AMY GUYTON M.D.
NPI 1033640297
Family Medicine in Waimea, HI

Active since March 21, 2017PECOS EnrolledAccepts Medicare Assignment
61.05/100
CMS Quality Rating
4643 WAIMEA CANYTON DR., WAIMEA, HI 96796(808) 338-9431 Get Directions Write a Review

NPPES record last updated: April 30, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 30, 2021, Sep 15, 2020, Aug 11, 2020 and 6 more (9 updates tracked since 2017).

About Amy Guyton M.d. NPPES

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

AMY GUYTON M.D. (NPI 1033640297) is an individual family medicine provider in Waimea, Hawaii, licensed in Hawaii (21087) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Wilcox Memorial Hospital, and is a graduate of Eastern Virginia Medical School (2017).

NPPES Registry Identity

NPI1033640297
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameAMY GUYTONCredential: M.D.
Location Address4643 WAIMEA CANYTON DR.Waimea, HI 96796
Mailing Address4643 Waimea Canyon DrWaimea, HI 96796 · (808) 338-9431
Sole ProprietorYes
Medical School CMSEastern Virginia Medical SchoolGraduated 2017
Enumeration DateMarch 21, 2017
Last NPPES UpdateApril 30, 20219 updates tracked since enumeration
NPPES CertifiedApril 4, 2021
✔ NPI 1033640297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in HI · 21087
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4643 WAIMEA CANYTON DR., Waimea, HI 96796

Other Names 1

Former Name (1)Amy Rogers M.d.

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amy Guyton 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 ID7416203393
PECOS Enrollment IDI20200812001915
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Amy Guyton reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Critical Access
4643 WAIMEA CANYON DRIVE
Waimea, HI 96796
  • Reassigned Medicare billing, Hawaii enrollment
  • 94 clinicians in this Medicare group
Multi-Specialty
3-3420 KUHIO HWY, SUITE B
Lihue, HI 96766
  • Reassigned Medicare billing, Hawaii enrollment
  • 298 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

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

Wilcox Memorial Hospital

Acute Care Hospitals · Lihue, HI
2/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number120014
Location3-3420 Kuhio HighwayLihue, HI 96766 · Kauai County
Emergency services Birthing friendly

Kauai Veterans Memorial Hospital

Critical Access Hospitals · Waimea, HI
OwnershipGovernment - State
CMS Certification Number121300
Location4643 Waimea Canyon DriveWaimea, HI 96796 · Kauai County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96796 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
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$105.65 typical visit price
range $20.09 – $147.56
Typical copayment $26.41 (range $5.02 – $36.89)
Most-billed visit code 99214
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.

61.05/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality29.19
Promoting Interoperability100
Improvement Activities40

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 Amy Guyton's NPI number?

The NPI number for Amy Guyton is 1033640297. It was assigned to this individual provider in the NPPES registry on March 21, 2017. The provider is also known as Amy Rogers M.D..

Where is Amy Guyton located?

Amy Guyton practices at 4643 Waimea Canyton Dr., Waimea, HI 96796. The listed phone number is (808) 338-9431.

What is Amy Guyton's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Amy Guyton enrolled in Medicare?

Yes. Amy Guyton 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.

Which organizations bill Medicare for Amy Guyton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Guyton reassigns Medicare benefits to 2 organizations: Kauai Veterans Memorial Hospital (Waimea, HI) and Kauai Medical Clinic (Lihue, HI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Guyton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Guyton accept?

Health plans from HMSA list Amy Guyton 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 Amy Guyton affiliated with any hospitals?

According to CMS data, Amy Guyton is affiliated with Wilcox Memorial Hospital and Kauai Veterans Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Amy Guyton was last updated on April 30, 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.