1. Home
  2. Directory
  3. New Jersey
  4. Maplewood
  5. Family Medicine
  6. NPI Profile

DR. GUY ANTHONY FRANCIS MD
NPI 1376554378
Family Medicine in Maplewood, NJ

Active since August 11, 2006PECOS EnrolledAccepts Medicare Assignment
2130 MILLBURN AVE, STE C5, MAPLEWOOD, NJ 07040(973) 763-2555(973) 763-2558 Get Directions Write a Review

NPPES record last updated: January 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Guy Anthony Francis Md NPPES

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

DR. GUY ANTHONY FRANCIS MD (NPI 1376554378) is an individual family medicine provider in Maplewood, New Jersey, licensed in New Jersey (MA069818) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Rutgers New Jersey Medical School (1996).

NPPES Registry Identity

NPI1376554378
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GUY ANTHONY FRANCISCredential: MD
Location Address2130 MILLBURN AVE, STE C5Maplewood, NJ 07040-3747
Mailing Address2130 Millburn Ave, Ste C5Maplewood, NJ 07040-3747 · (973) 763-2555 · Fax (973) 763-2558
Phone(973) 763-2555
Fax(973) 763-2558
Sole ProprietorYes
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1996
Enumeration DateAugust 11, 2006
Last NPPES UpdateJanuary 3, 2019
✔ NPI 1376554378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · MA069818
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2130 MILLBURN AVE, Maplewood, NJ 07040
Open in Google Maps ↗

Other Identifiers 1

Medicaid8308004NJ

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. Guy Anthony Francis 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 ID2769489640
PECOS Enrollment IDI20061107000416
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 4

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
225 services77 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
117 services79 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.
44 services44 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
40 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07040 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
1 supplier11 claims330 services$8.47 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier31 claims31 services$184.31 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MR. MOSES MYERS JR. MS, LCADC,SAP
Counselor (Addiction (Substance Use Disorder))
2130 MILLBURN AVE, SUITE D1
MAPLEWOOD, NJ 07040
Essex County (908) 875-5123
AUNJULI A. HICKS LPC LIMITED LIABILITY COMPANY
Counselor (Mental Health)
2130 MILLBURN AVE, STE C8
MAPLEWOOD, NJ 07040
Essex County (908) 364-7611
MS. NATASHA NICKOLE MANNING PH.D., LPC
Counselor (Professional)
2130 MILLBURN AVE, SUITE D1
MAPLEWOOD, NJ 07040
Essex County (973) 536-7486
CLARA ALLISON
Massage Therapist
2130 MILLBURN AVE, SUITE C8 FLR C
MAPLEWOOD, NJ 07040
Essex County (973) 259-6966
DR. SEGUN V SIMON MD
Internal Medicine (Nephrology)
2130 MILLBURN AVE, SUITE C-3
MAPLEWOOD, NJ 07040
Essex County (973) 996-2727
JEFFREY TUCKER LCSW
Social Worker (Clinical)
2130 MILLBURN AVE
MAPLEWOOD, NJ 07040
Essex County (646) 382-7410
DR. WILLIAM EDGAR CARR LCSW
Social Worker (Clinical)
2130 MILLBURN AVE, D1
MAPLEWOOD, NJ 07040
Essex County (973) 592-1512
DR. SYLVIA S LEE M D
Allergy & Immunology (Allergy)
2130 MILLBURN AVE
MAPLEWOOD, NJ 07040
Essex County (973) 763-5787

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 Guy Francis's NPI number?

The NPI number for Guy Francis is 1376554378. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Guy Francis located?

Guy Francis practices at 2130 Millburn Ave Ste C5, Maplewood, NJ 07040. The listed phone number is (973) 763-2555.

What is Guy Francis's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Guy Francis enrolled in Medicare?

Yes. Guy Francis 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.

When was this NPI record last updated?

The NPPES record for Guy Francis was last updated on January 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.