Active NPI 1538111422 Individual Practitioner Male Practitioner

Dr. James M Maguire , MD

Internal Medicine • Gloucester, MA

✓ Accepts Medicare Assignment Telehealth Available

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. James Maguire, MD is a registered Internal Medicine practitioner in Gloucester, MA. With approximately 27 years of clinical practice since graduating from Saint Louis University School Of Medicine in 1999, Dr. Maguire provides healthcare services at the registered practice location at 1 BLACKBURN DR.

Dr. Maguire is affiliated with Cape Ann Medical Center Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Blackburn Dr

Gloucester, MA 019302237

Telephone 9782811500

Fax 9782823699

Associated Practice Facility / Clinic

🏢 Hearing Services Of Cape Ann Facility NPI 1346441516

Medicare Profile & Education

Medical School

Saint Louis University School Of Medicine

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Gloucester, MA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs -3.3 yrs vs City Avg

City Avg: 30.3 Yrs

State Avg: 29.3 Yrs

Regional Practice Density

12 Specialists

Practicing in Gloucester, MA (7127 Statewide)

Telehealth Adoption Rate

58.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

51.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Maguire (27 Years) 27 Yrs

Gloucester Specialty Average (30.3 Years) 30.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,737	772	$310.00	$131.90
99213 Established patient office or other outpatient visit, typically 15 minutes	1,245	673	$280.00	$92.86
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	465	465	$220.00	$134.48
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	426	191	$150.00	$75.73
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	417	179	$195.00	$109.43
99442 Telephone medical discussion with physician, 11-20 minutes	341	246	$259.22	$91.40
G0442 Annual alcohol misuse screening, 5 to 15 minutes	298	298	$60.00	$19.81
G0444 Annual depression screening, 5 to 15 minutes	276	276	$60.00	$19.81
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	191	168	$250.00	$135.47
99306 Initial nursing facility visit, typically 45 minutes per day	190	168	$325.00	$183.91
G0008 Administration of influenza virus vaccine	168	166	$60.00	$32.81
90661 Influenza vaccine, trivalent derived from cell cultures	163	163	$109.20	$35.89
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	157	20	$80.00	$14.86
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	115	61	$125.00	$40.95
81000 Manual urinalysis test with examination using microscope, non-automated	108	91	$10.00	$3.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	104	84	$350.00	$185.58
93000 Routine ekg using at least 12 leads including interpretation and report	86	81	$75.00	$14.65
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	83	72	$120.00	$55.52
99316 Nursing facility discharge management, more than 30 minutes	74	69	$160.00	$132.81
99496 Transitional care management services for problem of high complexity	65	55	$375.00	$289.41
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	60	58	$225.00	$156.11
99443 Telephone medical discussion with physician, 21-30 minutes	50	44	$310.00	$130.11
99497 Advance care planning, first 30 minutes	45	39	$230.00	$76.06
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	32	24	$100.00	$43.68
99497 Advance care planning, first 30 minutes	30	29	$230.00	$84.01
69210 Removal of impacted ear wax	28	28	$150.00	$49.26
99495 Transitional care management services for problem of at least moderate complexity	26	25	$350.00	$214.46
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	20	20	$220.00	$171.08
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	17	13	$40.00	$14.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$500.00	$171.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$300.00	$114.80
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	11	11	$50.00	$26.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,686	703	$310.00	$132.58
99213 Established patient office or other outpatient visit, typically 15 minutes	1,115	610	$280.00	$93.20
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	492	180	$150.00	$76.73
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	459	459	$220.00	$134.94
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	358	150	$195.00	$109.97
99306 Initial nursing facility visit, typically 45 minutes per day	295	250	$325.00	$187.43
G0442 Annual alcohol misuse screening, 5 to 15 minutes	287	287	$60.00	$19.51
G0444 Annual depression screening, 5 to 15 minutes	275	275	$60.00	$19.51
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	196	20	$80.00	$14.75
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	164	164	$45.00	$33.29
99442 Telephone medical discussion with physician, 11-20 minutes	163	136	$278.40	$93.99
G0008 Administration of influenza virus vaccine	162	162	$60.00	$31.47
81000 Manual urinalysis test with examination using microscope, non-automated	124	97	$10.00	$3.94
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	111	69	$125.00	$40.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	91	81	$350.00	$186.00
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	83	72	$225.00	$157.97
93000 Routine ekg using at least 12 leads including interpretation and report	77	73	$75.00	$15.10
99496 Transitional care management services for problem of high complexity	75	67	$375.00	$288.79
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	68	63	$250.00	$137.19
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	66	59	$120.00	$54.64
99316 Nursing facility discharge management, more than 30 minutes	51	50	$160.00	$135.00
99497 Advance care planning, first 30 minutes	44	41	$230.00	$77.56
69210 Removal of impacted ear wax	40	36	$150.00	$49.70
99497 Advance care planning, first 30 minutes	36	34	$230.00	$85.47
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	35	27	$40.00	$15.39
99443 Telephone medical discussion with physician, 21-30 minutes	35	31	$310.00	$132.32
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	33	33	$50.00	$26.84
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	21	15	$100.00	$43.39
