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YOANY GUIA MD
NPI 1104275973
General Practice in Ocala, FL

Active since June 12, 2016PECOS EnrolledAccepts Medicare Assignment
8599 SW HIGHWAY 200, OCALA, FL 34481(352) 861-0043(352) 861-8750 Get Directions Write a Review

NPPES record last updated: February 24, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Yoany Guia Md NPPES

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

YOANY GUIA MD (NPI 1104275973) is an individual general practice provider in Ocala, Florida, licensed in Florida (ACN887) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Ocala, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1104275973
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameYOANY GUIACredential: MD
Location Address8599 SW HIGHWAY 200Ocala, FL 34481-7729
Mailing Address8599 Sw Highway 200Ocala, FL 34481-7729 · (352) 861-0043 · Fax (352) 861-8750
Phone(352) 861-0043
Fax(352) 861-8750
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateJune 12, 2016
Last NPPES UpdateFebruary 24, 2017
✔ NPI 1104275973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ACN887
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
8599 SW HIGHWAY 200, Ocala, FL 34481
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.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

Yoany Guia 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 ID6507142676
PECOS Enrollment IDI20170404002819
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 11

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.

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.
439 services149 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
263 services65 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
91 services91 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
91 services91 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
33 services27 patients
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) G0506
This service involves a thorough evaluation of patients needing ongoing care for chronic conditions. It includes creating a tailored care plan, coordinating with healthcare providers, and monitoring progress regularly. The goal is to provide optimal, personalized care for your long-term health needs.
27 services27 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Ocala

Acute Care Hospitals · Ocala, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100062
Location1500 SW 1st AveOcala, FL 34474 · Marion County
Emergency services Birthing friendly

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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
99%186 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers23 claims75 services$6.23 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers16 claims27 services$1.12 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers24 claims24 services$29.30 avg. paid by Medicare
Heavy duty wheelchair K0006
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$48.99 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers37 claims37 services$194.04 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 4

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

LARAS CHRONIC MEDICAL CARE LLC
Internal Medicine
8599 SW HIGHWAY 200
OCALA, FL 34481
Marion County (352) 861-0043
DR. CARLOS ENRIQUE LARA MD
Family Medicine
8599 SW HIGHWAY 200
OCALA, FL 34481
Marion County (352) 861-0043
DR. ANDREW D POGIATZIS MD
Family Medicine
8599 SW HIGHWAY 200
OCALA, FL 34481
Marion County (352) 861-0043
WEST MARION FAMILY PRACTICE PA
Family Medicine
8599 SW HIGHWAY 200
OCALA, FL 34481
Marion County (352) 861-0043

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 Yoany Guia's NPI number?

The NPI number for Yoany Guia is 1104275973. It was assigned to this individual provider in the NPPES registry on June 12, 2016.

Where is Yoany Guia located?

Yoany Guia practices at 8599 SW Highway 200, Ocala, FL 34481. The listed phone number is (352) 861-0043.

What is Yoany Guia's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Yoany Guia enrolled in Medicare?

Yes. Yoany Guia 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 Yoany Guia accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Yoany Guia 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 Yoany Guia affiliated with any hospitals?

According to CMS data, Yoany Guia is affiliated with Adventhealth Ocala.

When was this NPI record last updated?

The NPPES record for Yoany Guia was last updated on February 24, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.