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

Q: 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.

Q: What is Guilherme Giusti's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Guilherme Giusti was last updated on February 28, 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.

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: October 18, 2026.

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

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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

Phone(904) 634-0640

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

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Secondary Practice Locations 11

Location 12627 Riverside Ave Ste 300Jacksonville, FL 32204-4717 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 210475 Centurion Pkwy N Ste 220Jacksonville, FL 32256-5004 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 32 Shircliff Way Ste 605Jacksonville, FL 32204-4762 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 415255 Max Legget Pkwy Ste 5300Jacksonville, FL 32218-7274 · Phone (904) 634-0604

Location 5232 Ponte Vedra Park DrPonte Vedra Beach, FL 32082-6600 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 61690 US Highway 1 S Ste FSt Augustine, FL 32084-6024 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 7216 Southpark Cir E Ste 216St Augustine, FL 32086-5135 · Phone (904) 634-0640 · Fax (904) 634-0203

Location 83055 County Road 210 W Ste 110St Johns, FL 32259-7001 · 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

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Cigna Healthcare, Cigna HealthCare of Florida, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Guilherme Giusti reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

North Florida Surgeons, PA

4.2 mi

Surgery

11945 SAN JOSE BLVD STE 300
Jacksonville, FL 32223

Reassigned Medicare billing, Florida enrollment
321 clinicians in this Medicare group

NPI 1912953290 (904) 396-1725

Southeast Orthopedic Specialists, LLC

10 mi

Orthopaedic Surgery

2627 RIVERSIDE AVE STE 300
Jacksonville, FL 32204

Reassigned Medicare billing, Florida enrollment
134 clinicians in this Medicare group

NPI 1629025820 (904) 634-0640

West Park Hospital District

1,744 mi

Emergency Medicine

PO BOX 143
Basin, WY 82410

Reassigned Medicare billing, Wyoming enrollment
Also billed through NPI 1366432197 (Wyoming)
181 clinicians in this Medicare group

NPI 1942921937 (307) 568-3700

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

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.

161 services161 patients

Injection into tendon or ligament 20550

An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.

157 services119 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

112 services112 patients

X-ray of elbow, 2 views 73070

An elbow X-ray, 2 views, is a quick, painless imaging test. It uses a small amount of radiation to produce detailed images of your elbow from two different angles. This helps in diagnosing conditions like fractures, infection, or arthritis. It's a safe and effective way to monitor your elbow health.

86 services56 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

51 services39 patients

Release and/or relocation of hand nerve 64721

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

49 services45 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

41 services36 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

35 services22 patients

X-ray of finger, minimum of 2 views 73140

An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.

18 services14 patients

Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device 25609

This treatment involves repairing multiple fractures in the lower forearm near the thumb side of the wrist. A device is placed to stabilize the area, promoting proper healing. This procedure helps restore function and minimize discomfort.

15 services15 patients

Injection of carpal tunnel 20526

An injection for carpal tunnel is a treatment to reduce inflammation and swelling in your wrist, which can alleviate pain and numbness. The doctor injects a steroid medication into your wrist area to provide relief.

13 services11 patients

Mri scan of arm joint without contrast 73221

An MRI scan of the arm joint is a non-invasive imaging procedure that uses magnetic fields and radio waves to create detailed images of the structures within your arm joint. No contrast dye is used in this process. It helps to diagnose or monitor conditions like arthritis, injuries, or infections.

12 services12 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

11 services11 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

Quality

73.75

Promoting Interoperability

100

Improvement Activities

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.

DR. SHAUN PAUL JANSE VAN RENSBURG D.C.

Chiropractor