DR. MICHAEL S GUSS M.D.
NPI 1063773711
Orthopaedic Surgery in Newton, MA

Q: What is Michael Guss's NPI number?

The NPI number for Michael Guss is 1063773711. It was assigned to this individual provider in the NPPES registry on May 30, 2012.

Q: What is Michael Guss's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Guss was last updated on December 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since May 30, 2012PECOS EnrolledAccepts Medicare Assignment

159 WELLS AVE STE 500, NEWTON, MA 02459(617) 965-4263 Get Directions Write a Review

NPPES record last updated: December 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 20, 2024, Jun 19, 2023, Oct 9, 2018 (3 updates tracked since 2018).

On this page

About Dr. Michael S Guss M.d. NPPES

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

DR. MICHAEL S GUSS M.D. (NPI 1063773711) is an individual orthopaedic surgery provider in Newton, Massachusetts, licensed in Massachusetts (275406) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Massachusetts General Hospital, and is a graduate of New York University School Of Medicine (2012).

NPPES Registry Identity

NPI1063773711

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameDR. MICHAEL S GUSSCredential: M.D.

Location Address159 WELLS AVE STE 500Newton, MA 02459-3301

Mailing Address159 Wells Ave Ste 500Newton, MA 02459-3301 · (617) 965-4263

Phone(617) 965-4263

Sole ProprietorNo

Medical School CMSNew York University School Of MedicineGraduated 2012

Enumeration DateMay 30, 2012

Last NPPES UpdateDecember 20, 20243 updates tracked since enumeration

NPPES CertifiedDecember 20, 2024

✔ NPI 1063773711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in MA · 275406

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X · License 275406 (MA)

159 WELLS AVE STE 500, Newton, MA 02459

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Dr. Michael S Guss 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 ID840568721

PECOS Enrollment IDI20180821002012

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

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

Mass General Brigham Medical Group Suburban Massachusetts Inc

3.7 mi

Family Medicine

2014 WASHINGTON STREET
Newton, MA 02462

Reassigned Medicare billing, Massachusetts enrollment
992 clinicians in this Medicare group

NPI 1538191218 (617) 243-6262

Boston Hand To Shoulder PC

3.7 mi

Hand Surgery

2000 WASHINGTON ST, SUITE 563
Newton, MA 02462

Reassigned Medicare billing, Massachusetts enrollment
6 clinicians in this Medicare group

NPI 1225194509 (617) 965-4263

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 25

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

861 services236 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

296 services215 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

183 services183 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 services137 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

138 services101 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

136 services117 patients

Aspiration and/or injection of fluid from medium joint using ultrasound guidance 20606

This is a procedure where a needle is guided by ultrasound into a medium-sized joint, like a knee or shoulder. The needle can be used to remove fluid, which can relieve pressure and pain, or to inject medication to help with inflammation and discomfort.

118 services90 patients

X-ray of hand, 2 views 73120

An X-ray of the hand, 2 views, is a non-invasive imaging test that uses a small amount of radiation to produce pictures of the bones in your hand. Two different angles are captured to provide a comprehensive view. This helps in diagnosing injuries or conditions affecting your hand.

109 services65 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

108 services108 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

71 services51 patients

X-ray of shoulder, minimum of 2 views 73030

An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.

63 services59 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

62 services48 patients

X-ray of hand, minimum of 3 views 73130

An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.

58 services45 patients

X-ray of finger, minimum of 2 views 73140

An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.

52 services42 patients

Release of wrist ligament using an endoscope 29848

This procedure involves using a small camera, called an endoscope, to view and treat a tight wrist ligament. The endoscope is inserted through a tiny incision, reducing recovery time and scarring. It helps to relieve pain and improve wrist function.

44 services40 patients

Aspiration and/or injection of fluid from small joint using ultrasound guidance 20604

This procedure involves using ultrasound to accurately locate a small joint. A needle is then carefully inserted to remove fluid (aspiration) or inject medication. This can help diagnose or treat joint issues. It's generally safe and minimally invasive.

26 services23 patients

Cast supplies, short arm cast, adult (11 years +), fiberglass Q4010

A short arm cast, made from fiberglass, is often used for fractures or injuries to the wrist or forearm in adults and children over 11. It's lightweight, durable, and can be molded to fit your arm comfortably. This cast allows for limited movement while ensuring proper healing.

