BRETT J. GUINN MD
NPI 1083683783
Surgery in Lagrange, IN

Active since March 15, 2006PECOS EnrolledAccepts Medicare Assignment
87.95/100
CMS Quality Rating
207 N TOWNLINE RD STE 101, LAGRANGE, IN 46761(260) 463-9335(260) 463-9334 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 4, 2024, Sep 30, 2024, Sep 23, 2020 and 1 more (4 updates tracked since 2015).

About Brett J. Guinn Md NPPES

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

BRETT J. GUINN MD (NPI 1083683783) is an individual surgery provider in Lagrange, Indiana, licensed in Indiana (01051358A) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and is a graduate of Washington University School Of Medicine (1994).

NPPES Registry Identity

NPI1083683783
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameBRETT J. GUINNCredential: MD
Location Address207 N TOWNLINE RD STE 101Lagrange, IN 46761-1325
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Fax(260) 463-9334
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 1994
Enumeration DateMarch 15, 2006
Last NPPES UpdateNovember 4, 20244 updates tracked since enumeration
NPPES CertifiedNovember 4, 2024
NPI 1083683783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in IN · 01051358A
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
207 N TOWNLINE RD STE 101, Lagrange, IN 46761

Other Identifiers 1

Medicaid200242270IN

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

Brett J. Guinn 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 ID3375541568
PECOS Enrollment IDI20061122000455
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.

Hospital Affiliations CMS Care Compare 4

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

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Parkview Dekalb Hospital

Acute Care Hospitals · Auburn, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150045
Location1316 E Seventh StAuburn, IN 46706 · De Kalb County
Emergency services Birthing friendly

Parkview Noble Hospital

Acute Care Hospitals · Kendallville, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150146
Location401 Sawyer RdKendallville, IN 46755 · Noble County
Emergency services Birthing friendly

Parkview Lagrange Hospital

Critical Access Hospitals · Lagrange, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151323
Location207 N Townline RdLagrange, IN 46761 · Lagrange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46761 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
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.

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.

87.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.04
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

Surgery
207 N TOWNLINE RD STE 101
LAGRANGE, IN 46761
Surgery
207 N TOWNLINE RD STE 101
LAGRANGE, IN 46761
Surgery
207 N TOWNLINE RD STE 101
LAGRANGE, IN 46761
Surgery
207 N TOWNLINE RD STE 101
LAGRANGE, IN 46761

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 Brett Guinn's NPI number?

The NPI number for Brett Guinn is 1083683783. It was assigned to this individual provider in the NPPES registry on March 15, 2006.

Where is Brett Guinn located?

Brett Guinn practices at 207 N Townline Rd Ste 101, Lagrange, IN 46761. The listed phone number is (260) 463-9335.

What is Brett Guinn's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Brett Guinn enrolled in Medicare?

Yes. Brett Guinn 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.

What insurance does Brett Guinn accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Brett Guinn 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 Brett Guinn affiliated with any hospitals?

According to CMS data, Brett Guinn is affiliated with Parkview Regional Medical Center, Parkview Dekalb Hospital, Parkview Noble Hospital and Parkview Lagrange Hospital.

When was this NPI record last updated?

The NPPES record for Brett Guinn was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.