DR. RODNEY LANE GUYTON JR. M.D.
NPI 1215357280
Plastic Surgery in Cincinnati, OH

Active since April 17, 2014PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
4030 SMITH RD STE 350, CINCINNATI, OH 45209(513) 791-4440 Get Directions Write a Review

NPPES record last updated: April 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 2, 2023, Mar 24, 2023 (2 updates tracked since 2023).

About Dr. Rodney Lane Guyton Jr. M.d. NPPES

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

DR. RODNEY LANE GUYTON JR. M.D. (NPI 1215357280) is an individual plastic surgery provider in Cincinnati, Ohio, licensed in Ohio (35.139628) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and is a graduate of Brody School Of Medicine At East Carolina University (2014).

NPPES Registry Identity

NPI1215357280
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NameDR. RODNEY LANE GUYTON JR.Credential: M.D.
Location Address4030 SMITH RD STE 350Cincinnati, OH 45209-1969
Mailing Address4030 Smith Rd Ste 350Cincinnati, OH 45209-1969 · (513) 791-4440 · Fax (513) 985-6615
Sole ProprietorNo
Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 2014
Enumeration DateApril 17, 2014
Last NPPES UpdateApril 2, 20232 updates tracked since enumeration
NPPES CertifiedApril 2, 2023
NPI 1215357280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in OH · 35.139628
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
4030 SMITH RD STE 350, Cincinnati, OH 45209

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

Dr. Rodney Lane Guyton Jr. 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 ID9830498732
PECOS Enrollment IDI20230911002550
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.

Hospital Affiliations CMS Care Compare

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

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45209 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

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.

Plastic Surgery
4030 SMITH RD STE 350
CINCINNATI, OH 45209
Specialist/Technologist (Athletic Trainer)
4030 SMITH RD STE 350
CINCINNATI, OH 45209

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 Rodney Guyton's NPI number?

The NPI number for Rodney Guyton is 1215357280. It was assigned to this individual provider in the NPPES registry on April 17, 2014.

Where is Rodney Guyton located?

Rodney Guyton practices at 4030 Smith Rd Ste 350, Cincinnati, OH 45209. The listed phone number is (513) 791-4440.

What is Rodney Guyton's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Rodney Guyton enrolled in Medicare?

Yes. Rodney Guyton 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 Rodney Guyton accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource and 1 other insurer list Rodney Guyton 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 Rodney Guyton affiliated with any hospitals?

According to CMS data, Rodney Guyton is affiliated with St Elizabeth Edgewood.

When was this NPI record last updated?

The NPPES record for Rodney Guyton was last updated on April 2, 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.