Mary Rachel McGuffey, M.D.
Pediatrics Physician · Lexington, KY
Mary Rachel McGuffey, M.D. is a pediatrics physician with a practice address in Lexington, Kentucky, and NPI 1235157645, issued on Jul 17, 2006. Check the license (Kentucky 36721, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.
- Name
- Mary Rachel McGuffey
- Credential
- M.D.
- Primary taxonomy
- Pediatrics Physician 208000000X
- License number
- 36721 KY
Self-reported in NPPES; status is on the state search - Practice location
- 120 N Eagle Creek Dr, Lexington, KY 40509
- Phone
- (859) 258-5141
- Enumerated
- Jul 17, 2006
- Record last updated
- Nov 2, 2007 (not updated in 19 years: call before relying on the address or phone)
- Fax
- (859) 258-5168
- Medicaid ID
- 64034846 KY
- Medicare enrollment
- Enrolled (PECOS I20031203000038); accepts Medicare assignment
- Medical or professional school
- University Of Louisville School Of Medicine, 1998
- Entity
- Type 1 · individual
8 nearest pediatrics physician records → All 874 in Kentucky → Look up another NPI →
Also registered at 120 N Eagle Creek Dr
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Tammy Berera, ARNPAcute Care Nurse Practitioner1801118856
- Jessica Bezner, ODOptometrist1821424722
- Robert Busch, PHARMDPharmacist1326569641
- Gerald Elliott, M.D.Dermatology Physician1225063175
- James Heaphy, MDInternal Medicine Physician1801817648
- Larry Hutchinson, M.D.Pediatrics Physician1689690950
Verify Mary Rachel McGuffey in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersKentucky Board of Medical Licensure
Search for license 36721Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
The practice group's MIPS final score for 2023 (Medicare payment program): 80.9 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $67.81
3 payments; by number, the most common kind was food and beverage; the largest payer was GlaxoSmithKline, LLC. The 21,580 providers of this specialty with any payment received $842.05 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- New Lexington Clinic PscLexington, KY
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Mary Rachel McGuffey among 874 pediatrics physician records in Kentucky
Mary Rachel McGuffey, M.D. is one of 874 pediatrics physician records with a practice address in Kentucky. 52% 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 15% of them.
- NPI issued2006 · 15% of these records are older, 56% newer
- In a Medicare fileYes · 52% of these records are
- In the CMS Doctors and Clinicians fileYes · 15% of these records are
- Graduated1998 · median 2011 among the 132 with a school on file
- Record last updated2007 · 54% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208000000X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Pediatrics Physician providers in Kentucky
There are 874 pediatrics physician records in Kentucky.
All 874 in Kentucky → Every provider in Lexington → Pediatrics Physician nationwide →
The 8 pediatrics physician records with the nearest ZIP codes
- Moria Bush, MDLexington, KY 405091548235492
- Madeline Fisher, MDLexington, KY 405091770945115
- Larry Hutchinson, M.D.Lexington, KY 405091689690950
- Shawn Taylor, MDLexington, KY 405091700846508
- Agata Toborek, M.D.Lexington, KY 405091518222959
- Rhoda Akafuah, MDLexington, KY 405081154575504
- Miriam Behar, MDLexington, KY 405081730297045
- Theresa Davies, M.D.Lexington, KY 405081649433343
Common questions
What is Mary Rachel McGuffey, M.D.'s NPI number?
Mary Rachel McGuffey, M.D.'s National Provider Identifier (NPI) is 1235157645, issued on Jul 17, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Mary Rachel McGuffey, M.D. located?
The NPPES record lists a practice address at 120 N Eagle Creek Dr, Lexington, KY, 40509. Phone: (859) 258-5141. Providers update this record themselves, so call before visiting.
How can I verify Mary Rachel McGuffey, M.D.'s license?
NPPES lists Kentucky license number 36721, as entered by the provider. Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
What is Mary Rachel McGuffey, M.D.'s MIPS final score?
The 2023 MIPS final score is 80.9 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
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.