KARLA E MAGUIRE
NPI 1750525333
Obstetrics & Gynecology in Austin, TX

Active since April 27, 2009PECOS EnrolledAccepts Medicare Assignment
71.53/100
CMS Quality Rating
1301 W 38TH ST STE 705, AUSTIN, TX 78705(512) 324-7036 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 14, 2024, Apr 23, 2021 (2 updates tracked since 2021).

About Karla E Maguire NPPES

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

KARLA E MAGUIRE (NPI 1750525333) is an individual obstetrics & gynecology provider in Austin, Texas, licensed in Texas (T0102) and active in the NPI registry since April 2009. She is enrolled in Medicare PECOS and is a graduate of Virginia Commonwealth University, School Of Medicine (2005).

NPPES Registry Identity

NPI1750525333
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKARLA E MAGUIRE
Location Address1301 W 38TH ST STE 705Austin, TX 78705-1016
Mailing Address1301 W 38th St Ste 705Austin, TX 78705-1016 · (512) 324-7036
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2005
Enumeration DateApril 27, 2009
Last NPPES UpdateMay 14, 20242 updates tracked since enumeration
NPPES CertifiedMay 14, 2024
✔ NPI 1750525333 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · T0102
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.
1301 W 38TH ST STE 705, Austin, TX 78705

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

Karla E Maguire 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 ID4082768403
PECOS Enrollment IDI20210325001165
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

4

Medicare enrollment records show Karla Maguire reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neurological Surgery
1601 TRINITY ST STOP 704
Austin, TX 78712
  • Reassigned Medicare billing, Texas enrollment
  • 1,188 clinicians in this Medicare group
General Practice
1601 TRINITY ST
Austin, TX 78712
  • Reassigned Medicare billing, Texas enrollment
  • 294 clinicians in this Medicare group
General Practice
1601 TRINITY STREET
Austin, TX 78712
  • Reassigned Medicare billing, Texas enrollment
  • 208 clinicians in this Medicare group
Family Medicine
1210 W BRAKER LN
Austin, TX 78758
  • Reassigned Medicare billing, Texas enrollment
  • 240 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78705 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$71.95 typical visit price
range $18.88 – $142.23
Typical copayment $17.98 (range $4.72 – $35.55)
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.

71.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.85
Improvement Activities40
Cost69.55

Reported Quality Measures

Provide Patients Electronic Access to Their Health Information
93%30 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 18

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

Obstetrics & Gynecology
1301 W 38TH ST STE 705
AUSTIN, TX 78705
Obstetrics & Gynecology
1301 W 38TH ST STE 705
AUSTIN, TX 78705
Obstetrics & Gynecology
1301 W 38TH ST STE 705
AUSTIN, TX 78705
Obstetrics & Gynecology
1301 W 38TH ST STE 705
AUSTIN, TX 78705
Obstetrics & Gynecology
1301 W 38TH ST STE 705
AUSTIN, TX 78705
Obstetrics & Gynecology
1301 W 38TH ST STE 705
AUSTIN, TX 78705
Obstetrics & Gynecology
1301 W 38TH ST STE 705
AUSTIN, TX 78705
Obstetrics & Gynecology
1301 W 38TH ST STE 705
AUSTIN, TX 78705

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 Karla Maguire's NPI number?

The NPI number for Karla Maguire is 1750525333. It was assigned to this individual provider in the NPPES registry on April 27, 2009.

Where is Karla Maguire located?

Karla Maguire practices at 1301 W 38th St Ste 705, Austin, TX 78705. The listed phone number is (512) 324-7036.

What is Karla Maguire's specialty?

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

Is Karla Maguire enrolled in Medicare?

Yes. Karla 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.

Which organizations bill Medicare for Karla Maguire's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karla Maguire reassigns Medicare benefits to 4 organizations: Seton Family Of Doctors (Austin, TX), The University Of Texas At Austin (Austin, TX), University Of Texas At Austin Dell Medical School (Austin, TX) and Central Texas Community Health Centers (Austin, TX). 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 Karla Maguire's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karla Maguire accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Karla 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.

When was this NPI record last updated?

The NPPES record for Karla Maguire was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.