GUILHERME GIUSTI MD
NPI 1174903884
Orthopaedic Surgery - Hand Surgery in Orange Park, FL

Active since June 08, 2015PECOS EnrolledAccepts Medicare Assignment
85.56/100
CMS Quality Rating
2300 PARK AVE STE 206, ORANGE PARK, FL 32073(904) 634-0640(904) 634-0203 Get Directions Write a Review

NPPES record last updated: February 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 6, 2023, May 10, 2023, May 4, 2023 and 5 more (8 updates tracked since 2019).

About Guilherme Giusti Md NPPES

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

GUILHERME GIUSTI MD (NPI 1174903884) is an individual hand surgery provider in Orange Park, Florida, licensed in Florida (ME152790) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Memorial Hospital, and maintains 11 additional practice locations.

NPPES Registry Identity

NPI1174903884
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameGUILHERME GIUSTICredential: MD
Location Address2300 PARK AVE STE 206Orange Park, FL 32073-5573
Mailing Address6800 Southpoint Pkwy Ste 300Jacksonville, FL 32216-8203 · (904) 634-0604
Fax(904) 634-0203
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateJune 8, 2015
Last NPPES UpdateFebruary 28, 20248 updates tracked since enumeration
NPPES CertifiedFebruary 28, 2024
NPI 1174903884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in FL · ME152790
Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License ME152790 (FL)
Also ListedSurgery · Surgery of the HandTaxonomy 2086S0105X · License 58935 (MN), 65366 (WI)
2300 PARK AVE STE 206, Orange Park, FL 32073

Secondary Practice Locations 11

Location 115255 Max Legget Pkwy Ste 5300Jacksonville, FL 32218-7274 · Phone (904) 634-0604
Location 2232 Ponte Vedra Park DrPonte Vedra Beach, FL 32082-6600 · Phone (904) 634-0640 · Fax (904) 634-0203
Location 310475 Centurion Pkwy N Ste 220Jacksonville, FL 32256-5004 · Phone (904) 634-0640 · Fax (904) 634-0203
Location 42 Shircliff Way Ste 605Jacksonville, FL 32204-4762 · Phone (904) 634-0640 · Fax (904) 634-0203
Location 52627 Riverside Ave Ste 300Jacksonville, FL 32204-4717 · Phone (904) 634-0640 · Fax (904) 634-0203
Location 63055 County Road 210 W Ste 110St Johns, FL 32259-7001 · Phone (904) 634-0640 · Fax (904) 634-0203
Location 71690 US Highway 1 S Ste FSt Augustine, FL 32084-6024 · Phone (904) 634-0640 · Fax (904) 634-0203
Location 8216 Southpark Cir E Ste 216St Augustine, FL 32086-5135 · Phone (904) 634-0640 · Fax (904) 634-0203
Location 94268 Oldfield Crossing Dr Ste 201Jacksonville, FL 32223-8800 · Phone (904) 634-0640 · Fax (904) 634-0203
Location 102300 Park Ave Ste 206Orange Park, FL 32073-5573 · Phone (904) 634-0640 · Fax (904) 634-0203
Location 114565 US Highway 17 Ste 200Fleming Island, FL 32003-4823 · Phone (904) 634-0640 · Fax (904) 634-0203

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

Guilherme Giusti 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 ID6406167410
PECOS Enrollment IDI20210923002030
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 19

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
1,700 services246 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
395 services279 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.
374 services243 patients
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.
232 services190 patients
Aspiration and/or injection of fluid from small joint 20600
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
227 services108 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
179 services99 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Florida Memorial Hospital

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100179
Location3625 University Blvd SJacksonville, FL 32216 · Duval County
Emergency services Birthing friendly

Hca Florida Orange Park Hospital

Acute Care Hospitals · Orange Park, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100226
Location2001 Kingsley AveOrange Park, FL 32073 · Clay County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32073 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

85.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality73.75
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
52%388 patients3/55-star benchmark: 87%
Controlling High Blood Pressure
4%126 patients1/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
99%70 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%4,417 patients4/55-star benchmark: 100%
e-Prescribing
98%107 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
6%971 patients1/55-star benchmark: 100%
Osteoporosis Management in Women Who Had a Fracture
20%282 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
88%2,652 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%4,140 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 95% · 2,018 patients
Patients screened: 98% · 2,018 patients
71%228 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
97%1,631 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
10%574 patients1/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
89%110 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 1,038 patients
Patients totalRate: 2% · 1,042 patients
1%1,042 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 4

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

Wrist hand finger orthosis, without joint(s), prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise L3807
DME-Orthotic Devices · category DF000N
1 supplier17 claims17 services$175.21 avg. paid by Medicare
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type L3809
DME-Orthotic Devices · category DF000N
1 supplier24 claims24 services$167.65 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
2 suppliers96 claims102 services$45.20 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf L3924
DME-Orthotic Devices · category DF000N
3 suppliers41 claims45 services$63.30 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.

Chiropractor
2300 PARK AVE STE 206
ORANGE PARK, FL 32073
Podiatrist
2300 PARK AVE STE 206
ORANGE PARK, FL 32073
Physician Assistant
2300 PARK AVE STE 206
ORANGE PARK, FL 32073
Orthopaedic Surgery
2300 PARK AVE STE 206
ORANGE PARK, FL 32073
Non-Pharmacy Dispensing Site
2300 PARK AVE STE 206
ORANGE PARK, FL 32073
Physician Assistant
2300 PARK AVE STE 206
ORANGE PARK, FL 32073
Orthopaedic Surgery
2300 PARK AVE STE 206
ORANGE PARK, FL 32073
Physician Assistant
2300 PARK AVE STE 206
ORANGE PARK, FL 32073

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 Guilherme Giusti's NPI number?

The NPI number for Guilherme Giusti is 1174903884. It was assigned to this individual provider in the NPPES registry on June 8, 2015.

Where is Guilherme Giusti located?

Guilherme Giusti practices at 2300 Park Ave Ste 206, Orange Park, FL 32073. The listed phone number is (904) 634-0640.

What is Guilherme Giusti's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Guilherme Giusti enrolled in Medicare?

Yes. Guilherme Giusti 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 Guilherme Giusti accept?

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

According to CMS data, Guilherme Giusti is affiliated with Hca Florida Memorial Hospital and Hca Florida Orange Park Hospital.

When was this NPI record last updated?

The NPPES record for Guilherme Giusti was last updated on February 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.