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DR. NEAL H GUFFEY JR. M.D.
NPI 1184776155
Family Medicine in Sparta, NC

Active since January 18, 2007PECOS Enrolled
158 CHESTNUT GROVE CHURCH RD, SPARTA, NC 28675(800) 765-7130 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 8, 2023, Mar 18, 2020, Feb 23, 2019 and 1 more (4 updates tracked since 2016).

About Dr. Neal H Guffey Jr. M.d. NPPES

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

DR. NEAL H GUFFEY JR. M.D. (NPI 1184776155) is an individual family medicine provider in Sparta, North Carolina, licensed in North Carolina (9500489) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Haywood Regional Medical Center, and maintains a secondary practice location in Asheville.

NPPES Registry Identity

NPI1184776155
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. NEAL H GUFFEY JR.Credential: M.D.
Location Address158 CHESTNUT GROVE CHURCH RDSparta, NC 28675-9731
Mailing Address15 Yorkshire St, Suite 201Asheville, NC 28803-7783 · (828) 274-1600 · Fax (828) 274-1603
Phone(800) 765-7130
Sole ProprietorNo
Medical School CMSUniversity Of South Carolina School Of MedicineGraduated 1992
Enumeration DateJanuary 18, 2007
Last NPPES UpdateJune 8, 20234 updates tracked since enumeration
NPPES CertifiedJune 8, 2023
✔ NPI 1184776155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NC · 9500489
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License 9500489 (NC)
158 CHESTNUT GROVE CHURCH RD, Sparta, NC 28675
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Secondary Practice Location 1

Location 115 Yorkshire St, Suite 201Asheville, NC 28803-7783 · Phone (828) 274-1600 · Fax (828) 274-1603

Other Identifiers 1

Medicaid1184776155NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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. Neal H Guffey Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032141262
PECOS Enrollment IDI20050908000316
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 9

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
616 services109 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
505 services135 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
84 services78 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
62 services38 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
50 services13 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.
34 services15 patients

Hospital Affiliations CMS Care Compare

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

Haywood Regional Medical Center

Acute Care Hospitals · Clyde, NC
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number340184
Location262 Leroy George DriveClyde, NC 28721 · Haywood County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28675 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ALLEGHANY HOUSE LLC
Custodial Care Facility (Adult Care Home)
158 CHESTNUT GROVE CHURCH RD
SPARTA, NC 28675
Alleghany County (855) 561-8076
PARAGON OUTPATIENT REHABILITATION SERVICES, LLC
Clinic/Center (Rehabilitation)
158 CHESTNUT GROVE CHURCH RD
SPARTA, NC 28675
Alleghany County (336) 429-5934

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 Neal Guffey's NPI number?

The NPI number for Neal Guffey is 1184776155. It was assigned to this individual provider in the NPPES registry on January 18, 2007.

Where is Neal Guffey located?

Neal Guffey practices at 158 Chestnut Grove Church Rd, Sparta, NC 28675. The listed phone number is (800) 765-7130.

What is Neal Guffey's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Neal Guffey enrolled in Medicare?

Yes. Neal Guffey is registered in the Medicare PECOS enrollment system.

What insurance does Neal Guffey accept?

Health plans from Blue Cross and Blue Shield of NC list Neal Guffey 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 Neal Guffey affiliated with any hospitals?

According to CMS data, Neal Guffey is affiliated with Haywood Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Neal Guffey was last updated on June 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.