DR. MATTHEW BRIAN MCGUIRE M.D.
NPI 1780025973
Family Medicine in Plainsboro, NJ

Q: What is Matthew Mcguire's NPI number?

The NPI number for Matthew Mcguire is 1780025973. It was assigned to this individual provider in the NPPES registry on July 16, 2013.

Q: What is Matthew Mcguire's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Mcguire was last updated on March 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 July 16, 2013PECOS EnrolledAccepts Medicare Assignment

1 PLAINSBORO RD, PLAINSBORO, NJ 08536(609) 853-6049(609) 853-7221 Get Directions Write a Review

NPPES record last updated: March 11, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 11, 2022, Sep 19, 2018 (2 updates tracked since 2018).

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About Dr. Matthew Brian Mcguire M.d. NPPES

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

DR. MATTHEW BRIAN MCGUIRE M.D. (NPI 1780025973) is an individual family medicine provider in Plainsboro, New Jersey, licensed in New Jersey (25MA09816300) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1780025973

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MATTHEW BRIAN MCGUIRECredential: M.D.

Location Address1 PLAINSBORO RDPlainsboro, NJ 08536-1913

Mailing Address1 Plainsboro RdPlainsboro, NJ 08536-1913 · (609) 853-6049 · Fax (609) 853-7221

Phone(609) 853-6049

Fax(609) 853-7221

Sole ProprietorYes

Medical School CMSOtherGraduated 2013

Enumeration DateJuly 16, 2013

Last NPPES UpdateMarch 11, 20222 updates tracked since enumeration

NPPES CertifiedMarch 11, 2022

✔ NPI 1780025973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NJ · 25MA09816300

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedHospitalistTaxonomy 208M00000X · License 25MA09816300 (NJ)

1 PLAINSBORO RD, Plainsboro, NJ 08536

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Dr. Matthew Brian Mcguire M.d. 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 ID4082901665

PECOS Enrollment IDI20160926000993

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

Medicare enrollment records show Matthew Mcguire reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Capital Health Multispecialty Group

11 mi

Surgery

750 BRUNSWICK AVE
Trenton, NJ 08638

Reassigned Medicare billing, New Jersey enrollment
600 clinicians in this Medicare group

NPI 1083072342 (609) 394-6000

Clinical Health Care Associates Of New Jersey, PC

11 mi

Otolaryngology

719 US HIGHWAY 206 STE 101
Hillsborough, NJ 08844

Reassigned Medicare billing, New Jersey enrollment
793 clinicians in this Medicare group

NPI 1962977249 (908) 271-2102

St. Luke's Warren Physician Group, PC

27 mi

Urgent Care

22 WALMART PLAZA
Clinton, NJ 08809

Reassigned Medicare billing, New Jersey enrollment
Medicare enrollment name: St Lukes Warren Physician Group PC
528 clinicians in this Medicare group

NPI 1841650348 (999) 999-9999

Practice Associates Medical Group

32 mi

Internal Medicine

100 MADISON AVENUE, INTEROFFICE #68
Morristown, NJ 07960

Reassigned Medicare billing, New Jersey enrollment
1,699 clinicians in this Medicare group

NPI 1427016385 (844) 264-2250

Beacon Radiology Solutions LLC

34 mi

Diagnostic Radiology

94 OLD SHORT HILLS RD
Livingston, NJ 07039

Reassigned Medicare billing, New Jersey enrollment
Medicare enrollment name: Two River Physician Associates
60 clinicians in this Medicare group

NPI 1417354333 (973) 322-5000

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

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.

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.

419 services228 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

83 services82 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

71 services70 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

18 services18 patients

Hospital Affiliations CMS Care Compare 4

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

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310015

Location100 Madison AveMorristown, NJ 07960 · Morris County

Emergency services Birthing friendly

Newton Medical Center

Acute Care Hospitals · Newton, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310028

Location175 High StNewton, NJ 07860 · Sussex County

Emergency services Birthing friendly

St Luke's Warren Hospital

Acute Care Hospitals · Phillipsburg, NJ

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310060

Location185 Roseberry StPhillipsburg, NJ 08865 · Warren County

Emergency services

Hackettstown Medical Center

Acute Care Hospitals · Hackettstown, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310115

Location651 Willow Grove StHackettstown, NJ 07840 · Warren County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08536 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

$98.09 typical visit price

range $63.84 – $190.92

Typical copayment $24.52 (range $15.96 – $47.73)

Most-billed visit code 99203

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

3 suppliers30 claims30 services$57.90 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier23 claims23 services$29.36 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.

MR. DUNCAN STEWART ECKHARDT CRNA

Nurse Anesthetist, Certified Registered