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MR. MICHAEL SHANNON MCGUINN FNP
NPI 1982004230
Nurse Practitioner - Family in Gaffney, SC

Active since August 23, 2014PECOS EnrolledAccepts Medicare Assignment
96.08/100
CMS Quality Rating
1530 N LIMESTONE ST, GAFFNEY, SC 29340(864) 487-1544(864) 487-1634 Get Directions Write a Review

NPPES record last updated: February 8, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 8, 2021, Oct 1, 2019 (2 updates tracked since 2019).

About Mr. Michael Shannon Mcguinn Fnp NPPES

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

MR. MICHAEL SHANNON MCGUINN FNP (NPI 1982004230) is an individual family provider in Gaffney, South Carolina, licensed in South Carolina (19011) and active in the NPI registry since August 2014. He is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and maintains a secondary practice location in Landrum.

NPPES Registry Identity

NPI1982004230
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. MICHAEL SHANNON MCGUINNCredential: FNP
Location Address1530 N LIMESTONE STGaffney, SC 29340-4742
Mailing Address1530 N Limestone StGaffney, SC 29340-4742 · (864) 487-1544 · Fax (864) 487-1634
Phone(864) 487-1544
Fax(864) 487-1634
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 23, 2014
Last NPPES UpdateFebruary 8, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 8, 2021
✔ NPI 1982004230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in SC · 19011
1530 N LIMESTONE ST, Gaffney, SC 29340
Open in Google Maps ↗

Secondary Practice Location 1

Location 1145 Brookwood Creek DrLandrum, SC 29356-9495 · Phone (864) 415-6691

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina and more.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

Mr. Michael Shannon Mcguinn Fnp 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 ID2466774971
PECOS Enrollment IDI20141211000008
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

3

Medicare enrollment records show Michael Mcguinn reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Spartanburg Medical Center
Same address
Family Medicine
1530 N LIMESTONE ST
Gaffney, SC 29340
  • Reassigned Medicare billing, South Carolina enrollment
  • Also billed through NPI 1952870057 (South Carolina)
  • 754 clinicians in this Medicare group
NPI 1720543200 (864) 487-5014
Pelham Medical Center
37 mi
Internal Medicine
250 WESTMORELAND RD
Greer, SC 29651
  • Reassigned Medicare billing, South Carolina enrollment
  • 313 clinicians in this Medicare group
NPI 1245496983 (864) 560-6619
App Of South Carolina Ed PLLC
101 mi
Emergency Medicine
1304 W BOBO NEWSOM HWY
Hartsville, SC 29550
  • Reassigned Medicare billing, South Carolina enrollment
  • 160 clinicians in this Medicare group
NPI 1457878084 (843) 339-2100

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 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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
52 services13 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.
18 services18 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420007
Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County
Emergency services Birthing friendly

Cherokee Medical Center

Acute Care Hospitals · Gaffney, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420043
Location1530 N Limestone StGaffney, SC 29340 · Cherokee County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29340 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

96.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality92.17
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
51%125 patients3/55-star benchmark: 87%
Documentation of Current Medications in the Medical Record
12%41 patients1/55-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 20

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

GAFFNEY HMA INC
Anesthesiology
1530 N LIMESTONE ST
GAFFNEY, SC 29340
Cherokee County (864) 487-4271
MRS. VERONICA ORICK MD
Family Medicine
1530 N LIMESTONE ST
GAFFNEY, SC 29340
Cherokee County (864) 357-7978
UPSTATE EMERGENCY SERVICES
Physician Assistant
1530 N LIMESTONE ST
GAFFNEY, SC 29340
Cherokee County (864) 487-1544
CHEROKEE MEDICAL CENTER
General Acute Care Hospital
1530 N LIMESTONE ST
GAFFNEY, SC 29340
Cherokee County (864) 487-4271
SOUTH CAROLINA EM-I MEDICAL SERVICES
Physician Assistant
1530 N LIMESTONE ST
GAFFNEY, SC 29340
Cherokee County (864) 487-1544
GAFFNEY EMERGENCY GROUP PC
Emergency Medicine
1530 N LIMESTONE ST
GAFFNEY, SC 29340
Cherokee County (864) 487-4271
MARY G EAKER PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1530 N LIMESTONE ST
GAFFNEY, SC 29340
Cherokee County (864) 206-6298
MRS. TONIA ROBERSON RPH.
Pharmacist
1530 N LIMESTONE ST
GAFFNEY, SC 29340
Cherokee County (864) 487-1529

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 Michael Mcguinn's NPI number?

The NPI number for Michael Mcguinn is 1982004230. It was assigned to this individual provider in the NPPES registry on August 23, 2014.

Where is Michael Mcguinn located?

Michael Mcguinn practices at 1530 N Limestone St, Gaffney, SC 29340. The listed phone number is (864) 487-1544.

What is Michael Mcguinn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Michael Mcguinn enrolled in Medicare?

Yes. Michael Mcguinn 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 Michael Mcguinn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Mcguinn reassigns Medicare benefits to 3 organizations: Spartanburg Medical Center (Gaffney, SC), Pelham Medical Center (Greer, SC) and App Of South Carolina Ed PLLC (Hartsville, SC). 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 Michael Mcguinn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Mcguinn accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and InStil Health and 2 other insurers list Michael Mcguinn 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 Michael Mcguinn affiliated with any hospitals?

According to CMS data, Michael Mcguinn is affiliated with Spartanburg Medical Center and Cherokee Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Mcguinn was last updated on February 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.