99495 Transitional care management services for problem of at least moderate complexity	18	18	$350.00	$213.19
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$500.00	$172.63
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$220.00	$172.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,230	592	$310.00	$134.70
99213 Established patient office or other outpatient visit, typically 15 minutes	1,108	611	$280.00	$95.35
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	580	193	$150.00	$71.24
99442 Telephone medical discussion with physician, 11-20 minutes	555	343	$279.77	$95.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	409	409	$220.00	$138.00
G0442 Annual alcohol misuse screening, 5 to 15 minutes	229	229	$60.00	$19.98
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	224	22	$80.00	$15.18
G0444 Annual depression screening, 5 to 15 minutes	218	218	$60.00	$19.60
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	207	206	$45.00	$31.61
G0008 Administration of influenza virus vaccine	206	205	$60.00	$30.81
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	203	174	$250.00	$132.77
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	173	106	$195.00	$93.74
99306 Initial nursing facility visit, typically 45 minutes per day	134	119	$325.00	$170.34
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	120	68	$125.00	$45.13
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	91	71	$120.00	$55.96
99443 Telephone medical discussion with physician, 21-30 minutes	89	79	$310.00	$135.06
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	86	72	$225.00	$138.27
81000 Manual urinalysis test with examination using microscope, non-automated	85	73	$10.00	$3.96
93000 Routine ekg using at least 12 leads including interpretation and report	73	69	$75.00	$15.11
99496 Transitional care management services for problem of high complexity	65	58	$362.69	$291.11
99316 Nursing facility discharge management, more than 30 minutes	62	55	$160.00	$107.09
69210 Removal of impacted ear wax	44	40	$150.00	$50.06
99497 Advance care planning, first 30 minutes	41	41	$230.00	$80.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$500.00	$175.31
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	34	27	$40.00	$16.17
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	32	$350.00	$189.65
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	29	29	$50.00	$27.57
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	27	16	$100.00	$43.29
99497 Advance care planning, first 30 minutes	18	16	$230.00	$88.27
99495 Transitional care management services for problem of at least moderate complexity	15	14	$350.00	$217.71
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$220.00	$176.69
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)	11	11	$60.00	$30.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,282	635	$279.92	$96.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,077	510	$310.00	$137.17
99442 Telephone medical discussion with physician, 11-20 minutes	534	292	$279.03	$97.02
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	497	223	$150.00	$72.05
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	364	364	$220.00	$140.58
G0442 Annual alcohol misuse screening, 5 to 15 minutes	288	288	$60.00	$19.93
G0444 Annual depression screening, 5 to 15 minutes	267	267	$60.00	$19.93
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	252	22	$80.00	$15.05
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	195	181	$250.00	$134.97
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	176	176	$45.00	$29.94
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	175	99	$125.00	$45.86
G0008 Administration of influenza virus vaccine	174	174	$60.00	$17.86
85610 Blood test, clotting time	169	24	$58.71	$4.29
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	155	24	$175.00	$24.38
99306 Initial nursing facility visit, typically 45 minutes per day	149	134	$325.00	$173.42
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	133	87	$195.00	$95.13
81000 Manual urinalysis test with examination using microscope, non-automated	83	69	$10.00	$4.02
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	82	72	$120.00	$56.08
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	73	60	$225.00	$140.96
99316 Nursing facility discharge management, more than 30 minutes	67	62	$160.00	$109.45
99497 Advance care planning, first 30 minutes	63	57	$230.00	$81.69
99443 Telephone medical discussion with physician, 21-30 minutes	52	46	$310.00	$137.55
99496 Transitional care management services for problem of high complexity	49	44	$275.00	$276.91
93000 Routine ekg using at least 12 leads including interpretation and report	47	46	$75.00	$15.72
99497 Advance care planning, first 30 minutes	47	44	$230.00	$89.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	44	38	$350.00	$191.59
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$500.00	$177.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$300.00	$118.69
69210 Removal of impacted ear wax	24	24	$150.00	$50.57
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	24	16	$100.00	$43.64
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	24	21	$40.00	$15.77
G0406 Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth	22	20	$55.00	$39.83
99358 Prolonged patient service without direct patient contact first hour	18	17	$150.00	$116.17
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	18	18	$220.00	$178.30
G0425 Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth	15	15	$135.00	$104.76
99315 Nursing facility discharge day management, 30 minutes or less	14	13	$120.00	$76.05
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$145.00	$125.92
99495 Transitional care management services for problem of at least moderate complexity	13	13	$250.00	$213.42
99318 Nursing facility annual assessment, typically 30 minutes	12	12	$125.00	$99.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,143	544	$280.00	$78.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	698	399	$310.00	$115.75
99442 Telephone medical discussion with physician, 11-20 minutes	445	230	$278.10	$79.81
