MEGAN LEE MAGUIRE PA
NPI 1457191736
Physician Assistant in Winston Salem, NC

NPI Status: Active since May 25, 2024

Contact Information

MEDICAL CENTER BLVD
WINSTON SALEM, NC
ZIP 27157
Phone: (336) 716-6674

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  • Individual
  • Female
  • Physician Assistant
  • Accepts Insurance
  • PECOS Enrolled

About MEGAN MAGUIRE

This page provides the complete NPI Profile along with additional information for Megan Maguire, a primary care provider established in Winston Salem, North Carolina with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1457191736 assigned on May 2024. The practitioner's primary taxonomy code is 363A00000X with license number 0010-14524 (NC). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1457191736
Provider Name
MEGAN LEE MAGUIRE PA
Gender
Female
Entity Type
Individual
Location Address
MEDICAL CENTER BLVD WINSTON SALEM, NC 27157
Location Phone
(336) 716-6674
Mailing Address
MEDICAL CENTER BLVD WINSTON SALEM, NC 27157
Mailing Phone
(336) 716-6674
Mailing Fax
Is Sole Proprietor?
Yes
Enumeration Date
05-25-2024
Last Update Date
08-30-2024
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A primary care provider (PCP) like Megan Maguire sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Secondary Locations

  • 6740 Beach Resort Dr Apt 14
    Naples, FL 34114
    (989) 513-6559

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant

Taxonomy Code
363A00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
0010-14524
License State
NC
Taxonomy Description
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Standard | Statewide Doctors - HMO
  • Blue Care Silver Standard | Statewide Doctors - HMO
  • Blue Local Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Atrium Health - EPO
  • Blue Local Bronze Complete | $60 PCP | $20 Tier 1 Rx | with Atrium Health - EPO
  • Blue Local Bronze Standard | with Atrium Health - EPO
  • Blue Local Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with Atrium Health - EPO
  • Blue Local Gold Standard | with Atrium Health - EPO
  • Blue Local Silver Choice | 3 Free PCP | $15 Tier 1 Rx | with Atrium Health - EPO
  • Blue Local Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Atrium Health - EPO
  • Blue Local Silver Standard | with Atrium Health - EPO
  • Blue Value Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Megan Maguire is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 27157 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $83.9
  • Minimum New Patient Price $54.12
  • Maximum New Patient Price $165.09
  • Average New Patient Copayment $20.97
  • Minimum New Patient Copayment $13.53
  • Maximum New Patient Copayment $41.27

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $67.72
  • Minimum Established Patient Price $17.21
  • Maximum Established Patient Price $134.61
  • Average Established Patient Copayment $16.93
  • Minimum Established Patient Copayment $4.3
  • Maximum Established Patient Copayment $33.65

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for MEGAN LEE MAGUIRE PA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1457191736
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2410729276
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 0 + 7 + 2 + 9 + 2 + 7 + 6 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1457191736 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1811990815MR. GARY LEE RAY MSN, CRNA
Individual
Nurse Anesthetist, Certified RegisteredMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 713-2555
1548264310 PETER A VALEN MD
Individual
Internal Medicine (Rheumatology)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1053393306MR. JAMES BOYD THOMAS CRNA
Individual
Nurse Anesthetist, Certified RegisteredMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-6719
1962484212 MARTHA SCHELL SOOTS CRNA
Individual
Nurse Anesthetist, Certified RegisteredMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-3069
1659352961MS. LINDA MARIE SANGIULIANO CRNA
Individual
Nurse Anesthetist, Certified RegisteredMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-6701
1376524686 KAREN M HARP CRNA
Individual
Nurse Anesthetist, Certified RegisteredMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-6719
1962483297MRS. ALISA LAWSON STARBUCK RN NNP
Individual
Nurse Practitioner (Neonatal)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 713-6498
1477535599 RICHARD HENRY DEAN MD
Individual
Surgery (Vascular Surgery)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1366424483 CHERYL B KIRKPATRICK CRNA
Individual
Nurse Anesthetist, Certified RegisteredMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-6719
1386626349 CAROLYN RUTH FERREE MD
Individual
Radiology (Radiation Oncology)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1538141585 EDWARD GUS SHAW MD
Individual
Radiology (Radiation Oncology)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1447232400 MARK CAUTHEN WILLINGHAM MD
Individual
Pathology (Anatomic Pathology)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1528040581 BART ALAN FRIZZELL MD
Individual
Radiology (Radiation Oncology)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1396727996 RAMON VELEZ MD
Individual
Internal MedicineMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1154303519 PETER RIBACK LICHSTEIN MD
Individual
Internal MedicineMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1538141999 DAVID PHILIP MILLER JR. MD
Individual
Internal MedicineMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1497737894MRS. DONNA LEA MYERS CRNA
Individual
Nurse Anesthetist, Certified RegisteredMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 713-2540
1114900354MRS. GWENDOLYN DALY ROARKE CRNA
Individual
Nurse Anesthetist, Certified RegisteredMEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-3069
1346223484 RODOLFO M PASCUAL MD
Individual
Internal Medicine (Pulmonary Disease)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255
1376526400 JILL M OHAR MD
Individual
Internal Medicine (Pulmonary Disease)MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157
(336) 716-2255

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457191736, enumerated in the NPI registry as an "individual" on May 25, 2024

The provider is located at Medical Center Blvd Winston Salem, Nc 27157 and the phone number is (336) 716-6674

The provider's speciality is Physician Assistant with taxonomy code 363A00000X

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $83.9 with an average copayment of $20.97 for new patient appointments. Established patients should expect a typical charge of $67.72 and an average copayment of 16.93. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on May 25, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.