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DR. ROY GUSE M.D.
NPI 1215984356
Orthopaedic Surgery in Lufkin, TX

Active since May 27, 2006PECOS Enrolled
208 GASLIGHT BLVD, LUFKIN, TX 75904(936) 634-8800 Get Directions Write a Review

NPPES record last updated: May 15, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Roy Guse M.d. NPPES

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

DR. ROY GUSE M.D. (NPI 1215984356) is an individual orthopaedic surgery provider in Lufkin, Texas, licensed in Texas (G8605) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1215984356
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. ROY GUSECredential: M.D.
Location Address208 GASLIGHT BLVDLufkin, TX 75904-3166
Mailing Address208 Gaslight BlvdLufkin, TX 75904-3166 · (936) 634-8800
Phone(936) 634-8800
Sole ProprietorNo
Enumeration DateMay 27, 2006
Last NPPES UpdateMay 15, 2008
✔ NPI 1215984356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in TX · G8605
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
208 GASLIGHT BLVD, Lufkin, TX 75904
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Other Identifiers 4

Medicaid141629901TX
Medicare PIN00999NTX
Medicare UPINF37146TX
Medicare NSC1177000001TX

Accepted Insurance

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

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75904 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

Reported Quality Measures

Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
91%1,978 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%235 patients4/55-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…
95%834 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
96%353 patients5/55-star benchmark: 88%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 70% · 358 patients
Patients tobacco: 61% · 358 patients
6%33 patients1/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
19%967 patients1/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 1% · 545 patients
1%545 patients4/55-star benchmark: 100%
Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents
Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.
Patients nutrition: 81% · 27 patients
Patients physicalActivity: 93% · 27 patients
85%27 patients
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 20

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

J. DAN CARTER, M.D., P.A.
Orthopaedic Surgery
208 GASLIGHT BLVD
LUFKIN, TX 75904
Angelina County (936) 630-8800
JASON D CARTER MD
Orthopaedic Surgery
208 GASLIGHT BLVD
LUFKIN, TX 75904
Angelina County (936) 634-8800
KRISTOPHER BLAKE MCCALL MD
Orthopaedic Surgery
208 GASLIGHT BLVD
LUFKIN, TX 75904
Angelina County (936) 638-8004
DEREK W. HARPER PA
Physician Assistant
208 GASLIGHT BLVD, SUITE B
LUFKIN, TX 75904
Angelina County (936) 634-0062
SHELBY ELIZABETH BRYAN LVN, TS-C, FA
Specialist/Technologist, Other (Surgical Assistant)
208 GASLIGHT BLVD
LUFKIN, TX 75904
Angelina County (936) 630-8822
PETER WELLS ROSS M.D.
Orthopaedic Surgery
208 GASLIGHT BLVD
LUFKIN, TX 75904
Angelina County (936) 634-8800
JOHNATHAN FRED WILLIAMS M.D.
Orthopaedic Surgery (Orthopaedic Trauma)
208 GASLIGHT BLVD
LUFKIN, TX 75904
Angelina County (936) 634-8800
DR. DANIEL FUENTES D.O.
Orthopaedic Surgery
208 GASLIGHT BLVD
LUFKIN, TX 75904
Angelina County (936) 634-8800

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 Roy Guse's NPI number?

The NPI number for Roy Guse is 1215984356. It was assigned to this individual provider in the NPPES registry on May 27, 2006.

Where is Roy Guse located?

Roy Guse practices at 208 Gaslight Blvd, Lufkin, TX 75904. The listed phone number is (936) 634-8800.

What is Roy Guse's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Roy Guse enrolled in Medicare?

Yes. Roy Guse is registered in the Medicare PECOS enrollment system.

What insurance does Roy Guse accept?

Health plans from Blue Cross and Blue Shield of Texas list Roy Guse 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.

When was this NPI record last updated?

The NPPES record for Roy Guse was last updated on May 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.