COURTNEY SUE GUILFOYLE FNP-C
NPI 1083151013
Nurse Practitioner in Hillsboro, OH

Active since January 29, 2017PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1275 N HIGH ST, HILLSBORO, OH 45133(937) 393-6100 Get Directions Write a Review

NPPES record last updated: January 29, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Courtney Sue Guilfoyle Fnp-c NPPES

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

COURTNEY SUE GUILFOYLE FNP-C (NPI 1083151013) is an individual nurse practitioner in Hillsboro, Ohio, licensed in Ohio (360613) and active in the NPI registry since January 2017. She is enrolled in Medicare PECOS, is affiliated with Highland District Hospital, and is a graduate of University Of Cincinnati College Of Medicine (2016).

NPPES Registry Identity

NPI1083151013
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameCOURTNEY SUE GUILFOYLECredential: FNP-C
Location Address1275 N HIGH STHillsboro, OH 45133-8273
Mailing Address2829 Shoemaker RdLebanon, OH 45036-9436 · (513) 404-3310
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2016
Enumeration DateJanuary 29, 2017
NPI 1083151013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in OH · 360613
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 360613 (OH)
1275 N HIGH ST, Hillsboro, OH 45133

Accepted 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

Courtney Sue Guilfoyle Fnp-c 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 ID840574703
PECOS Enrollment IDI20170221002876
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 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 30-39 minutes 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.
201 services64 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
113 services53 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
103 services52 patients

Hospital Affiliations CMS Care Compare

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

Highland District Hospital

Critical Access Hospitals · Hillsboro, OH
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number361332
Location1275 North High StreetHillsboro, OH 45133 · Highland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45133 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost77.26

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.

Radiology (Diagnostic Radiology)
1275 N HIGH ST
HILLSBORO, OH 45133
Radiology (Diagnostic Radiology)
1275 N HIGH ST
HILLSBORO, OH 45133
Emergency Medicine
1275 N HIGH ST
HILLSBORO, OH 45133
Emergency Medicine
1275 N HIGH ST
HILLSBORO, OH 45133
Nurse Anesthetist, Certified Registered
1275 N HIGH ST
HILLSBORO, OH 45133
Internal Medicine
1275 N HIGH ST
HILLSBORO, OH 45133
Physician Assistant
1275 N HIGH ST
HILLSBORO, OH 45133
Internal Medicine
1275 N HIGH ST
HILLSBORO, OH 45133

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1083151013, enumerated as an "individual" on January 29, 2017.

The provider is located at 1275 N HIGH ST HILLSBORO, OH 45133 and the phone number is (937) 393-6100.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: CareSource, Molina Healthcare and UnitedHealthcare. Please consult your insurance carrier or call the provider to verify.

Courtney Guilfoyle is affiliated with: HIGHLAND DISTRICT HOSPITAL.