DR. DARREN GUFFEY M.D.
NPI 1003202433
Dermatology in Charlottesville, VA

Active since April 13, 2015PECOS EnrolledAccepts Medicare Assignment
79.39/100
CMS Quality Rating
1215 LEE ST, BOX 800744, CHARLOTTESVILLE, VA 22908(434) 924-1931(434) 243-5770 Get Directions Write a Review

NPPES record last updated: July 31, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 31, 2021, Dec 4, 2019 (2 updates tracked since 2019).

About Dr. Darren Guffey M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DARREN GUFFEY M.D. (NPI 1003202433) is an individual dermatology provider in Charlottesville, Virginia, licensed in Virginia (0101267550) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Culpeper, and is a graduate of Medical University Of South Carolina College Of Medicine (2015).

NPPES Registry Identity

NPI1003202433
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. DARREN GUFFEYCredential: M.D.
Location Address1215 LEE ST, BOX 800744Charlottesville, VA 22908-0816
Mailing AddressPo Box 9007Charlottesville, VA 22906-9007
Fax(434) 243-5770
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2015
Enumeration DateApril 13, 2015
Last NPPES UpdateJuly 31, 20212 updates tracked since enumeration
NPPES CertifiedJuly 31, 2021
NPI 1003202433 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in VA · 0101267550
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1215 LEE ST, Charlottesville, VA 22908

Secondary Practice Location 1

Location 116268 Bennett RdCulpeper, VA 22701-4630 · Phone (540) 825-6263 · Fax (540) 825-4911

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Darren Guffey M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305153859
PECOS Enrollment IDI20200103000360
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 29

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, 1-5 tissue blocks 17311
This procedure involves the careful removal of a growth from the head, neck, hands, or feet. The removed tissue, divided into 1-5 blocks, is then examined under a microscope to study its characteristics and determine the nature of the growth.
470 services366 patients
Cogenex amniotic membrane, per square centimeter Q4229
Cogenex amniotic membrane is a treatment option involving a thin tissue layer. This tissue, derived from the amniotic sac, is applied to areas needing healing or repair. It’s rich in growth factors and proteins, promoting faster, efficient recovery.
238 services25 patients
Removal and microscopic exam of growth of head, neck, hands, feet, or genitals, each additional stage, 1-5 tissue blocks 17312
This procedure involves the careful removal of abnormal growths from the head, neck, hands, or feet. The removed tissues, divided into 1-5 blocks, are then examined under a microscope to identify any irregularities. The process may be carried out in multiple stages for thorough examination.
230 services153 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
172 services126 patients
Revita, per square centimeter Q4180
Revita is a non-surgical treatment aimed at stimulating hair growth. It uses advanced technology to target individual square centimeters of the scalp, promoting thicker, healthier hair. This procedure is comfortable, safe, and requires no downtime.
154 services18 patients
Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132
This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.
141 services129 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22908 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.66
Promoting Interoperability100
Improvement Activities40
Cost57.65

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Anesthesiology
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Emergency Medicine
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Anesthesiology
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Hospitalist
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Nurse Practitioner (Pediatrics)
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Pediatrics (Pediatric Gastroenterology)
1215 LEE ST
CHARLOTTESVILLE, VA 22908
Emergency Medicine
1215 LEE ST
CHARLOTTESVILLE, VA 22908

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Darren Guffey's NPI number?

The NPI number for Darren Guffey is 1003202433. It was assigned to this individual provider in the NPPES registry on April 13, 2015.

Where is Darren Guffey located?

Darren Guffey practices at 1215 Lee St Box 800744, Charlottesville, VA 22908. The listed phone number is (434) 924-1931.

What is Darren Guffey's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Darren Guffey enrolled in Medicare?

Yes. Darren Guffey is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Darren Guffey was last updated on July 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.