DR. BENJAMIN F GUINEY JR. M.D.
NPI 1376693317
Family Medicine in Cherokee, NC
About Dr. Benjamin F Guiney Jr. M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. BENJAMIN F GUINEY JR. M.D. (NPI 1376693317) is an individual family medicine provider in Cherokee, North Carolina, licensed in North Carolina (2014-00119) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Harris Regional Hospital, and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Benjamin F Guiney 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.
Medicare Billing Reassignments
7Medicare enrollment records show Benjamin Guiney reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Cherokee, NC 28719
- Reassigned Medicare billing, Texas enrollment
- 161 clinicians in this Medicare group
Bryson City, NC 28713
- Reassigned Medicare billing, North Carolina enrollment
- 24 clinicians in this Medicare group
Sylva, NC 28779
- Reassigned Medicare billing, North Carolina enrollment
- 456 clinicians in this Medicare group
Sylva, NC 28779
- Reassigned Medicare billing, North Carolina enrollment
- 34 clinicians in this Medicare group
Murphy, NC 28906
- Reassigned Medicare billing, North Carolina enrollment
- 88 clinicians in this Medicare group
Monroe, GA 30655
- Reassigned Medicare billing, North Carolina enrollment
- 511 clinicians in this Medicare group
Maysville, KY 41056
- Reassigned Medicare billing, North Carolina enrollment
- 51 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Harris Regional Hospital
Acute Care Hospitals · Sylva, NCCherokee Indian Hospital Authority
Acute Care Hospitals · Cherokee, NCDlp Swain County Hospital LLC
Critical Access Hospitals · Bryson City, NCErlanger Murphy Medical Center
Critical Access Hospitals · Murphy, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28719 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
CHEROKEE, NC 28719
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 Benjamin Guiney's NPI number?
The NPI number for Benjamin Guiney is 1376693317. It was assigned to this individual provider in the NPPES registry on January 11, 2007.
Where is Benjamin Guiney located?
Benjamin Guiney practices at 1 Hospital Rd, Cherokee, NC 28719. The listed phone number is (828) 497-9163.
What is Benjamin Guiney's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Benjamin Guiney enrolled in Medicare?
Yes. Benjamin Guiney 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.
Which organizations bill Medicare for Benjamin Guiney's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Guiney reassigns Medicare benefits to 7 organizations: Cherokee Indian Hospital Authority (Cherokee, NC), Swain Integrated Services, PC (Bryson City, NC), Dlp Western Carolina Physician Practices LLC (Sylva, NC), Sylva Emergency Group LLC (Sylva, NC), Murphy Emergency Physicians, PLLC (Murphy, NC) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Benjamin Guiney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Benjamin Guiney accept?
Health plans from Oscar Health, Oscar Health Plan of North Carolina, Inc and Oscar Insurance Company list Benjamin Guiney 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 Benjamin Guiney affiliated with any hospitals?
According to CMS data, Benjamin Guiney is affiliated with Harris Regional Hospital, Cherokee Indian Hospital Authority, Dlp Swain County Hospital LLC and Erlanger Murphy Medical Center.
When was this NPI record last updated?
The NPPES record for Benjamin Guiney was last updated on December 30, 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.
# Dr. Benjamin F Guiney Jr., M.D. · NPI 1376693317
Family Medicine physician in Cherokee, North Carolina. Individual provider, active in the CMS NPPES registry since January 11, 2007.
## Identity
- **NPI:** 1376693317 (Entity type: Individual)
- **Enumerated:** January 11, 2007
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 2014-00119 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 HOSPITAL RD, Cherokee, NC 28719
- **Phone:** (828) 497-9163
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Cherokee Indian Hospital Authority (NPI 1396119616, Cherokee, NC); Swain Integrated Services, PC (NPI 1043752363, Bryson City, NC); Dlp Western Carolina Physician Practices LLC (NPI 1316718497, Sylva, NC); Sylva Emergency Group LLC (NPI 1669808143, Sylva, NC); Murphy Emergency Physicians, PLLC (NPI 1053808378, Murphy, NC); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** December 30, 2014
- **Other identifiers:** Medicaid 1780614008 (AZ); Medicaid 1629236716 (AZ); Medicaid 1295993376 (AZ); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1376693317) · Data from the CMS NPPES public registry.