Doctor profile · Federal record
Dr. Tom McGuire, M.D.
Obstetrics & Gynecology Physician (CMS: Obstetrics/Gynecology) · Pikeville, KY
- NPI 1205812435
- Accepts Medicare
- MIPS 82.9 / 100 · 2023
- 53 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
911 Bypass RD Bldg A
Pikeville, KY 415011689
(606) 430-2207
fax (606) 218-7507 - Mailing address
-
Po Box 432
Pikeville, KY 415020432
Credentials & registration
- NPI registered
- December 2005 — 21 yrs on file
- Profile last updated
- March 7, 2023
- Year of graduation
- 1973 — 53 yrs since
- Specialty taxonomy
- 207V00000X — NUCC code
- State license (1)
- Kentucky #20022
- Medicaid
- KY #64200223
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1205812435. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
54
Distinct HCPCS
3
Medicare allowed
$2,053
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
G0101 |
Cervical or vaginal cancer screening; pelvic and clinical breast examination | 23 | 23 | $26 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 20 | 14 | $63 | |
Q0091 |
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 11 | 11 | $18 |
In context: peer comparison
Among 3 peers in this city , average services per provider: 19. This provider delivers 2.8× the peer median.Open Payments
Industry payments received
All-time total
$167
Transactions
10
Manufacturers
7
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Sage Therapeutics, Inc. | 3 | $49.57 | |
| Gynesonics, Inc. | 2 | $28.28 | |
| Daiichi Sankyo Inc. | 1 | $19.76 | |
| Axonics, Inc. | 1 | $19.25 | |
| Astellas Pharma US Inc | 1 | $18.85 | |
| Bayer Healthcare Pharmaceuticals Inc. | 1 | $16.86 | |
| Meditrina | 1 | $13.95 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
14
Patients
0
Total drug cost
$252
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Estradiol | Generic | 14 | 0 | $252 |
Hospital affiliations
Frequently asked questions
What is Dr. Tom McGuire's medical specialty?
Dr. Tom McGuire practices Obstetrics & Gynecology Physician in Pikeville, KY.
Where does Dr. Tom McGuire practice?
Dr. Tom McGuire practices at 911 Bypass RD Bldg A, Pikeville, KY 415011689. Office phone: 6064302207.
What is Dr. Tom McGuire's NPI?
Dr. Tom McGuire's National Provider Identifier (NPI) is 1205812435, issued by NPPES.
Does Dr. Tom McGuire accept Medicare assignment?
Yes. Dr. Tom McGuire accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Tom McGuire commonly perform?
Top Medicare-reported procedures in 2023: Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS G0101); Established patient office or other outpatient visit (HCPCS 99213); Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory (HCPCS Q0091). Source: CMS Medicare Physician & Other Practitioners file.