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DR. PAULA M GUINNIP M.D.
NPI 1023239720
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Tahlequah, OK

Active since May 01, 2007PECOS EnrolledAccepts Medicare AssignmentCLIA 37D2291162 · Waiver
205 HARRIS CIR STE 202, TAHLEQUAH, OK 74464(918) 485-0068(918) 485-0069 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 2, 2025, Dec 19, 2019, Jan 6, 2017 (3 updates tracked since 2017).

About Dr. Paula M Guinnip M.d. NPPES

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

DR. PAULA M GUINNIP M.D. (NPI 1023239720) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Tahlequah, Oklahoma, licensed in Oklahoma (30170) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through October 4, 2027, and is affiliated with Northeastern Health System.

NPPES Registry Identity

NPI1023239720
Entity TypeIndividualFemale
Primary Taxonomy208G00000X
Provider Legal NameDR. PAULA M GUINNIPCredential: M.D.
Location Address205 HARRIS CIR STE 202Tahlequah, OK 74464-8849
Mailing AddressPo Box 415Tahlequah, OK 74465-0415 · (918) 485-0068 · Fax (918) 485-0069
Phone(918) 485-0068
Fax(918) 485-0069
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1992
Enumeration DateMay 1, 2007
Last NPPES UpdateJune 2, 20253 updates tracked since enumeration
NPPES CertifiedJune 2, 2025
✔ NPI 1023239720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses✔ Licensed in OK · 30170✔ Licensed in MO · 2016030313
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgeryTaxonomy 208600000X · License 30170 (OK)
205 HARRIS CIR STE 202, Tahlequah, OK 74464
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Secondary Practice Location 1

Location 11202 W Cherokee St Ste AWagoner, OK 74467-4629 · Phone (406) 241-3060 · Fax (918) 515-6912

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

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. Paula M Guinnip 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 ID5395723761
PECOS Enrollment IDI20140111000036
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 37D2291162

Paula Guinnip Cardiac Services · Wagoner, OK
Active · expires Oct 4, 2027
CLIA Number37D2291162
Laboratory TypePhysician Office
Certificate Effective DateOctober 5, 2025
Certificate Expiration DateOctober 4, 2027
Laboratory DirectorPaula Guinnip
Laboratory Phone(918) 485-1303
Laboratory LocationPaula Guinnip Cardiac Services1202 W Cherokee St, Ste A, Wagoner, OK 74467
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 8

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
91 services26 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
33 services33 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
28 services20 patients
Emergency department visit with straightforward medical decision making 99282
An emergency department visit for a mild to moderate issue is when you seek immediate medical attention for a non-life-threatening condition. This could include minor injuries, moderate pain, or illnesses like the flu. During the visit, healthcare professionals assess your condition, provide treatment, and may recommend follow-up care.
21 services21 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
15 services15 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Northeastern Health System

Acute Care Hospitals · Tahlequah, OK
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370089
Location1400 East Downing StreetTahlequah, OK 74465 · Cherokee County
Emergency services Birthing friendly

Wagoner Community Hospital

Acute Care Hospitals · Wagoner, OK
OwnershipGovernment - Hospital District or Authority
CMS Certification Number370166
Location1200 West Cherokee StreetWagoner, OK 74467 · Wagoner County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74464 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
$162.61 typical visit price
range $53.00 – $162.61
Typical copayment $40.65 (range $13.25 – $40.65)
Most-billed visit code 99205
Established Patient
$66.48 typical visit price
range $16.68 – $132.40
Typical copayment $16.62 (range $4.17 – $33.10)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465
DME-Other DME · category DE005N
1 supplier12 claims12 services$922.57 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims11 services$108.50 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Paula Guinnip's NPI number?

The NPI number for Paula Guinnip is 1023239720. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is Paula Guinnip located?

Paula Guinnip practices at 205 Harris Cir Ste 202, Tahlequah, OK 74464. The listed phone number is (918) 485-0068.

What is Paula Guinnip's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Paula Guinnip enrolled in Medicare?

Yes. Paula Guinnip 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.

Does Paula Guinnip hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 37D2291162) is associated with this NPI, valid through October 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Paula Guinnip accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Paula Guinnip as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Paula Guinnip affiliated with any hospitals?

According to CMS data, Paula Guinnip is affiliated with Northeastern Health System and Wagoner Community Hospital.

When was this NPI record last updated?

The NPPES record for Paula Guinnip was last updated on June 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.