DR. PATRICIA S GUISINGER DPM
NPI 1104862796
Podiatrist - Primary Podiatric Medicine in Holland, MI

Active since June 21, 2006PECOS Enrolled
84.37/100
CMS Quality Rating
388 GARDEN AVE, HOLLAND, MI 49424(616) 393-8886 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Patricia S Guisinger Dpm NPPES

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

DR. PATRICIA S GUISINGER DPM (NPI 1104862796) is an individual primary podiatric medicine provider in Holland, Michigan, licensed in Michigan (5901001739) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104862796
Entity TypeIndividualFemale
Primary Taxonomy213EP1101X
Provider Legal NameDR. PATRICIA S GUISINGERCredential: DPM
Location Address388 GARDEN AVEHolland, MI 49424-8998
Mailing Address2144 E Paris Ave Se Ste 100Grand Rapids, MI 49546-6117 · (616) 393-8886
Sole ProprietorYes
Enumeration DateJune 21, 2006
Last NPPES UpdateJanuary 17, 2024
NPPES CertifiedJanuary 17, 2024
NPI 1104862796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Primary Podiatric MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213EP1101X
License Licensed in MI · 5901001739
388 GARDEN AVE, Holland, MI 49424

Other Identifiers 4

Other4857010700MI · Bcbsm
Other480029237MI · Rrmedicare
Medicaid3516754MI
Medicaid3516763MI

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 (PECOS)

Dr. Patricia S Guisinger Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 8

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
51 services26 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
35 services27 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.
31 services24 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
26 services13 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
20 services13 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.
19 services19 patients

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.

84.37/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.75
Improvement Activities40

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.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier21 claims42 services$61.50 avg. paid by Medicare
For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5514
DME-Orthotic Devices · category DF000N
1 supplier20 claims120 services$37.44 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 9

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

Podiatrist
388 GARDEN AVE, SUITE 120
HOLLAND, MI 49424
Internal Medicine (Cardiovascular Disease)
388 GARDEN AVE
HOLLAND, MI 49424
Physical Therapist
388 GARDEN AVE, SUITE 130
HOLLAND, MI 49424
Counselor (Professional)
388 GARDEN AVE
HOLLAND, MI 49424
Physical Therapist
388 GARDEN AVE
HOLLAND, MI 49424
Physical Therapist
388 GARDEN AVE, SUITE 130
HOLLAND, MI 49424
Durable Medical Equipment & Medical Supplies
388 GARDEN AVE, SUITE 120
HOLLAND, MI 49424
Otolaryngology (Otolaryngic Allergy)
388 GARDEN AVE, STE 100
HOLLAND, MI 49424

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 Patricia Guisinger's NPI number?

The NPI number for Patricia Guisinger is 1104862796. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Patricia Guisinger located?

Patricia Guisinger practices at 388 Garden Ave, Holland, MI 49424. The listed phone number is (616) 393-8886.

What is Patricia Guisinger's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Primary Podiatric Medicine, with taxonomy code 213EP1101X.

Is Patricia Guisinger enrolled in Medicare?

Yes. Patricia Guisinger is registered in the Medicare PECOS enrollment system.

What insurance does Patricia Guisinger accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, McLaren Health Plan Community and Oscar Insurance Company list Patricia Guisinger 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 Patricia Guisinger was last updated on January 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.