NPI registry status
Active
2026 NPPES data Adult Health Nurse Practitioner NPI 1093160889 NURSE PRACTITIONER
Verify on CMS → Meaghan McGuire, NURSE PRACTITIONER
Adult Health Nurse Practitioner in Doylestown, Pennsylvania.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 29,519 in Adult Health Nurse Practitioner, 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
16
Medicare Part D claims · Adult Health Nurse Practitioner avg: 1K
MIPS score
80.2/100
▼ 3 pts below national avg 83.5 · Above neutral
Industry payments
$706.31
18 payments · CMS Open Payments (Sunshine Act)
Source: CMS Medicare Part D Prescriber Public Use File, 2023
What the federal data shows
Meaghan McGuire, NURSE PRACTITIONER reported a CMS MIPS final score of 80.2/100 - below the 83.5 national average - and filed 16 Medicare Part D claims in 2023.
- 80.2/100
- MIPS score · -3 vs avg
- 16
- Part D claims, 2023
- $706.31
- industry payments (Sunshine Act)
- ≥30th
- 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.
Meaghan McGuire, NURSE PRACTITIONER'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.
80 ≥ 30th percentile 30% 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 Meaghan McGuire, NURSE PRACTITIONER sits
This provider among adult health nurse practitioner peers
Across the 4,201 adult health nurse practitioner providers who report both Medicare Part D prescribing and a MIPS quality score, Meaghan McGuire, NURSE PRACTITIONER writes more Part D claims than 2% of them and scores higher on MIPS quality than 27% - placing this provider in the lower-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 adult health nurse practitioner peer from a representative sample of 60; the gold marker is Meaghan McGuire, NURSE PRACTITIONER. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
What does the federal data show about Meaghan McGuire, NURSE PRACTITIONER?
Near national averagePrimary specialty
Adult Health Nurse Practitioner
Medicare Part D claims
16 99% vs specialty avg
MIPS final score
80.2/100 3.3 pts vs avg
Specialty distribution in Pennsylvania
How Adult Health Nurse Practitioner compares to other specialties among Pennsylvania providers
Medicare quality performance, MIPS
Meaghan McGuire, NURSE PRACTITIONER's 2023 MIPS final score plotted against the Adult Health Nurse Practitioner national average
- MIPS Final Score
- 80.2/100
- vs 83.5 national avg · 2023 performance year
MIPS final score (Adult Health Nurse Practitioner) - 80.2/100 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).
Meaghan McGuire, NURSE PRACTITIONER appears in the CMS NPPES registry as an Adult Health Nurse Practitioner provider holding NURSE PRACTITIONER credentials at 599 W STATE ST STE 302, Doylestown, PA, 18901, with a listed phone of (215) 918-5960. NPI 1093160889 was issued on 04/28/2016.
Medicare Part D records for calendar year 2023 show 16 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $306 in drug spend. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 80.2/100 for the 2023 performance year (Quality 72.8), compared with the 83.5 average among clinicians with a measured score.
Adult Health Nurse Practitioner is a mid-sized specialty nationwide, with 29,519 enrolled providers across 55 states and an average of 1,201 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 | 1093160889 |
|---|---|
| Specialty | Adult Health Nurse Practitioner |
| Credentials | NURSE PRACTITIONER |
| Gender | Female |
| NPI Issued | 04/28/2016 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
80.1731
Final Score
Measured-score avg: 83.5
72.7643
Quality
Reporting: Group practice
Hospital and facility affiliations
Facilities where Meaghan McGuire, NURSE PRACTITIONER 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.
Clinical Specialty Associates
Warrington, PA
Via Affiliates
Doylestown, PA
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 Meaghan McGuire, NURSE PRACTITIONER. Source: openpaymentsdata.cms.gov.
Total received
$706
Largest payer
E.R. Squibb & Sons, L.L.C.
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.
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 Meaghan McGuire, NURSE PRACTITIONER. To verify Meaghan McGuire, NURSE PRACTITIONER'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.
16
Total Claims
$306
Total Drug Cost
N/A
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 32
- Total Day Supply
- 825
- Brand Drug Cost
- $0
- Generic Drug Cost
- $306
Patient Demographics
- Average Patient Age
- 75.3 years
- Avg HCC Risk Score
- 1.99
Adult Health Nurse Practitioner Overview
How Meaghan McGuire, NURSE PRACTITIONER fits within the Adult Health Nurse Practitioner landscape nationally.
29,519
Adult Health Nurse Practitioner Providers in US
55
States with Adult Health Nurse Practitioner
1,201
Avg Claims per Provider
Meaghan McGuire, NURSE PRACTITIONER's 16 claims are below the specialty average of 1,201.
Nearby Adult Health Nurse Practitioner Providers in Pennsylvania
Other clinicians with the same primary specialty enrolled in Pennsylvania, drawn from the same CMS NPPES roster as McGuire.
Dr. Sakinah Abdulkhabir
CRNP
Philadelphia, PA
Dr. Debra Abraham
ANP-BC
Havertown, PA
Elizabeth Abraham
Lansdale, PA
Frances Abraham
Pittsburgh, PA
Dr. Chinyere Achi
CRNP
Philadelphia, PA
Compare Adult Health Nurse Practitioner 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 Pennsylvania medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Adult Health Nurse Practitioner 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
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Medical Specialties Explained
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Understanding Medicare Claims Data
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How insurance networks affect your costs
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Frequently Asked Questions
What is Meaghan McGuire, NURSE PRACTITIONER's specialty? ▼
Meaghan McGuire, NURSE PRACTITIONER specializes in Adult Health Nurse Practitioner and practices in Doylestown, Pennsylvania. Credentials: NURSE PRACTITIONER.
How much does Meaghan McGuire, NURSE PRACTITIONER prescribe under Medicare Part D? ▼
In 2023, Meaghan McGuire, NURSE PRACTITIONER wrote 16 Medicare Part D claims totaling $306 in drug costs for N/A beneficiaries.
What is Meaghan McGuire, NURSE PRACTITIONER's Medicare quality score? ▼
Meaghan McGuire, NURSE PRACTITIONER has a CMS MIPS Final Score of 80.2/100 (Quality: 72.8). 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 Meaghan McGuire, NURSE PRACTITIONER located? ▼
Meaghan McGuire, NURSE PRACTITIONER is located at 599 W STATE ST STE 302, Doylestown, PA, 18901. Phone: (215) 918-5960.
What is Meaghan McGuire, NURSE PRACTITIONER's NPI number? ▼
Meaghan McGuire, NURSE PRACTITIONER's National Provider Identifier (NPI) is 1093160889, issued on 04/28/2016.
How many Adult Health Nurse Practitioner providers are there in the US? ▼
There are 29,519 Adult Health Nurse Practitioner providers across 55 states in the US. The average Adult Health Nurse Practitioner provider writes 1,201 Medicare Part D claims per year.
Does Meaghan McGuire, NURSE PRACTITIONER accept Medicare? ▼
Meaghan McGuire, NURSE PRACTITIONER appears in CMS Medicare data with 16 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 Meaghan McGuire, NURSE PRACTITIONER's credentials? ▼
Meaghan McGuire, NURSE PRACTITIONER's NPI is 1093160889 with credentials NURSE PRACTITIONER. 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.