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LORI M GUYTON M.D.
NPI 1295725752
Psychiatry & Neurology - Neurology in Herrin, IL

Active since October 26, 2005PECOS EnrolledAccepts Medicare Assignment
90.83/100
CMS Quality Rating
3301 LOGAN DR, HERRIN, IL 62948(618) 993-0444(618) 998-9302 Get Directions Write a Review

NPPES record last updated: September 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lori M Guyton M.d. NPPES

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

LORI M GUYTON M.D. (NPI 1295725752) is an individual neurology provider in Herrin, Illinois, licensed in Illinois (036094659) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Herrin Hospital, and is a graduate of Hahnemann University College Of Medicine (1993).

NPPES Registry Identity

NPI1295725752
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameLORI M GUYTONCredential: M.D.
Location Address3301 LOGAN DRHerrin, IL 62948-3732
Mailing Address3301 Logan DrHerrin, IL 62948-3732 · (618) 993-0444 · Fax (618) 998-9302
Phone(618) 993-0444
Fax(618) 998-9302
Sole ProprietorYes
Medical School CMSHahnemann University College Of MedicineGraduated 1993
Enumeration DateOctober 26, 2005
Last NPPES UpdateSeptember 10, 2014
✔ NPI 1295725752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in IL · 036094659
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
3301 LOGAN DR, Herrin, IL 62948
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified209571IL
Medicare UPINK08550IL
Medicaid036094659IL

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

Lori M Guyton 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 ID8527032705
PECOS Enrollment IDI20040826000168
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.

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.
401 services262 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.
242 services180 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
85 services52 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.
62 services47 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
42 services42 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.
42 services38 patients

Hospital Affiliations CMS Care Compare 5

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

Herrin Hospital

Acute Care Hospitals · Herrin, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140011
Location201 S 14th StHerrin, IL 62948 · Williamson County
Emergency services

Heartland Regional Medical Center

Acute Care Hospitals · Marion, IL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number140184
Location3333 W DeyoungMarion, IL 62959 · Williamson County
Emergency services

Harrisburg Medical Center

Acute Care Hospitals · Harrisburg, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140210
Location100 Doctor Warren Tuttle DrHarrisburg, IL 62946 · Saline County
Emergency services

Anna Hospital Corporation D/B/A Union County Hospital

Critical Access Hospitals · Anna, IL
OwnershipProprietary
CMS Certification Number141342
Location517 North Main StreetAnna, IL 62906 · Union County
Emergency services

Mercy Health - Lourdes Hospital

Acute Care Hospitals · Paducah, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180102
Location1530 Lone Oak RoadPaducah, KY 42003 · Mc Cracken County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62948 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
$127.46 typical visit price
range $54.80 – $168.44
Typical copayment $31.86 (range $13.70 – $42.11)
Most-billed visit code 99204
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

90.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality77.89
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
98%304 patients5/55-star benchmark: 93%
Cervical Cancer Screening
97%228 patients4/55-star benchmark: 98%
Colorectal Cancer Screening
98%585 patients5/55-star benchmark: 88%
Controlling High Blood Pressure
62%349 patients3/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%92 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
76%1,282 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%615 patients1/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
65%182 patients3/55-star benchmark: 91%
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

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

NEUROLOGY OF SOUTHERN ILLINOIS, LTD.
Psychiatry & Neurology (Neurology)
3301 LOGAN DR
HERRIN, IL 62948
Williamson County (618) 993-0444

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 Lori Guyton's NPI number?

The NPI number for Lori Guyton is 1295725752. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Where is Lori Guyton located?

Lori Guyton practices at 3301 Logan Dr, Herrin, IL 62948. The listed phone number is (618) 993-0444.

What is Lori Guyton's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Lori Guyton enrolled in Medicare?

Yes. Lori 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.

Is Lori Guyton affiliated with any hospitals?

According to CMS data, Lori Guyton is affiliated with Herrin Hospital, Heartland Regional Medical Center, Harrisburg Medical Center, Anna Hospital Corporation D/B/A Union County Hospital and Mercy Health - Lourdes Hospital.

When was this NPI record last updated?

The NPPES record for Lori Guyton was last updated on September 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.