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DR. RALPH T GUILD III MD
NPI 1245208438
Internal Medicine - Gastroenterology in Oklahoma City, OK

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment
71.66/100
CMS Quality Rating
825 NE 10TH ST, OUPB 2300, OKLAHOMA CITY, OK 73104(405) 271-5428(405) 271-5803 Get Directions Write a Review

NPPES record last updated: September 15, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ralph T Guild Iii Md NPPES

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

DR. RALPH T GUILD III MD (NPI 1245208438) is an individual gastroenterology provider in Oklahoma City, Oklahoma, licensed in Oklahoma (10690) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Oklahoma College Of Medicine (1974).

NPPES Registry Identity

NPI1245208438
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. RALPH T GUILD IIICredential: MD
Location Address825 NE 10TH ST, OUPB 2300Oklahoma City, OK 73104-5417
Mailing Address920 Sl Young Blvd, Wp 1345Oklahoma City, OK 73104-5033 · (405) 271-5428 · Fax (405) 271-5803
Phone(405) 271-5428
Fax(405) 271-5803
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 1974
Enumeration DateMarch 14, 2006
Last NPPES UpdateSeptember 15, 2010
✔ NPI 1245208438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in OK · 10690
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
825 NE 10TH ST, Oklahoma City, OK 73104
Open in Google Maps ↗

Other Identifiers 2

Medicare UPIND34736OK
Medicare PIN24R601836

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Medica, Mending Health.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. Ralph T Guild Iii 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 ID6002820065
PECOS Enrollment IDI20060128000055
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 8

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.

Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
41 services39 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.
33 services24 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
29 services25 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
25 services24 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
22 services18 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.
18 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73104 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

71.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality53.48
Promoting Interoperability100
Improvement Activities40
Cost52.07

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.

DR. BEVERLY JEAN TALBERT M.D.
Surgery
825 NE 10TH ST, OUPB5350
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4864
ANN V STEWART CNM
Advanced Practice Midwife
825 NE 10TH ST, OUPB3300
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-9494
DANIEL J CULKIN MD
Urology
825 NE 10TH ST, OUPB5400
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-6452
DR. SCOTT WALEN M.D., FRCSC
Otolaryngology (Plastic Surgery within the Head & Neck)
825 NE 10TH ST
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-1368
DR. RISHI THAKRAL MD
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
825 NE 10TH ST, OUPB 1C
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-2663
MARIE A BERNARD MD
Internal Medicine (Geriatric Medicine)
825 NE 10TH ST, OUPB 4400
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-3050
MS. TARA ROSE CHAVIS APRN-CNP, WHNP-BC
Nurse Practitioner (Women's Health)
825 NE 10TH ST, SUITE 3300
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5239
ELIZABETH J SYZEK MD
Radiology (Radiation Oncology)
825 NE 10TH ST, OUPB1430
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5641

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 Ralph Guild's NPI number?

The NPI number for Ralph Guild is 1245208438. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Ralph Guild located?

Ralph Guild practices at 825 NE 10th St Oupb 2300, Oklahoma City, OK 73104. The listed phone number is (405) 271-5428.

What is Ralph Guild's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Ralph Guild enrolled in Medicare?

Yes. Ralph Guild 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 Ralph Guild accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Medica and Mending Health list Ralph Guild 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 Ralph Guild was last updated on September 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.