Active NPI 1568482339 Individual Practitioner Male Practitioner

Dr. Herbert Stephen Maguire , MD

Surgery - Plastic and Reconstructive Surgery • Fargo, ND

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Herbert Maguire, MD is a certified Surgery - Plastic and Reconstructive Surgery practicing in Fargo, ND. With approximately 30 years of clinical experience since graduating from University Of Louisville School Of Medicine in 1996, Dr. Maguire delivers high-quality medical care to the local community at 2801 UNIVERSITY DR S.

Dr. Maguire is affiliated with Sanford Medical Center Fargo and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2801 University Dr S

Fargo, ND 581036029

Telephone 7012345673

Associated Practice Facility / Clinic

🏢 Sanford Medical Center Fargo Facility NPI 1821154253

Medicare Profile & Education

Medical School

University Of Louisville School Of Medicine

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Fargo, ND

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs Matches City Avg

City Avg: 30.0 Yrs

State Avg: 31.3 Yrs

Regional Practice Density

1 Specialists

Practicing in Fargo, ND (5 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

24.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Maguire (30 Years) 30 Yrs

Fargo Specialty Average (30.0 Years) 30.0 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$165.00	$122.61
99213 Established patient office or other outpatient visit, typically 15 minutes	19	16	$82.00	$61.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$101.00	$79.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	36	24	$169.50	$81.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$224.23	$134.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$171.64	$94.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	72	72	$192.64	$69.00
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	56	48	$149.19	$52.61
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	30	26	$485.09	$142.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$296.64	$108.16
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	19	18	$614.38	$193.20
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	18	17	$396.33	$106.43
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	18	18	$486.04	$150.42
11643 Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips	17	13	$782.45	$248.30
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$222.39	$83.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	52	52	$192.56	$67.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$298.51	$109.91
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	45	39	$483.48	$147.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	31	$147.12	$54.10
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	32	32	$593.29	$212.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	16	$482.05	$177.51
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	17	16	$643.40	$194.93
11422 Removal of noncancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	16	13	$438.75	$129.94
11441 Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth	14	12	$383.24	$79.81
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	12	$420.48	$140.89
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$238.24	$88.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	111	111	$161.52	$72.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	43	$94.17	$43.80
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	21	20	$511.18	$160.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$275.84	$132.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$224.47	$101.54
11441 Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth	18	13	$469.93	$136.39
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	11	$433.08	$109.41
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	13	12	$683.97	$198.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99202 New patient office or other outpatient visit, typically 20 minutes	111	111	$144.00	$72.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	67	53	$84.00	$42.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$208.00	$104.46
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	26	23	$553.00	$153.77
11441 Removal of growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth	20	16	$491.00	$125.85
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	19	17	$808.00	$240.59
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	18	12	$482.00	$102.59
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	15	13	$557.00	$116.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	14	$265.00	$135.78
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$139.00	$66.95
11403 Removal of noncancer skin growth of body, arms, or legs, 2.1-3.0 cm	12	11	$554.00	$140.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	79	49	$84.00	$41.42
99202 New patient office or other outpatient visit, typically 20 minutes	78	78	$144.00	$70.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$208.00	$103.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	33	$265.00	$134.43
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	15	$139.00	$71.47
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	20	16	$553.00	$151.98
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	17	14	$808.00	$220.14
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	11	$482.00	$129.71
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	11	11	$1422.00	$292.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	83	50	$84.00	$40.91
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	47	16	$139.00	$70.46
99202 New patient office or other outpatient visit, typically 20 minutes	46	46	$144.00	$69.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$208.00	$103.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	33	$265.00	$134.16
10180 Drainage of wound infection after surgery	25	11	$535.16	$153.42
11442 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	21	16	$553.00	$147.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$319.00	$148.61
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$139.00	$69.34

Medical Specialties & State Licenses

CMS Verified: 2023-10-30

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License ND 18204

A surgeon who specializes in plastic and reconstructive surgery.

Surgery - Plastic and Reconstructive Surgery

NUCC Taxonomy Code: 2086S0122X

State License LA 023149

A surgeon who specializes in plastic and reconstructive surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1494950 (LA)

Hospital & Practice Group Affiliations

Sanford Medical Center Fargo

801 Broadway N, Fargo, ND 581023641

Phone: 7012342000

Sanford Medical Center Fargo

1220 Sheyenne St, West Fargo, ND 580782637

Phone: 7012344445

Sanford Medical Center Fargo

1720 University Dr S, Fargo, ND 581034940

Phone: 7012342000

Sanford Medical Center Fargo

2801 University Dr S, Fargo, ND 581036029

Phone: 7012345673

Sanford Medical Center Fargo

5225 23rd Ave S, Fargo, ND 581047927

Phone: 7014172575

Practice Associates & Co-Workers

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

11 Associated Practitioners

Amy Stevahn , APRN, CNP

Nurse Practitioner

NPI 1053548107

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Heidi Saarinen , NP

Nurse Practitioner

NPI 1104123298

Nurse Practitioner

Tyson Williams , PA-C

Physician Assistant

NPI 1205512688

Physician Assistant (Certified)

Dr. Enrique Tobias Pader , MD

Psychiatry & Neurology - Sleep Medicine

NPI 1295099836

Doctor of Medicine (M.D.)

Brittney Smith , APRN, CNP

Nurse Practitioner

NPI 1336911551

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Leann Wages , CNS

Psychiatry & Neurology - Psychiatry

NPI 1396763983

Clinical Nurse Specialist

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location October 30, 2023

Registered at 2801 UNIVERSITY DR S, FARGO, ND 581036029 (Tel: 7012345673)

📍

Updated Business Mailing Address October 30, 2023

Registered at PO BOX 5074, SIOUX FALLS, SD 571175074 (Tel: 6053289419)

📍

Updated Practice Location May 14, 2019

Registered at 501 MEDICAL CENTER DR STE 1B, ALEXANDRIA, LA 713018124 (Tel: 3187672233)

📍

Updated Business Mailing Address May 14, 2019

Registered at 501 MEDICAL CENTER DR STE 1B, ALEXANDRIA, LA 713018124 (Tel: 3187672233)

✅

NPI Profile Active August 11, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location August 11, 2015

Registered at 501 MEDICAL CENTER DR, SUITE 4A, ALEXANDRIA, LA 713018124 (Tel: 3184425800)

📍

Updated Business Mailing Address August 11, 2015

Registered at 501 MEDICAL CENTER DR, SUITE 4A, ALEXANDRIA, LA 713018124 (Tel: 3184425800)

👤

Provider Name / Credentials Updated August 11, 2015

Recorded as HERBERT MAGUIRE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2015

Surgery (License #023149 in LA)

🟢

Initial NPI Registration & Enumeration July 21, 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. Herbert 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: 1568482339

Entity Type:

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

Enumeration Date: July 21, 2006

Last Update: October 30, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 5074

Sioux Falls, SD 571175074

Phone: 6053289419

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.