DOUGLAS JUSTIN MCGUIRK (M.D.) – Surgery of the Hand (Surgery) Physician, NPI 1053503466

DOUGLAS JUSTIN MCGUIRK (M.D.) is a healthcare provider. based in Terre haute, Indiana. specializing in HAND SURGERY. They hold the professional credentials M.D.. They hold a License No. 49807 (MN). The NPI Number for DOUGLAS JUSTIN MCGUIRK (M.D.) is 1053503466

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
DOUGLAS JUSTIN MCGUIRK (M.D.)
NPI
1053503466
Phone
(812) 242-3005
Address
221 S 6TH ST
Enumeration Date
10 August 2007
Last Update Date
20 June 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8122423005
Graduation Year
2001 (25 years ago)
PAC ID
6305913724
Group Practice PAC ID
3375687437
Professional Enrollment ID
I20080925000641
Address ID
IN478044010TE1725XSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness75
Years active:18State licenses:2Digital endpointsOther names

82 HAND SURGERY in IN

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Provider Addresses for DOUGLAS JUSTIN MCGUIRK (M.D.)

  • 221, South 6th Street, Terre Haute, Vigo County, Indiana, 47807, United States

    TERRE HAUTE, IN 478074214

    Phone: (812) 242-3005

    Fax: (812) 242-3054

    Type: Mailing

  • 1725, North 5th Street, Terre Haute, Vigo County, Indiana, 47804, United States

    TERRE HAUTE, IN 478044010

    Phone: (812) 242-3005

    Fax: (812) 242-3054

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $84.

Total Amount is formed as General ($84) + Research ($0) + Ownership ($0) = $84.

Last reported payment date: 2024-03-22 • Largest payer in this snapshot: Endo Pharmaceuticals Inc. ($41).

Total Amount

$84

General + Research + Ownership

Payments

5

Total payment records

General Amount

$84

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-03-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-09-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080925000641IHand SurgeryINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
73130X-ray of hand, minimum of 3 views220102$0
73140X-ray of finger, minimum of 2 views20090$0
99214Established patient office or other outpatient visit, 30-39 minutes124112$0
99213Established patient office or other outpatient visit, 20-29 minutes12097$0
J1030Injection, methylprednisolone acetate, 40 mg8652$0
View full utilization report →

Insurance plans in this area (ZIP 47807)

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Provider's Procedures

DOUGLAS JUSTIN MCGUIRK (M.D.) performs procedures in HAND SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
HAND SURGERYIN64721Release and/or relocation of median nerve of hand9687
HAND SURGERYIN73110X-ray of wrist, minimum of 3 views12562
HAND SURGERYIN73140X-ray of fingers, minimum of 2 views222100

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375687437View full group profile
NameSpecialtyState
U R O L O G YIL
-IN
-IN
O B S T E T R I C S/ G Y N E C O L O G YIN
Nurse PractitionerIN
Family PracticeIN
Orthopedic Surgery, Sports MedicineIN
D E R M A T O L O G YOH
-IN
O B S T E T R I C S/ G Y N E C O L O G YPA

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Frequently asked questions

What number should I use to identify DOUGLAS JUSTIN MCGUIRK (M.D.) for billing?
Administrative and clinical systems typically use NPI 1053503466 for DOUGLAS JUSTIN MCGUIRK (M.D.).
Should I treat DOUGLAS JUSTIN MCGUIRK (M.D.) as an active provider?
Patients and plans typically see DOUGLAS JUSTIN MCGUIRK (M.D.) as active in the national extract.
What type of care does DOUGLAS JUSTIN MCGUIRK (M.D.) provide?
DOUGLAS JUSTIN MCGUIRK (M.D.)'s profile centers on Surgery of the Hand (Surgery) Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DOUGLAS JUSTIN MCGUIRK (M.D.)?
DOUGLAS JUSTIN MCGUIRK (M.D.) shows a connection to Terre Haute, Indiana in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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