DR. ANN M MAGUIRE MD
NPI 1689626426
Internal Medicine in Milwaukee, WI

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
80.46/100
CMS Quality Rating
840 N 87TH ST, SARGEANT HEALTH CENTER, MILWAUKEE, WI 53226(414) 805-5540(414) 805-7878 Get Directions Write a Review

NPPES record last updated: May 9, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Ann M Maguire Md NPPES

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

DR. ANN M MAGUIRE MD (NPI 1689626426) is an individual internal medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (39910) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with St Josephs Community Hospital West Bend, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (1990).

NPPES Registry Identity

NPI1689626426
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. ANN M MAGUIRECredential: MD
Location Address840 N 87TH ST, SARGEANT HEALTH CENTERMilwaukee, WI 53226-3586
Mailing Address840 N 87th St, Sargeant Health CenterMilwaukee, WI 53226-3586 · (414) 805-5540 · Fax (414) 805-7878
Fax(414) 805-7878
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 1990
Enumeration DateMay 17, 2006
Last NPPES UpdateMay 9, 2014
NPI 1689626426 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in WI · 39910
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
840 N 87TH ST, Milwaukee, WI 53226

Other Identifiers 4

Medicaid1689626426WI
Medicare PIN028N73601WI
Other002806261SHumana
Medicare UPINF63365

Accepted Insurance

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

Dr. Ann M Maguire 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 ID4082747183
PECOS Enrollment IDI20100726000700
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.

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.
349 services259 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.
211 services211 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.
69 services64 patients

Hospital Affiliations CMS Care Compare 3

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

St Josephs Community Hospital West Bend

Acute Care Hospitals · West Bend, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520063
Location3200 Pleasant Valley RoadWest Bend, WI 53095 · Washington County
Emergency services Birthing friendly

Community Memorial Hospital

Acute Care Hospitals · Menomonee Falls, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520103
LocationW180 N8085 Town Hall RdMenomonee Falls, WI 53051 · Waukesha County
Emergency services

Froedtert Memorial Lutheran Hospital

Acute Care Hospitals · Milwaukee, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520177
Location9200 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

80.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.24
Promoting Interoperability100
Improvement Activities40
Cost68.64

Referred Medical Equipment & Supplies CMS DME claims 3

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
9 suppliers26 claims80 services$5.70 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers13 claims22 services$0.90 avg. paid by Medicare
Standard hemi (low seat) wheelchair K0002
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$25.09 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 20

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

Anesthesiology
840 N 87TH ST
MILWAUKEE, WI 53226
Internal Medicine
840 N 87TH ST, SARGEANT HEALTH CENTER
MILWAUKEE, WI 53226
Pharmacist
840 N 87TH ST
MILWAUKEE, WI 53226
Physician Assistant
840 N 87TH ST
MILWAUKEE, WI 53226
Dentist (Oral and Maxillofacial Surgery)
840 N 87TH ST
MILWAUKEE, WI 53226
Dentist (General Practice)
840 N 87TH ST, SARGEANT HEALTH CENTER
MILWAUKEE, WI 53226
Physician Assistant (Medical)
840 N 87TH ST
MILWAUKEE, WI 53226
Internal Medicine
840 N 87TH ST, SARGEANT HEALTH CENTER
MILWAUKEE, WI 53226

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 Ann Maguire's NPI number?

The NPI number for Ann Maguire is 1689626426. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Ann Maguire located?

Ann Maguire practices at 840 N 87th St Sargeant Health Center, Milwaukee, WI 53226. The listed phone number is (414) 805-5540.

What is Ann Maguire's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ann Maguire enrolled in Medicare?

Yes. Ann 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.

What insurance does Ann Maguire accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and Network Health list Ann 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 Ann Maguire affiliated with any hospitals?

According to CMS data, Ann Maguire is affiliated with St Josephs Community Hospital West Bend, Community Memorial Hospital and Froedtert Memorial Lutheran Hospital.

When was this NPI record last updated?

The NPPES record for Ann Maguire was last updated on May 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.