN930000939CT
Other040860CT · Ct License

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

Brian N. 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.

PECOS PAC ID3971512930
PECOS Enrollment IDI20060419000527
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 4

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
44 services43 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
32 services32 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
22 services22 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06457 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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.

97.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.68
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

THOMAS J. DANYLIW MD
Preventive Medicine (Occupational Medicine)
28 CRESCENT ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 344-6394
JEFFREY M BERNSTEIN MD
Emergency Medicine
28 CRESCENT ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 344-6394
KUANG-WEN TSAO M.D.
Internal Medicine
28 CRESCENT ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-4720
DR. BENJAMIN MICHIEL SIGAL MD
Emergency Medicine
28 CRESCENT ST, MIDDLESEX HOSPITAL EMERGENCY DEPARTMENT
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-6886
TINA RITA BAFUMI M.D.
Pediatrics
28 CRESCENT ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-9471
SAMUEL PACH
Hospitalist
28 CRESCENT ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-8300
JOSEPH C SALA DO
Radiology (Diagnostic Radiology)
28 CRESCENT ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 358-6000
JEFFREY H. GOTTLIEB M.D.
Psychiatry & Neurology (Psychiatry)
28 CRESCENT ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 344-6760

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 Brian Mcguire's NPI number?

The NPI number for Brian Mcguire is 1528033867. It was assigned to this individual provider in the NPPES registry on February 21, 2006.

Where is Brian Mcguire located?

Brian Mcguire practices at 28 Crescent St, Middletown, CT 06457. The listed phone number is (860) 344-6394.

What is Brian Mcguire's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Brian Mcguire enrolled in Medicare?

Yes. Brian 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.

When was this NPI record last updated?

The NPPES record for Brian Mcguire was last updated on November 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.