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JOSEPH CASEY GUTHRIE MD
NPI 1053588376
Psychiatry & Neurology - Forensic Psychiatry in Sugar Grove, VA

Active since May 15, 2008PECOS EnrolledAccepts Medicare Assignment
142 RABBIT HILL LN, SUGAR GROVE, VA 24375(985) 514-5338(844) 901-1492 Get Directions Write a Review

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

Record update history: Mar 30, 2026, Nov 20, 2024, Oct 3, 2024 and 2 more (5 updates tracked since 2022).

About Joseph Casey Guthrie Md NPPES

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

JOSEPH CASEY GUTHRIE MD (NPI 1053588376) is an individual forensic psychiatry provider in Sugar Grove, Virginia, licensed in North Carolina (201701290) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1053588376
Entity TypeIndividualMale
Primary Taxonomy2084F0202X
Provider Legal NameJOSEPH CASEY GUTHRIECredential: MD
Location Address142 RABBIT HILL LNSugar Grove, VA 24375-3332
Mailing Address142 Rabbit Hill LnSugar Grove, VA 24375-3332 · (985) 514-5338 · Fax (844) 901-1492
Phone(985) 514-5338
Fax(844) 901-1492
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateMay 15, 2008
Last NPPES UpdateMarch 30, 20265 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
✔ NPI 1053588376 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Forensic PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084F0202X
Licenses✔ Licensed in NC · 201701290✔ Licensed in VA · 0101253718✔ Licensed in NJ · 25MA10027600
Definition
Forensic Psychiatry is a subspecialty with psychiatric focus on interrelationships with civil, criminal and administrative law, evaluation and specialized treatment of individuals involved with the legal system, incarcerated in jails, prisons, and forensic psychiatry hospitals.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License MD460157 (PA), 0101253718 (VA), 61041 (TN)
142 RABBIT HILL LN, Sugar Grove, VA 24375
Open in Google Maps ↗

Secondary Practice Locations 2

Location 120 Hospital Dr Ste 4Toms River, NJ 08755-6434 · Phone (732) 831-6094
Location 2123 S Chestnut St Ste 101Marion, VA 24354-3149 · Phone (276) 378-0164 · Fax (844) 901-1492

Other Identifiers 2

Medicaid05763LA
Other25MA10027600NJ · Nj Division Of Consumer Affairs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield and more.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

Joseph Casey Guthrie Md 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 ID3971748708
PECOS Enrollment IDI20130328000037, I20150424001939, I20250116001068, I20250325001285, I20260320002092, I20260320003052, I20260602001711, I20260716001223, I20260819000208, I20260911000630
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

8

Medicare enrollment records show Joseph Guthrie reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southwestern Virginia Mental Health Institute
6.5 mi
Hospitalist
340 BAGLEY CIRCLE
Marion, VA 24354
  • Reassigned Medicare billing, Virginia enrollment
  • 31 clinicians in this Medicare group
NPI 1912964347 (276) 783-1200
Joseph Casey Guthrie MD PLLC
6.8 mi
Psychiatry
123 S CHESTNUT ST STE 106
Marion, VA 24354
  • Reassigned Medicare billing, Virginia enrollment
NPI 1487403135 (276) 378-0164
Modern Psychiatry MD PC
318 mi
Neurology
120 SISTER PIERRE DR STE 406
Towson, MD 21204
  • Reassigned Medicare billing, Maryland enrollment
  • 2 clinicians in this Medicare group
NPI 1972441632 (410) 449-2995
Modern Psychiatry Nj PC
450 mi
Neurology
40 BEY LEA RD STE C101
Toms River, NJ 08753
  • Reassigned Medicare billing, New Jersey enrollment
  • 23 clinicians in this Medicare group
NPI 1093419475 (732) 831-6094
Modern Psychiatry, PA
557 mi
Mental Health (Including Community Mental Health Center)
365 WEKIVA SPRINGS RD STE 231
Longwood, FL 32779
  • Reassigned Medicare billing, Alabama, Kentucky, Maryland, Mississippi, North Carolina, Pennsylvania and Virginia enrollments
  • 3 clinicians in this Medicare group
NPI 1225725690 (845) 366-6115
Modern Psychiatry Al PC
573 mi
Mental Health (Including Community Mental Health Center)
1621 S UNIVERSITY BLVD STE A1
Mobile, AL 36609
  • Reassigned Medicare billing, Alabama enrollment
  • 2 clinicians in this Medicare group
NPI 1639015811 (732) 831-6094
Forefront Telecare Inc
916 mi
Psychiatry
1717 MAIN ST STE 5850
Dallas, TX 75201
  • Reassigned Medicare billing, Louisiana enrollment
  • 40 clinicians in this Medicare group
NPI 1174035612 (972) 449-0540
Forefront-Matteson Medical Services PC
916 mi
Psychiatry
1717 MAIN ST STE 5850
Dallas, TX 75201
  • Reassigned Medicare billing, North Carolina enrollment
  • 63 clinicians in this Medicare group
NPI 1659982551 (972) 449-0540

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

Areas of Expertise CMS Part B claims

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
161 services22 patients

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 Joseph Guthrie's NPI number?

The NPI number for Joseph Guthrie is 1053588376. It was assigned to this individual provider in the NPPES registry on May 15, 2008.

Where is Joseph Guthrie located?

Joseph Guthrie practices at 142 Rabbit Hill Ln, Sugar Grove, VA 24375. The listed phone number is (985) 514-5338.

What is Joseph Guthrie's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Forensic Psychiatry, with taxonomy code 2084F0202X.

Is Joseph Guthrie enrolled in Medicare?

Yes. Joseph Guthrie 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 Joseph Guthrie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joseph Guthrie reassigns Medicare benefits to 8 organizations: Southwestern Virginia Mental Health Institute (Marion, VA), Joseph Casey Guthrie MD PLLC (Marion, VA), Modern Psychiatry MD PC (Towson, MD), Modern Psychiatry Nj PC (Toms River, NJ), Modern Psychiatry, PA (Longwood, FL) and 3 more organizations, listed in the Medicare section above. 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 Joseph Guthrie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joseph Guthrie accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of NC and Cigna Healthcare and 3 other insurers list Joseph Guthrie 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.

When was this NPI record last updated?

The NPPES record for Joseph Guthrie was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.