MARK MCGUIRE PA-C
NPI 1528122280
Physician Assistant in Lynchburg, VA

Q: What is Mark Mcguire's NPI number?

The NPI number for Mark Mcguire is 1528122280. It was assigned to this individual provider in the NPPES registry on December 20, 2006.

Q: What is Mark Mcguire's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Mcguire was last updated on November 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since December 20, 2006PECOS EnrolledAccepts Medicare Assignment

94.07/100

CMS Quality Rating

2215 LANDOVER PL, LYNCHBURG, VA 24501(434) 947-3944(866) 617-8273 Get Directions Write a Review

NPPES record last updated: November 23, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mark Mcguire Pa-c NPPES

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

MARK MCGUIRE PA-C (NPI 1528122280) is an individual physician assistant in Lynchburg, Virginia, licensed in Virginia (110002668) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Centra Health - Lynchburg Gen Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1528122280

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMARK MCGUIRECredential: PA-C

Location Address2215 LANDOVER PLLynchburg, VA 24501-2115

Mailing Address2215 Landover PlLynchburg, VA 24501-2115 · (434) 947-3944 · Fax (866) 617-8273

Phone(434) 947-3944

Fax(866) 617-8273

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateDecember 20, 2006

Last NPPES UpdateNovember 23, 2012

✔ NPI 1528122280 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 VA · 110002668

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.

2215 LANDOVER PL, Lynchburg, VA 24501

Open in Google Maps ↗

Other Identifiers 4

Medicare PIN016109T88VA

Medicaid1528122280VA

OtherP00686679VA · Medicare Railroad

Medicare PINVV0765BVA

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

Mark Mcguire 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 ID5294819314

PECOS Enrollment IDI20080228000318

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

493 services254 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

211 services209 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

27 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Centra Health - Lynchburg Gen Hospital

Acute Care Hospitals · Lynchburg, VA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490021

Location1901 Tate Springs RoadLynchburg, VA 24501 · Lynchburg City County

Emergency services Birthing friendly

Centra Bedford Memorial Hospital

Acute Care Hospitals · Bedford, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490088

Location1613 Oakwood StreetBedford, VA 24523 · Bedford County

Emergency services

Centra Southside Community Hospital, Inc

Acute Care Hospitals · Farmville, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number490090

Location800 Oak StreetFarmville, VA 23901 · Prince Edward County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24501 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

94.07/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

86.44

Promoting Interoperability

Improvement Activities

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.

SALLY- ANN TRACY MCINTOSH MD

Internal Medicine