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

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: October 25, 2026.

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

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 Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.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

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.

Medicare Billing Reassignment

Medicare enrollment records show Debra Guinn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

High Risk Pregnancy Center Of Arizona LLC
1,155 mi
Maternal & Fetal Medicine
7702 E DOUBLETREE RANCH RD
Scottsdale, AZ 85258
  • Reassigned Medicare billing, Arizona enrollment
  • 7 clinicians in this Medicare group
NPI 1801559851 (732) 983-1849

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Interoperability100
Improvement Activities40

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.

Which organization bills Medicare for Debra Guinn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Debra Guinn reassigns Medicare benefits to High Risk Pregnancy Center Of Arizona LLC (Scottsdale, AZ). The 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 Debra Guinn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Debra Guinn accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and Oscar Insurance Company and 1 other insurer 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 4 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.