Quick answers
- Does Tom O. McGuire Jr. accept Medicare assignment?
- Yes. Medicare's clinician data says Tom O. McGuire Jr. accepts Medicare assignment (the Medicare-approved amount as full payment for covered services), as of October 2, 2026. Ask the office to confirm before your visit.
- How many Medicare patients does Tom O. McGuire Jr. see?
- In 2024, CMS data shows 31 Original Medicare patients and 48 services for Tom O. McGuire Jr.. This counts Original Medicare only and measures volume, not quality.
- What is Tom O. McGuire Jr.'s NPI number?
- 1205812435. The NPI (National Provider Identifier) is the clinician's permanent federal ID; you can look it up in the official NPI Registry.
Medicare activity in 2024
Official CMS public-use data for Tom O. McGuire Jr., data year 2024 (released May 21, 2026). It covers Original Medicare (fee-for-service) patients only, not Medicare Advantage or other insurance. It shows volume, not quality or outcomes. CMS hides any count of 10 or fewer patients.
| Original Medicare patients | 31 |
|---|---|
| Services billed to Medicare | 48 |
| Different services or procedures | 9 |
| Participating Medicare provider | Yes |
| Average age of these patients | 67 |
Most frequent services
- Cervical or vaginal cancer screening; pelvic and clinical breast examination (G0101)14 services
Chronic conditions among these patients
Share of this clinician’s Original Medicare patients with each condition, as published by CMS (it describes the patients, not the care given).
- High blood pressure74%
- High cholesterol71%
- Diabetes39%
Hospitals where Tom O. McGuire Jr. works
Medicare's Facility Affiliation Data lists Tom O. McGuire Jr. at these hospitals (updated October 2, 2026). Each hospital page shows its address, phone, emergency services, Medicare rating and all its clinicians. Star rating and emergency services: Hospital General Information (CMS), data updated October 26, 2026.
- Pikeville Medical CenterPikeville, KY · Acute Care Hospital · Medicare rating: 1 of 5 stars · Emergency services: listed by Medicare · CCN 180044
Practice locations
Addresses where Tom O. McGuire Jr. is enrolled with Medicare (CMS data updated October 2, 2026).
- 184 S Mayo TrailPikeville, KY 41501 (606) 430‑2213
- 911 Bypass RdPikeville, KY 41501
Group practices
Medicare enrollment lists Tom O. McGuire Jr. as a member of this group (CMS data updated October 2, 2026).
- Pikeville Medical Center Inc425 clinicians in the group
Specialties
- Obstetrics/Gynecologyprimary
Other OB-GYNs in Pikeville
Clinicians with the same Medicare primary specialty in Pikeville, KY — not a recommendation.
Other clinicians in Pikeville Medical Center Inc
Medicare enrollment lists these clinicians in the same group practice — not a recommendation.
Clinician information
| Credential | MD |
|---|---|
| Medical school | University Of Kentucky College Of Medicine |
| Graduation year | 1973 (53 years since medical school) |
| Gender (as listed) | Male |
| Medicare assignment | Accepts (Medicare-approved amount as full payment) |
| NPI (National Provider Identifier) | 1205812435 |
| Corrections | Report an error or suggest an update → |
Most corrections must be made at the source: clinicians update their NPI Registry record (NPPES) and their Medicare enrollment (PECOS); this page follows the next data release.
Sources
- Facility Affiliation Data — Centers for Medicare & Medicaid Services (CMS), data updated October 2, 2026, retrieved October 29, 2026
- Hospital General Information — CMS, data updated October 26, 2026, retrieved November 13, 2026
- National Downloadable File (Doctors and Clinicians) — CMS, data updated October 2, 2026, retrieved October 29, 2026
- Medicare Physician & Other Practitioners - by Provider — CMS, data year 2024, released May 21, 2026; Medicare Physician & Other Practitioners - by Provider and Service
- NPI Registry — U.S. Department of Health and Human Services (NPPES), the clinician’s official record
- Medicare Care Compare — official Medicare tool to look up clinicians