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	320	29	$80.00	$15.20
85610 Blood test, clotting time	267	25	$59.00	$4.27
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	258	258	$220.00	$123.74
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	258	149	$150.00	$73.53
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	257	223	$250.00	$137.21
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	241	25	$175.00	$24.88
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	142	103	$125.00	$46.45
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	140	139	$45.00	$29.21
G0442 Annual alcohol misuse screening, 5 to 15 minutes	138	138	$60.00	$19.32
G0008 Administration of influenza virus vaccine	135	134	$60.00	$17.77
93793 Anticoagulant management of patient taking warfarin	119	11	$20.00	$12.42
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	112	84	$120.00	$56.83
G0444 Annual depression screening, 5 to 15 minutes	97	97	$60.00	$19.56
99358 Prolonged patient service without direct patient contact first hour	84	77	$150.00	$118.41
99306 Initial nursing facility visit, typically 45 minutes per day	83	78	$325.00	$177.17
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	61	41	$65.00	$44.09
81000 Manual urinalysis test with examination using microscope, non-automated	60	51	$10.00	$4.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$300.00	$114.51
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	56	43	$195.00	$97.13
99443 Telephone medical discussion with physician, 21-30 minutes	45	39	$309.33	$116.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$500.00	$174.79
99496 Transitional care management services for problem of high complexity	40	38	$275.00	$260.45
93000 Routine ekg using at least 12 leads including interpretation and report	39	37	$75.00	$18.22
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	36	27	$40.00	$16.25
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	35	34	$80.00	$79.88
99495 Transitional care management services for problem of at least moderate complexity	34	32	$250.00	$197.00
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	22	14	$100.00	$43.64
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	19	$350.00	$156.05
99497 Advance care planning, first 30 minutes	21	21	$230.00	$83.54
G0406 Follow-up inpatient consultation, limited, physicians typically spend 15 minutes communicating with the patient via telehealth	20	15	$55.00	$41.40
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	17	17	$50.00	$28.06
99497 Advance care planning, first 30 minutes	17	17	$230.00	$90.91
G0009 Administration of pneumococcal vaccine	16	16	$30.00	$17.62
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	16	16	$220.00	$177.25
99316 Nursing facility discharge management, more than 30 minutes	14	14	$160.00	$112.02
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$145.00	$117.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,215	527	$280.00	$78.45
J0897 Injection, denosumab, 1 mg	1,020	11	$20.00	$18.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	892	408	$310.00	$114.75
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	419	208	$195.00	$96.33
85610 Blood test, clotting time	275	27	$53.83	$4.28
99306 Initial nursing facility visit, typically 45 minutes per day	270	236	$325.00	$174.69
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	244	168	$150.00	$72.43
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	235	235	$220.00	$123.16
G0442 Annual alcohol misuse screening, 5 to 15 minutes	222	222	$60.00	$19.24
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	220	39	$80.00	$17.73
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	211	25	$175.00	$24.24
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	209	208	$45.00	$27.46
G0008 Administration of influenza virus vaccine	209	208	$60.00	$17.42
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	203	176	$250.00	$136.74
G0444 Annual depression screening, 5 to 15 minutes	191	191	$60.00	$19.24
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	181	101	$134.23	$46.26
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	109	84	$120.00	$56.39
99497 Advance care planning, first 30 minutes	109	97	$230.00	$82.97
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	98	48	$65.00	$43.83
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	95	73	$225.00	$141.60
99316 Nursing facility discharge management, more than 30 minutes	73	66	$160.00	$111.05
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	67	41	$40.00	$15.69
99496 Transitional care management services for problem of high complexity	66	56	$275.00	$244.87
99497 Advance care planning, first 30 minutes	61	58	$230.00	$89.53
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	60	60	$50.00	$27.60
93000 Routine ekg using at least 12 leads including interpretation and report	52	51	$75.00	$18.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	48	48	$468.75	$173.59
G0009 Administration of pneumococcal vaccine	44	43	$30.00	$17.42
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	43	41	$350.00	$153.72
81000 Manual urinalysis test with examination using microscope, non-automated	37	35	$10.00	$3.94
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	34	20	$100.00	$43.73
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	34	34	$120.00	$66.02
90670 Pneumococcal vaccine for injection into muscle	29	29	$350.00	$208.95
99318 Nursing facility annual assessment, typically 30 minutes	27	27	$125.00	$100.68
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	20	20	$220.00	$175.62
69209 Removal of impacted ear wax by washing	20	17	$100.00	$15.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	20	$215.00	$47.89
99495 Transitional care management services for problem of at least moderate complexity	16	14	$250.00	$173.59
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$145.00	$109.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$300.00	$114.65
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	14	14	$80.00	$79.79
99315 Nursing facility discharge day management, 30 minutes or less	13	13	$120.00	$77.20