25 services21 patients

Injection into tendon at attachment to bone or muscle 20551

This procedure involves injecting medicine into a tendon where it attaches to bone or muscle. It's done to alleviate pain or inflammation. The injection may contain a local anesthetic or a corticosteroid to reduce swelling. It's a common treatment for various orthopedic conditions.

17 services13 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

17 services17 patients

X-ray of elbow, minimum of 3 views 73080

An elbow X-ray with a minimum of 3 views is a non-invasive imaging test. It helps visualize the bones of the elbow from different angles. This aids in diagnosing conditions like fractures or arthritis. The procedure is quick, painless, and usually takes around 15 minutes.

15 services13 patients

Lengthening or shortening of tendon of forearm and/or wrist 25280

This procedure adjusts the length of tendons in your forearm or wrist to improve movement. By lengthening, it eases tightness, and by shortening, it adds strength. It's usually done to correct deformities or enhance function after injury.

14 services14 patients

Injection of carpal tunnel 20526

An injection for carpal tunnel is a treatment to reduce inflammation and swelling in your wrist, which can alleviate pain and numbness. The doctor injects a steroid medication into your wrist area to provide relief.

13 services13 patients

Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device 25609

This treatment involves repairing multiple fractures in the lower forearm near the thumb side of the wrist. A device is placed to stabilize the area, promoting proper healing. This procedure helps restore function and minimize discomfort.

13 services13 patients

Application of elbow to finger cast 29075

An elbow to finger cast is applied to immobilize the arm from the elbow down to the fingers. This aids in healing fractures or severe sprains. The cast, made from plaster or fiberglass, wraps around the arm, providing support and limiting movement to promote recovery.

12 services11 patients

Application of nonmoveable forearm to hand splint 29125

The application of a non-moveable forearm to hand splint is a procedure where a rigid support is placed on your forearm and hand. This is done to stabilize the area, promote healing, and prevent further injury. It restricts movement, providing rest to the injured part.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Massachusetts General Hospital

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220071

Location55 Fruit StreetBoston, MA 02114 · Suffolk County

Emergency services Birthing friendly

Newton-Wellesley Hospital

Acute Care Hospitals · Newton, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220101

Location2014 Washington StreetNewton, MA 02462 · Middlesex County

Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220110

Location75 Francis StreetBoston, MA 02115 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02459 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$78.84 typical visit price

range $21.07 – $155.29

Typical copayment $19.71 (range $5.26 – $38.82)

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.

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908

DME-Orthotic Devices · category DF000N

1 supplier45 claims49 services$58.53 avg. paid by Medicare

Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf L3924

DME-Orthotic Devices · category DF000N

1 supplier53 claims65 services$80.24 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

GRIFFIN HUNTER BOEDICKER

Physician Assistant (Surgical)

159 WELLS AVE STE 500
NEWTON, MA 02459

Middlesex County (617) 965-4263

DR. KERRI LYNNE REID BRIDENHAGEN OTR/L, CHT

Occupational Therapist (Hand)

159 WELLS AVE STE 500
NEWTON, MA 02459

Middlesex County (617) 965-4263

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 Michael Guss's NPI number?

The NPI number for Michael Guss is 1063773711. It was assigned to this individual provider in the NPPES registry on May 30, 2012.

Where is Michael Guss located?

Michael Guss practices at 159 Wells Ave Ste 500, Newton, MA 02459. The listed phone number is (617) 965-4263.

What is Michael Guss's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Michael Guss enrolled in Medicare?

Yes. Michael Guss 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 Michael Guss's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Guss reassigns Medicare benefits to 2 organizations: Mass General Brigham Medical Group Suburban Massachusetts Inc (Newton, MA) and Boston Hand To Shoulder PC (Newton, MA). 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 Michael Guss's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Guss accept?

Health plans from Anthem Blue Cross and Blue Shield list Michael Guss 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 Michael Guss affiliated with any hospitals?

According to CMS data, Michael Guss is affiliated with Massachusetts General Hospital, Newton-Wellesley Hospital and Brigham And Women's Hospital.

When was this NPI record last updated?

The NPPES record for Michael Guss was last updated on December 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.