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MARCELLA S MCGUFFIN PA-C
NPI 1891747432
Physician Assistant - Medical in Ashland, KY

Active since May 16, 2006PECOS EnrolledAccepts Medicare Assignment
82.94/100
CMS Quality Rating
2930 CARTER AVE, ASHLAND, KY 41101(606) 326-9441(606) 326-0404 Get Directions Write a Review

NPPES record last updated: July 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marcella S Mcguffin Pa-c NPPES

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

MARCELLA S MCGUFFIN PA-C (NPI 1891747432) is an individual medical provider in Ashland, Kentucky, licensed in Kentucky (PA458) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with King's Daughters' Medical Center, and is a graduate of University Of Kentucky College Of Medicine (1998).

NPPES Registry Identity

NPI1891747432
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMARCELLA S MCGUFFINCredential: PA-C
Location Address2930 CARTER AVEAshland, KY 41101-1943
Mailing AddressPo Box 2379Ashland, KY 41105-2379 · (606) 408-6200 · Fax (606) 408-6612
Phone(606) 326-9441
Fax(606) 326-0404
Sole ProprietorNo
Medical School CMSUniversity Of Kentucky College Of MedicineGraduated 1998
Enumeration DateMay 16, 2006
Last NPPES UpdateJuly 24, 2025
NPPES CertifiedJuly 24, 2025
✔ NPI 1891747432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Licenses✔ Licensed in KY · PA458✔ Licensed in WV · 01369
2930 CARTER AVE, Ashland, KY 41101
Open in Google Maps ↗

Other Identifiers 1

Medicaid2823403OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Marcella S Mcguffin 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 ID446262570
PECOS Enrollment IDI20060608000036
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 7

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.
560 services224 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
202 services74 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
180 services120 patients
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.
24 services11 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.
15 services12 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

King's Daughters' Medical Center

Acute Care Hospitals · Ashland, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180009
Location2201 Lexington AvenueAshland, KY 41101 · Boyd County
Emergency services

Kings Daughters Medical Center Ohio

Acute Care Hospitals · Portsmouth, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number360361
Location1901 Argonne RoadPortsmouth, OH 45662 · Scioto County
Emergency services

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.

82.94/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.01
Promoting Interoperability100
Improvement Activities40
Cost65.57

Referred Medical Equipment & Supplies CMS DME claims 4

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
16 suppliers43 claims103 services$6.10 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers23 claims30 services$0.94 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
14 suppliers235 claims235 services$180.86 avg. paid by Medicare
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554
DME-Other DME · category DE017N
5 suppliers11 claims11 services$191.63 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 8

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

VIVIAN MATHILDA HUNT APRN
Nurse Practitioner (Family)
2930 CARTER AVE
ASHLAND, KY 41101
Boyd County (606) 324-1483
DR. CAROL H COOPER M.D.
Dermatology
2930 CARTER AVE
ASHLAND, KY 41101
Boyd County (606) 324-1483
KING'S DAUGHTERS MEDICAL SPECIALTIES, INC.
Dermatology
2930 CARTER AVE
ASHLAND, KY 41101
Boyd County (606) 324-1483
DANIELLE DENISE ASHLEY PA-C
Physician Assistant
2930 CARTER AVE
ASHLAND, KY 41101
Boyd County (606) 324-1483
HOWARD L. FEINBERG,D.O.,P.S.C.
Internal Medicine (Rheumatology)
2930 CARTER AVE
ASHLAND, KY 41101
Boyd County (606) 329-9712
MICHAEL GOLDENBERG MD
Dermatology
2930 CARTER AVE
ASHLAND, KY 41101
Boyd County (606) 324-1483
BELLEFONTE PHYSICIAN SERVICES, INC.
Internal Medicine (Rheumatology)
2930 CARTER AVE, STE A
ASHLAND, KY 41101
Boyd County (606) 329-9712
JEREMY TODD VICKERS JD
Case Manager/Care Coordinator
2930 CARTER AVE
ASHLAND, KY 41101
Boyd County (606) 467-2021

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 Marcella Mcguffin's NPI number?

The NPI number for Marcella Mcguffin is 1891747432. It was assigned to this individual provider in the NPPES registry on May 16, 2006.

Where is Marcella Mcguffin located?

Marcella Mcguffin practices at 2930 Carter Ave, Ashland, KY 41101. The listed phone number is (606) 326-9441.

What is Marcella Mcguffin's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Marcella Mcguffin enrolled in Medicare?

Yes. Marcella Mcguffin 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 Marcella Mcguffin accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Marcella Mcguffin 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 Marcella Mcguffin affiliated with any hospitals?

According to CMS data, Marcella Mcguffin is affiliated with King's Daughters' Medical Center and Kings Daughters Medical Center Ohio.

When was this NPI record last updated?

The NPPES record for Marcella Mcguffin was last updated on July 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.