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$200.00	$181.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,125	399	$195.00	$95.33
99213 Established patient office or other outpatient visit, typically 15 minutes	912	443	$280.00	$76.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	799	386	$310.00	$112.45
99306 Initial nursing facility visit, typically 45 minutes per day	488	401	$325.00	$173.29
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	277	73	$65.00	$44.03
85610 Blood test, clotting time	269	28	$52.26	$4.75
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	235	153	$225.00	$141.58
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	201	41	$80.00	$21.66
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	200	27	$175.00	$22.79
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	194	194	$220.00	$121.70
99497 Advance care planning, first 30 minutes	176	141	$230.00	$82.15
G0442 Annual alcohol misuse screening, 5 to 15 minutes	175	175	$60.00	$19.28
G0008 Administration of influenza virus vaccine	164	164	$60.00	$21.55
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	163	163	$45.00	$23.57
G0444 Annual depression screening, 5 to 15 minutes	161	161	$60.00	$18.89
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	153	48	$125.00	$46.35
99316 Nursing facility discharge management, more than 30 minutes	129	116	$160.00	$110.23
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	108	108	$50.00	$26.72
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	94	71	$120.00	$56.46
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	78	47	$40.00	$15.03
99496 Transitional care management services for problem of high complexity	78	60	$275.00	$243.31
99497 Advance care planning, first 30 minutes	71	68	$230.00	$87.93
G0009 Administration of pneumococcal vaccine	60	60	$30.00	$21.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$425.00	$171.92
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	54	47	$150.00	$72.16
93000 Routine ekg using at least 12 leads including interpretation and report	51	48	$75.00	$17.88
90670 Pneumococcal vaccine for injection into muscle	38	38	$350.00	$200.37
81000 Manual urinalysis test with examination using microscope, non-automated	30	27	$10.00	$3.94
99318 Nursing facility annual assessment, typically 30 minutes	30	30	$125.00	$100.30
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	22	$350.00	$151.63
69210 Removal of impacted ear wax	22	19	$150.00	$51.30
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	22	22	$145.00	$105.59
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	17	14	$100.00	$43.85
99315 Nursing facility discharge day management, 30 minutes or less	16	16	$120.00	$75.71
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$200.00	$179.26
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$220.00	$166.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,058	356	$195.05	$90.54
J0897 Injection, denosumab, 1 mg	1,020	12	$20.00	$16.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	781	398	$310.00	$107.28
99213 Established patient office or other outpatient visit, typically 15 minutes	774	416	$280.00	$72.99
99306 Initial nursing facility visit, typically 45 minutes per day	405	339	$325.00	$164.75
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	325	74	$65.00	$41.98
85610 Blood test, clotting time	278	31	$12.12	$5.28
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	210	26	$175.00	$20.42
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	195	31	$68.21	$25.86
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	179	110	$225.00	$134.46
G0008 Administration of influenza virus vaccine	172	172	$60.00	$26.66
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	170	170	$45.00	$23.57
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	142	142	$220.00	$115.01
G0442 Annual alcohol misuse screening, 5 to 15 minutes	130	130	$60.00	$18.01
99497 Advance care planning, first 30 minutes	128	122	$230.00	$79.78
G0444 Annual depression screening, 5 to 15 minutes	108	108	$60.00	$18.01
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	97	71	$120.00	$53.55
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	88	53	$40.00	$14.23
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	81	61	$150.00	$68.56
99496 Transitional care management services for problem of high complexity	77	60	$275.00	$230.61
G0009 Administration of pneumococcal vaccine	76	76	$30.00	$26.66
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	68	45	$150.00	$92.78
99315 Nursing facility discharge day management, 30 minutes or less	65	62	$120.00	$72.53
99316 Nursing facility discharge management, more than 30 minutes	64	62	$160.00	$104.54
90670 Pneumococcal vaccine for injection into muscle	64	64	$350.00	$186.48
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	62	37	$125.00	$44.15
81000 Manual urinalysis test with examination using microscope, non-automated	60	56	$10.00	$4.26
93000 Routine ekg using at least 12 leads including interpretation and report	55	54	$75.00	$17.00
99497 Advance care planning, first 30 minutes	53	51	$230.00	$75.70
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	38	36	$120.00	$62.84
G0446 Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes	38	38	$50.00	$25.34
99495 Transitional care management services for problem of at least moderate complexity	37	32	$250.00	$163.25
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	34	28	$90.00	$46.56
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	33	33	$200.00	$169.34
99318 Nursing facility annual assessment, typically 30 minutes	32	32	$125.00	$95.78
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	30	30	$350.00	$144.36
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$377.50	$163.50
69210 Removal of impacted ear wax	19	17	$150.00	$48.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$215.00	$43.60
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	19	14	$100.00	$40.26
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$145.00	$95.90
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	15	15	$40.00	$19.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$300.00	$107.77
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$220.00	$160.89

