2026 NPPES data Neurocritical Care Physician NPI 1164009692 MD
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MATTHEW MCGUINNESS, MD

Neurocritical Care Physician in PHILADELPHIA, Pennsylvania. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
18
Medicare Part D claims · Neurocritical Care Physician avg: 232
What the federal data reveals: MATTHEW MCGUINNESS, MD is a Neurocritical Care Physician ([object Object]) practicing in PHILADELPHIA, Pennsylvania with a Medicare Part D prescribing footprint of 18 claims .

What stands out: MATTHEW MCGUINNESS, MD filed 18 Medicare Part D claims in 2023 across PHILADELPHIA, Pennsylvania. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board-eligible specialty (heuristic — not verified)

MATTHEW MCGUINNESS, MD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

MATTHEW MCGUINNESS, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 03/29/2021

NPI 1164009692

Primary specialty

Neurocritical Care Physician

Rare

373 US NPIs in this specialty

Medicare Part D claims

18 92% vs specialty avg

2023 prescription claims

Specialty avg: 232

Specialty distribution in Pennsylvania

How Neurocritical Care Physician compares to other specialties among Pennsylvania providers

Pennsylvania providers

Neurocritical Care Physician share within Pennsylvania

1. Neurocritical Care Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Neurocritical Care Physician share within Pennsylvania

Specialty board-certification context

Estimated specialty board-certified rate — Neurocritical Care Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Neurocritical Care Physician ABMS/AOA estimate

Est. board-certified rate (Neurocritical Care Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Neurocritical Care Physician) — ABMS / AOA estimate

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).

MATTHEW MCGUINNESS, MD is a Neurocritical Care Physician provider practicing in PHILADELPHIA, Pennsylvania, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1164009692. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

MATTHEW MCGUINNESS, MD appears in the CMS NPPES registry as a Neurocritical Care Physician provider holding MD credentials at 3400 CIVIC CENTER BLVD FL 2, PHILADELPHIA, PA, 19104, with a listed phone of (617) 667-7000. NPI 1164009692 was issued on 03/29/2021. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MCGUINNESS most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 18 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $2K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Neurocritical Care Physician is a narrow specialty nationwide, with 373 enrolled providers across 46 states and an average of 232 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

3400 CIVIC CENTER BLVD FL 2
PHILADELPHIA, PA 19104

Provider Details

NPI 1164009692
Specialty Neurocritical Care Physician
Credentials MD
Gender Male
NPI Issued 03/29/2021

License & disciplinary context — Pennsylvania PA-BOM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~45K Pennsylvania medical licensees in 2023 — they are NOT specific to MATTHEW MCGUINNESS, MD. To verify MATTHEW MCGUINNESS, MD's current license status, search the PA-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

133
Total board actions, Pennsylvania 2023
Across 129 cases
2.96
Actions per 1,000 licensees
Pennsylvania statewide rate
probation
Most common action type
48 cases

PA-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Pennsylvania disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

18
Total Claims
$2K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
27
Total Day Supply
797
Generic Drug Cost
$411

Patient Demographics

Average Patient Age
76.1 years
Avg HCC Risk Score
1.84

Neurocritical Care Physician Overview

How MATTHEW MCGUINNESS, MD fits within the Neurocritical Care Physician landscape nationally.

373
Neurocritical Care Physician Providers in US
46
States with Neurocritical Care Physician
232
Avg Claims per Provider

MATTHEW MCGUINNESS, MD's 18 claims are below the specialty average of 232.

Nearby Neurocritical Care Physician Providers in Pennsylvania

Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as MCGUINNESS.

Compare Neurocritical Care Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MATTHEW MCGUINNESS, MD's specialty?
MATTHEW MCGUINNESS, MD specializes in Neurocritical Care Physician and practices in PHILADELPHIA, Pennsylvania. Credentials: MD.
How much does MATTHEW MCGUINNESS, MD prescribe under Medicare Part D?
In 2023, MATTHEW MCGUINNESS, MD wrote 18 Medicare Part D claims totaling $2K in drug costs for N/A beneficiaries.
Where is MATTHEW MCGUINNESS, MD located?
MATTHEW MCGUINNESS, MD is located at 3400 CIVIC CENTER BLVD FL 2, PHILADELPHIA, PA, 19104. Phone: (617) 667-7000.
What is MATTHEW MCGUINNESS, MD's NPI number?
MATTHEW MCGUINNESS, MD's National Provider Identifier (NPI) is 1164009692, issued on 03/29/2021.
How many Neurocritical Care Physician providers are there in the US?
There are 373 Neurocritical Care Physician providers across 46 states in the US. The average Neurocritical Care Physician provider writes 232 Medicare Part D claims per year.
Does MATTHEW MCGUINNESS, MD accept Medicare?
MATTHEW MCGUINNESS, MD appears in CMS Medicare data with 18 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MATTHEW MCGUINNESS, MD's credentials?
MATTHEW MCGUINNESS, MD's NPI is 1164009692 with credentials MD. 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

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.
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