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DECLAN MCGUONE MBCHB
NPI 1972885010
Pathology - Neuropathology in New Haven, CT

Active since September 14, 2011PECOS EnrolledAccepts Medicare Assignment
73.56/100
CMS Quality Rating
YALE PATHOLOGY, 20 YORK STREET, EP2-631, NEW HAVEN, CT 06510(203) 785-6424(203) 785-3585 Get Directions Write a Review

NPPES record last updated: May 1, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Declan Mcguone Mbchb NPPES

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

DECLAN MCGUONE MBCHB (NPI 1972885010) is an individual neuropathology provider in New Haven, Connecticut, licensed in Connecticut (60303) and active in the NPI registry since September 2011. He is enrolled in Medicare PECOS, maintains a secondary practice location in Boston, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1972885010
Entity TypeIndividualMale
Primary Taxonomy207ZN0500X
Provider Legal NameDECLAN MCGUONECredential: MBCHB
Location AddressYALE PATHOLOGY, 20 YORK STREET, EP2-631New Haven, CT 06510
Mailing AddressYsm, Brady Memorial Laboratory, 310 Cedar Street, Po Box 208023New Haven, CT 06520-8023 · (203) 785-3624
Phone(203) 785-6424
Fax(203) 785-3585
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateSeptember 14, 2011
Last NPPES UpdateMay 1, 2018
✔ NPI 1972885010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · NeuropathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZN0500X
License✔ Licensed in CT · 60303
Definition
A neuropathologist is expert in the diagnosis of diseases of the nervous system and skeletal muscles and functions as a consultant primarily to neurologists and neurosurgeons. The neuropathologist is knowledgeable in the infirmities of humans as they affect the nervous and neuromuscular systems, be they degenerative, infectious, metabolic, immunologic, neoplastic, vascular or physical in nature.
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License L-247485 (MA)
YALE PATHOLOGY, New Haven, CT 06510
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Secondary Practice Location 1

Location 1Massachusetts General Hospital, 55 Fruit StreetBoston, MA 02114 · Phone (617) 726-2967

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

Declan Mcguone Mbchb 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 ID6608033899
PECOS Enrollment IDI20180504001574
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 9

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.

Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
209 services42 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
57 services18 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
51 services42 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
48 services27 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
34 services19 patients
Microscopic genetic analysis of tumor, manual 88360
Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.
33 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06510 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

73.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.84
Promoting Interoperability74
Improvement Activities40
Cost51.43

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 Declan Mcguone's NPI number?

The NPI number for Declan Mcguone is 1972885010. It was assigned to this individual provider in the NPPES registry on September 14, 2011.

Where is Declan Mcguone located?

Declan Mcguone practices at Yale Pathology 20 York Street, Ep2-631, New Haven, CT 06510. The listed phone number is (203) 785-6424.

What is Declan Mcguone's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Neuropathology, with taxonomy code 207ZN0500X.

Is Declan Mcguone enrolled in Medicare?

Yes. Declan Mcguone 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.

When was this NPI record last updated?

The NPPES record for Declan Mcguone was last updated on May 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.