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DR. MARGARET A MCGRATH M.D.
NPI 1598861502
Obstetrics & Gynecology in Pensacola, FL

Active since September 16, 2006PECOS Enrolled
90.84/100
CMS Quality Rating
5045 CARPENTER CREEK DR, PENSACOLA, FL 32503(850) 416-2400(850) 416-2467 Get Directions Write a Review

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Margaret A Mcgrath M.d. NPPES

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

DR. MARGARET A MCGRATH M.D. (NPI 1598861502) is an individual obstetrics & gynecology provider in Pensacola, Florida, licensed in Florida (ME142703) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1598861502
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. MARGARET A MCGRATHCredential: M.D.
Location Address5045 CARPENTER CREEK DRPensacola, FL 32503-2521
Mailing Address4205 Belfort Rd Ste 4015Jacksonville, FL 32216-3623 · (904) 450-6063 · Fax (904) 450-6401
Phone(850) 416-2400
Fax(850) 416-2467
Sole ProprietorYes
Enumeration DateSeptember 16, 2006
Last NPPES UpdateJuly 27, 2020
NPPES CertifiedJuly 27, 2020
✔ NPI 1598861502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in FL · ME142703
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
5045 CARPENTER CREEK DR, Pensacola, FL 32503
Open in Google Maps ↗

Other Identifiers 2

Other07728AL · Bcbs
Medicaid138872AL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) 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 (PECOS)

Dr. Margaret A Mcgrath M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Margaret Mcgrath reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sacred Heart Health System, Inc
0.2 mi
Internal Medicine
5149 N 9TH AVE STE G32
Pensacola, FL 32504
  • Reassigned Medicare billing, Florida enrollment
  • 68 clinicians in this Medicare group
NPI 1952177446 (850) 416-0086
Ob Hospitalist Group LLC
3.2 mi
Obstetrics & Gynecology
1000 W MORENO ST
Pensacola, FL 32501
  • Reassigned Medicare billing, Florida enrollment
  • 683 clinicians in this Medicare group
NPI 1679292569 (864) 908-3530
Obhg Alabama, P.C.
414 mi
Obstetrics & Gynecology
777 LOWNDES HILL RD BLDG 1
Greenville, SC 29607
  • Reassigned Medicare billing, Alabama enrollment
  • 97 clinicians in this Medicare group
NPI 1881976520 (800) 967-2289

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32503 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

90.84/100
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.

MS. JENNIFER LYNN BRYANT
Social Worker (School)
5045 CARPENTER CREEK DR
PENSACOLA, FL 32503
Escambia County (850) 407-1483
KRYSTAL MASON
Social Worker
5045 CARPENTER CREEK DR
PENSACOLA, FL 32503
Escambia County (850) 635-6129
MRS. DEBORAH BOLENDER
Social Worker
5045 CARPENTER CREEK DR
PENSACOLA, FL 32503
Escambia County (850) 407-1480
DR. GARY K PERSON M.D.
Obstetrics & Gynecology
5045 CARPENTER CREEK DR
PENSACOLA, FL 32503
Escambia County (850) 416-2400
TERESA ELIZABETH SHRECENGOST
Case Manager/Care Coordinator
5045 CARPENTER CREEK DR
PENSACOLA, FL 32503
Escambia County (850) 635-6129
SASHA SIASSIPOUR
Obstetrics & Gynecology
5045 CARPENTER CREEK DR
PENSACOLA, FL 32503
Escambia County (850) 416-2418
ALICIA SAN NICOLAS
Case Manager/Care Coordinator
5045 CARPENTER CREEK DR
PENSACOLA, FL 32503
Escambia County (850) 377-7951
MARY M MARTIN
Social Worker
5045 CARPENTER CREEK DR
PENSACOLA, FL 32503
Escambia County (850) 377-0778

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 Margaret Mcgrath's NPI number?

The NPI number for Margaret Mcgrath is 1598861502. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Margaret Mcgrath located?

Margaret Mcgrath practices at 5045 Carpenter Creek Dr, Pensacola, FL 32503. The listed phone number is (850) 416-2400.

What is Margaret Mcgrath's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Margaret Mcgrath enrolled in Medicare?

Yes. Margaret Mcgrath is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Margaret Mcgrath's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Margaret Mcgrath reassigns Medicare benefits to 3 organizations: Sacred Heart Health System, Inc (Pensacola, FL), Ob Hospitalist Group LLC (Pensacola, FL) and Obhg Alabama, P.C. (Greenville, SC). 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 Margaret Mcgrath's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Margaret Mcgrath accept?

Health plans from Blue Cross and Blue Shield of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Margaret Mcgrath 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 Margaret Mcgrath was last updated on July 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.