NPPES file of Aug 9, 2026

Denise A. McGuffin, MD

Internal Medicine Physician · Normal, IL

Denise A. McGuffin, MD is an internal medicine physician with a practice address in Normal, Illinois, and NPI 1245328574, issued on Oct 11, 2006. Check the license (Illinois 036114173, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1245328574
Name
Denise A. McGuffin
Credential
MD
Primary taxonomy
Internal Medicine Physician 207R00000X
License number
036114173 IL
Self-reported in NPPES; status is on the state search
Practice location
1304 Franklin Ave, Normal, IL 61761
Phone
(309) 454-1400
Enumerated
Oct 11, 2006
Record last updated
Oct 27, 2021 (not updated in 5 years: call before relying on the address or phone)
Medicaid ID
036114173 IL
Medicare enrollment
Enrolled (PECOS I20051012000468); accepts Medicare assignment
Medical or professional school
Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University, 2002
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1304 Franklin Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Dana Altenburger, MDAnatomic Pathology & Clinical Pathology Physician1003067661
  2. Winifred Ashford, MSW, LCSW, CADCClinical Social Worker1972635050
  3. Robert Bean, RPHPharmacist1154308047
  4. Girishkumar Dhorajia, MDPsychiatry Physician1003049966
  5. April Dickenson, MDDiagnostic Radiology Physician1417127457
  6. Kelli Dohman-SchmidlerNeonatal Nurse Practitioner1568791234

Verify Denise A. McGuffin in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
    Search for license 036114173
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Illinois license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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87% fewer Medicare Part D claims than the average internal medicine physician in 2024

408 Medicare Part D claims for 155 beneficiaries, against an average of 3,176 among the 108,855 providers of this specialty who prescribed in Part D. 24 claims were for opioids.

  1. Denise McGuffin408
  2. Specialty average3,176

Most prescribed

  1. Amoxicillin-Clavulanate Potass20 claims
  2. Furosemide20 claims
  3. Prednisone19 claims
  4. Amlodipine Besylate17 claims
  5. Albuterol Sulfate Hfa12 claims
  6. Eliquis12 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

Bills Medicare through 2 group practices

  1. Carle Health Care IncorporatedEureka, IL
  2. Carle West Physician Group IncEureka, IL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Denise A. McGuffin among 7,238 internal medicine physician records in Illinois

Denise A. McGuffin, MD is one of 7,238 internal medicine physician records with a practice address in Illinois. 73% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 7% of them.

  • NPI issued2006 · 7% of these records are older, 61% newer
  • In a Medicare fileYes · 73% of these records are
  • In the CMS Doctors and Clinicians fileYes · 50% of these records are
  • Graduated2002 · median 2003 among the 3,580 with a school on file
  • Record last updated2021 · 47% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207R00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

16 internal medicine physician records list a practice address in Normal

They are 16 of the 963 NPPES records with a practice address in Normal, and 7,238 internal medicine physician records in Illinois.

The 8 internal medicine physician records with the nearest ZIP codes

  1. Kerline Ductan, M.D.Normal, IL 617611073826715
  2. Marlito Favila, M.D.Normal, IL 617611114945912
  3. Sam Gaines, M.D.Normal, IL 617611730115643
  4. Caroline Halperin, D.O.Normal, IL 617611912928805
  5. Dru Hauter, M.D.Normal, IL 617611255353660
  6. Bijoy Kar, M.D.Normal, IL 617611407207699
  7. Enrique Martinez Trevino, M.D.Normal, IL 617611477291177
  8. Daniel Nwankwo, M.D.Normal, IL 617611639526007

Common questions

What is Denise A. McGuffin, MD's NPI number?

Denise A. McGuffin, MD's National Provider Identifier (NPI) is 1245328574, issued on Oct 11, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Denise A. McGuffin, MD located?

The NPPES record lists a practice address at 1304 Franklin Ave, Normal, IL, 61761. Phone: (309) 454-1400. Providers update this record themselves, so call before visiting.

How can I verify Denise A. McGuffin, MD's license?

NPPES lists Illinois license number 036114173, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Denise A. McGuffin, MD prescribe under Medicare Part D?

In 2024, Denise A. McGuffin, MD had 408 Medicare Part D claims for 155 beneficiaries; the average among internal medicine physician prescribers was 3,176. Part D covers Medicare prescriptions only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.