DR. JACK L GUCCIONE M.D., MPH
NPI 1174529010
Specialist in Fortuna, CA

Active since June 24, 2005
2404 NEWBURG RD, FORTUNA, CA 95540(707) 725-8770(707) 725-8773 Get Directions Write a Review

NPPES record last updated: October 25, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jack L Guccione M.d., Mph NPPES

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

DR. JACK L GUCCIONE M.D., MPH (NPI 1174529010) is an individual specialist in Fortuna, California, licensed in California (G66333) and active in the NPI registry since June 2005.

NPPES Registry Identity

NPI1174529010
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. JACK L GUCCIONECredential: M.D., MPH
Location Address2404 NEWBURG RDFortuna, CA 95540-2818
Mailing Address2404 Newburg RdFortuna, CA 95540-2818 · (707) 725-8770 · Fax (707) 725-8773
Fax(707) 725-8773
Sole ProprietorYes
Enumeration DateJune 24, 2005
Last NPPES UpdateOctober 25, 2007
NPI 1174529010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in CA · G66333
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2404 NEWBURG RD, Fortuna, CA 95540

Other Identifiers 2

Medicare PIN00G663330CA
Medicare UPINF15236CA

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

Biopsy Follow-Up
Percentage of new patients whose biopsy results have been reviewed and communicated to the primary care/referring physician and patient by the performing physician
100%35 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
12%311 patients1/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
100%311 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
80%265 patients4/55-star benchmark: 100%
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…
28%243 patients2/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
80%265 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.

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.

Clinic/Center (Rural Health)
2404 NEWBURG RD
FORTUNA, CA 95540
Specialist
2404 NEWBURG RD
FORTUNA, CA 95540

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 Jack Guccione's NPI number?

The NPI number for Jack Guccione is 1174529010. It was assigned to this individual provider in the NPPES registry on June 24, 2005.

Where is Jack Guccione located?

Jack Guccione practices at 2404 Newburg Rd, Fortuna, CA 95540. The listed phone number is (707) 725-8770.

What is Jack Guccione's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jack Guccione was last updated on October 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.