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DR. JOHN C. MCGUIRE III O.D.
NPI 1972580017
Optometrist in Locust Grove, VA

Active since December 29, 2005PECOS EnrolledAccepts Medicare Assignment
4207 GERMANNA HWY STE C, LOCUST GROVE, VA 22508(540) 972-6786 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John C. Mcguire Iii O.d. NPPES

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

DR. JOHN C. MCGUIRE III O.D. (NPI 1972580017) is an individual optometrist in Locust Grove, Virginia, licensed in Virginia (0601800407) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fredericksburg, and is a graduate of New England College Of Optometry (2002).

NPPES Registry Identity

NPI1972580017
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. JOHN C. MCGUIRE IIICredential: O.D.
Location Address4207 GERMANNA HWY STE CLocust Grove, VA 22508-2040
Mailing Address4207 Germanna Hwy Ste CLocust Grove, VA 22508-2040 · (540) 972-6786
Phone(540) 972-6786
Sole ProprietorNo
Medical School CMSNew England College Of OptometryGraduated 2002
Enumeration DateDecember 29, 2005
Last NPPES UpdateJuly 15, 2025
NPPES CertifiedJuly 15, 2025
✔ NPI 1972580017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in VA · 0601800407
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
4207 GERMANNA HWY STE C, Locust Grove, VA 22508
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Secondary Practice Location 1

Location 1440 Spotsylvania MallFredericksburg, VA 22407-1123 · Phone (540) 786-2786

Other Identifiers 1

Medicaid1972580017VA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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

Dr. John C. Mcguire Iii O.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 ID6406831395
PECOS Enrollment IDI20040623001300
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 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.
168 services132 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
39 services39 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22508 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

Other Providers at the Same Location NPPES 2

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

VISTA EYE SPECIALISTS PC
Ophthalmology
4207 GERMANNA HWY STE C, LAKE OF THE WOODS PLAZA II
LOCUST GROVE, VA 22508
Orange County (540) 972-6786
LOCUST GROVE EYE CARE PLLC
Optometrist
4207 GERMANNA HWY STE C
LOCUST GROVE, VA 22508
Orange County (540) 972-6786

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 John Mcguire's NPI number?

The NPI number for John Mcguire is 1972580017. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Where is John Mcguire located?

John Mcguire practices at 4207 Germanna Hwy Ste C, Locust Grove, VA 22508. The listed phone number is (540) 972-6786.

What is John Mcguire's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is John Mcguire enrolled in Medicare?

Yes. John Mcguire 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 John Mcguire accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 2 other insurers list John Mcguire 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 John Mcguire was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.