DR. KENNETH JOSEPH GUTH M.D.
NPI 1194745281
Internal Medicine in Orchard Park, NY

Q: What is Kenneth Guth's NPI number?

The NPI number for Kenneth Guth is 1194745281. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Q: What is Kenneth Guth's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Guth was last updated on May 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 July 20, 2006PECOS EnrolledAccepts Medicare Assignment

4 CENTRE DR STE G, ORCHARD PARK, NY 14127(716) 740-1700(716) 740-1701 Get Directions Write a Review

NPPES record last updated: May 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Kenneth Joseph Guth M.d. NPPES

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

DR. KENNETH JOSEPH GUTH M.D. (NPI 1194745281) is an individual internal medicine provider in Orchard Park, New York, licensed in New York (177472) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Sisters Of Charity Hospital, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1194745281

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. KENNETH JOSEPH GUTHCredential: M.D.

Location Address4 CENTRE DR STE GOrchard Park, NY 14127-4117

Mailing Address4 Centre Dr Ste GOrchard Park, NY 14127-4117 · (716) 740-1700 · Fax (716) 740-1701

Phone(716) 740-1700

Fax(716) 740-1701

Sole ProprietorNo

Medical School CMSOtherGraduated 1985

Enumeration DateJuly 20, 2006

Last NPPES UpdateMay 28, 2024

NPPES CertifiedMay 28, 2024

✔ NPI 1194745281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 177472

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4 CENTRE DR STE G, Orchard Park, NY 14127

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Other Identifiers 1

Medicaid01143833NY

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

Dr. Kenneth Joseph Guth M.d. 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 ID7517923808

PECOS Enrollment IDI20041209000908

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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2190185

Kennethjguthmd PC · Orchard Park, NY

Expired · Aug 10, 2026

CLIA Number33D2190185

Laboratory TypePhysician Office

Certificate Effective DateAugust 11, 2024

Certificate Expiration DateAugust 10, 2026

Laboratory DirectorKenneth J. Guth

Laboratory Phone(716) 740-1700

Laboratory LocationKennethjguthmd PC4 Center Drive Suite G, Orchard Park, NY 14127

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims

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.

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.

40 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Sisters Of Charity Hospital

Acute Care Hospitals · Buffalo, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330078

Location2157 Main StreetBuffalo, NY 14214 · Erie County

Emergency services Birthing friendly

Mercy Hospital Of Buffalo

Acute Care Hospitals · Buffalo, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330279

Location565 Abbott RoadBuffalo, NY 14220 · Erie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14127 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

$126.40 typical visit price

range $54.87 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

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

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

57%100 patients3/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

56%103 patients3/55-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…

92%126 patients4/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen

97%69 patients4/55-star benchmark: 100%

Screening for Osteoporosis for Women Aged 65-85 Years of Age

Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis

35%31 patients2/55-star benchmark: 98%

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 8

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

DR. BRIAN MICHAEL COYNE PT, DPT

Physical Therapist