NPI registry status
Active
2026 NPPES data Plastic and Reconstructive Surgery Physician NPI 1568482339 M.D.
Verify on CMS → Herbert Maguire, M.D.
Plastic and Reconstructive Surgery Physician in Fargo, North Dakota.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 2,355 in Plastic and Reconstructive Surgery Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
99
Medicare Part D claims · 38 beneficiaries · Plastic and Reconstructive Surgery Physician avg: 86
MIPS score
83/100
▼ 1 pts below national avg 83.5 · Above neutral
Industry payments
$1.8K
16 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Herbert Maguire, M.D. reported a CMS MIPS final score of 83/100 - below the 83.5 national average - and filed 99 Medicare Part D claims in 2023.
- 83/100
- MIPS score · -1 vs avg
- 99
- Part D claims, 2023
- Likely
- board-certified (heuristic)
- ≥36th
- pct among measured MIPS (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Herbert Maguire, M.D.'s MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
83 ≥ 36th percentile 36% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Herbert Maguire, M.D. sits
This provider among plastic and reconstructive surgery physician peers
Across the 264 plastic and reconstructive surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Herbert Maguire, M.D. writes more Part D claims than 67% of them and scores higher on MIPS quality than 48% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one plastic and reconstructive surgery physician peer from a representative sample of 60; the gold marker is Herbert Maguire, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Herbert Maguire, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Herbert Maguire, M.D.?
Near national averagePrimary specialty
Plastic and Reconstructive Surgery Physician
Medicare Part D claims
99 15% vs specialty avg
MIPS final score
83/100 0.5 pts vs avg
Specialty distribution in North Dakota
How Plastic and Reconstructive Surgery Physician compares to other specialties among North Dakota providers
Medicare quality performance, MIPS
Herbert Maguire, M.D.'s 2023 MIPS final score plotted against the Plastic and Reconstructive Surgery Physician national average
- MIPS Final Score
- 83/100
- vs 83.5 national avg · 2023 performance year
MIPS final score (Plastic and Reconstructive Surgery Physician) - 83/100 vs national avg 83.5
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Herbert Maguire, M.D. appears in the CMS NPPES registry as a Plastic and Reconstructive Surgery Physician provider holding M.D. credentials at 2801 UNIVERSITY DR S, Fargo, ND, 58103, with a listed phone of (701) 234-5673. NPI 1568482339 was issued on 07/21/2006.
Medicare Part D records for calendar year 2023 show 99 prescription claims written by this provider, covering 38 Medicare beneficiaries and totaling roughly $723 in drug spend, with an opioid prescribing rate of 31.3%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 83/100 for the 2023 performance year (Quality 87.1, Cost 57.1), compared with the 83.5 average among clinicians with a measured score.
Plastic and Reconstructive Surgery Physician is a narrow specialty nationwide, with 2,355 enrolled providers across 54 states and an average of 86 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline.
Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist, always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1568482339 |
|---|---|
| Specialty | Plastic and Reconstructive Surgery Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 07/21/2006 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
82.9973
Final Score
Measured-score avg: 83.5
87.0681
Quality
57.0897
Cost
99
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Herbert Maguire, M.D. bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Sanford Medical Center Fargo
★★★★☆ 4/5
West Fargo, ND
Acute Care Hospitals
CMS CCN: 350011
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Herbert Maguire, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$1.8K
Largest payer
Smith+Nephew, Inc.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
99
Total Claims
$723
Total Drug Cost
38
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 99
- Total Day Supply
- 621
- Generic Drug Cost
- $719
- Opioid Claims
- 31 (31.3% rate)
- Antibiotic Claims
- 31
Patient Demographics
- Average Patient Age
- 63.8 years
- Avg HCC Risk Score
- 1.83
- Age Distribution
- <65: 16, 65-74: 15, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Herbert Maguire, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Oxycodone-Acetamin…
Oxycodone-Acetaminophen
29 claims
- Promethazine Hcl
Promethazine Hcl
22 claims
- Cephalexin
Cephalexin
21 claims
| Drug | Claims |
|---|---|
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 29 |
| Promethazine Hcl | 22 |
| Cephalexin | 21 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Plastic and Reconstructive Surgery Physician in ND →
All providers in North Dakota →
Compare specialties →
Plastic and Reconstructive Surgery Physician Overview
How Herbert Maguire, M.D. fits within the Plastic and Reconstructive Surgery Physician landscape nationally.
2,355
Plastic and Reconstructive Surgery Physician Providers in US
54
States with Plastic and Reconstructive Surgery Physician
86
Avg Claims per Provider
Herbert Maguire, M.D.'s 99 claims are above the specialty average of 86.
Nearby Plastic and Reconstructive Surgery Physician Providers in North Dakota
Other clinicians with the same primary specialty enrolled in North Dakota, drawn from the same CMS NPPES roster as Maguire.
Compare Plastic and Reconstructive Surgery Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the North Dakota medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Plastic and Reconstructive Surgery Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
Learn more about finding, verifying, and understanding healthcare providers.
How to Find a Doctor
Step-by-step guide to choosing a provider
Verify Credentials
Check NPI, board certification & license status
Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
In-Network vs Out-of-Network
How insurance networks affect your costs
Telehealth Guide
Virtual care options and coverage in 2026
Explore North Dakota
Frequently Asked Questions
What is Herbert Maguire, M.D.'s specialty? ▼
Herbert Maguire, M.D. specializes in Plastic and Reconstructive Surgery Physician and practices in Fargo, North Dakota. Credentials: M.D..
How much does Herbert Maguire, M.D. prescribe under Medicare Part D? ▼
In 2023, Herbert Maguire, M.D. wrote 99 Medicare Part D claims totaling $723 in drug costs for 38 beneficiaries.
What is Herbert Maguire, M.D.'s Medicare quality score? ▼
Herbert Maguire, M.D. has a CMS MIPS Final Score of 83/100 (Quality: 87.1, Cost: 57.1). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Herbert Maguire, M.D. located? ▼
Herbert Maguire, M.D. is located at 2801 UNIVERSITY DR S, Fargo, ND, 58103. Phone: (701) 234-5673.
What is Herbert Maguire, M.D.'s NPI number? ▼
Herbert Maguire, M.D.'s National Provider Identifier (NPI) is 1568482339, issued on 07/21/2006.
Does Herbert Maguire, M.D. prescribe opioids? ▼
Yes, Herbert Maguire, M.D. had 31 opioid claims in 2023 with an opioid prescribing rate of 31.3%.
How many Plastic and Reconstructive Surgery Physician providers are there in the US? ▼
There are 2,355 Plastic and Reconstructive Surgery Physician providers across 54 states in the US. The average Plastic and Reconstructive Surgery Physician provider writes 86 Medicare Part D claims per year.
What drugs does Herbert Maguire, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Herbert Maguire, M.D.'s most frequently prescribed drugs include Oxycodone-Acetaminophen, Promethazine Hcl, Cephalexin. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Herbert Maguire, M.D. accept Medicare? ▼
Herbert Maguire, M.D. appears in CMS Medicare data with 99 Part D claims and 38 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Herbert Maguire, M.D.'s credentials? ▼
Herbert Maguire, M.D.'s NPI is 1568482339 with credentials M.D.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.