DEBRA A GUINN MD
NPI 1386627974
Obstetrics & Gynecology - Maternal & Fetal Medicine in Columbia, MO

Q: What is Debra Guinn's NPI number?

The NPI number for Debra Guinn is 1386627974. It was assigned to this individual provider in the NPPES registry on November 28, 2005.

Q: What is Debra Guinn's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Q: When was this NPI record last updated?

The NPPES record for Debra Guinn was last updated on September 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since November 28, 2005PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

402 N KEENE ST STE 406, COLUMBIA, MO 65201(573) 499-6041(573) 499-6091 Get Directions Write a Review

NPPES record last updated: September 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 14, 2022, Dec 4, 2019, Jun 13, 2017 (3 updates tracked since 2017).

On this page

About Debra A Guinn Md NPPES

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

DEBRA A GUINN MD (NPI 1386627974) is an individual maternal & fetal medicine provider in Columbia, Missouri, licensed in Missouri (2022007525) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hannibal, and is a graduate of Wayne State University School Of Medicine (1989).

NPPES Registry Identity

NPI1386627974

Entity TypeIndividualFemale

Primary Taxonomy207VM0101X

Provider Legal NameDEBRA A GUINNCredential: MD

Location Address402 N KEENE ST STE 406Columbia, MO 65201-8369

Mailing AddressPo Box 843966Kansas City, MO 64184-3966 · (573) 884-3300 · Fax (573) 884-0943

Phone(573) 499-6041

Fax(573) 499-6091

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 1989

Enumeration DateNovember 28, 2005

Last NPPES UpdateSeptember 14, 20223 updates tracked since enumeration

NPPES CertifiedSeptember 14, 2022

✔ NPI 1386627974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207VM0101X

Licenses✔ Licensed in MO · 2022007525✔ Licensed in MT · 25679

Definition

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.

402 N KEENE ST STE 406, Columbia, MO 65201

Open in Google Maps ↗

Secondary Practice Location 1

Location 16500 Hospital DrHannibal, MO 63401-6890 · Phone (573) 629-3517

Other Identifiers 1

Medicaid200107028MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., Oscar Insurance Company and more.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

Debra A Guinn 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 ID4486634672

PECOS Enrollment IDI20191106003418

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 65201 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

$121.96 typical visit price

range $52.28 – $161.24

Typical copayment $30.49 (range $13.07 – $40.31)

Most-billed visit code 99204

Established Patient

$65.71 typical visit price

range $16.30 – $131.05

Typical copayment $16.42 (range $4.07 – $32.76)

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

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 Debra Guinn's NPI number?

The NPI number for Debra Guinn is 1386627974. It was assigned to this individual provider in the NPPES registry on November 28, 2005.

Where is Debra Guinn located?

Debra Guinn practices at 402 N Keene St Ste 406, Columbia, MO 65201. The listed phone number is (573) 499-6041.

What is Debra Guinn's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Debra Guinn enrolled in Medicare?

Yes. Debra Guinn 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 Debra Guinn accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., Oscar Insurance Company and UnitedHealthcare list Debra Guinn 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 Debra Guinn was last updated on September 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.