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License MA 213179

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0173614 (MA)

Hospital & Practice Group Affiliations

Cape Ann Medical Center Llc

1 Blackburn Dr, Gloucester, MA 019302292

Phone: 9782811500

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners

Elizabeth Scheer , PA-C

Physician Assistant - Medical

NPI 1053501262

Physician Assistant (Certified)

David Probert , PA

Physician Assistant

NPI 1083689723

Physician Assistant

Alia Macpherson , FNP-BC

Nurse Practitioner - Family

NPI 1144627829

Family Nurse Practitioner (Board Certified)

Natalie Meyer , NP

Nurse Practitioner - Primary Care

NPI 1154726040

Nurse Practitioner

Stefanie Belcher

Nurse Practitioner

NPI 1174179501

Christine Sicard , NP

Nurse Practitioner

NPI 1174369193

Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active June 28, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location June 28, 2010

Registered at 1 BLACKBURN DR, GLOUCESTER, MA 019302237 (Tel: 9782811500)

📍

Updated Business Mailing Address June 28, 2010

Registered at 1 BLACKBURN DR, GLOUCESTER, MA 019302237 (Tel: 9782811500)

👤

Provider Name / Credentials Updated June 28, 2010

Recorded as JAMES MAGUIRE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 28, 2010

Internal Medicine (License #213179 in MA)

🟢

Initial NPI Registration & Enumeration May 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. James Maguire. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1538111422

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 17, 2006

Last Update: June 28, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1 Blackburn Dr

Gloucester, MA 019302237

Phone: 9782811500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.