LYDIA MCGUIGAN (D.O.) – Endocrinology, Diabetes & Metabolism Physician, NPI 1326334517
Endocrinology, Diabetes & Metabolism Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
425 ENDOCRINOLOGY in NJ
Provider Addresses for LYDIA MCGUIGAN (D.O.)
100 COMMONS WAY STE 140
HOLMDEL, NJ 077332935
Phone: (732) 450-2925
Fax: (732) 450-2942
Type: Mailing
25 GERMANTOWN RD FL 1
DANBURY, CT 068105036
Phone: (203) 794-5620
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $78.
Total Amount is formed as General ($78) + Research ($0) + Ownership ($0) = $78.
Last reported payment date: 2023-12-07 • Largest payer in this snapshot: Tandem Diabetes Care, Inc. ($30).
Total Amount
$78
General + Research + Ownership
Payments
4
Total payment records
General Amount
$78
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-12-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Tandem Diabetes Care, Inc. | $30 |
| Medtronic, Inc. | $19 |
| Amgen Inc. | $16 |
| Abbott Laboratories | $13 |
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: 2024-12-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20161027000409 | I | Endocrinology | NJ | TBD |
| I20241213000403 | I | Endocrinology | CT | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 163 | 81 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 144 | 115 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 135 | 72 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 122 | 80 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 72 | 49 | $0 |
Insurance plans in this area (ZIP 07733)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CT | |
| - | CT | |
| - | WA | |
| A N E S T H E S I O L O G Y | GA | |
| Certified Registered Nurse Anesthetist (Crna) | CT | |
| - | NY | |
| General Surgery | CT | |
| - | CT | |
| - | CT | |
| - | GA |
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