JOSEPH JAY GUTH M.D.
NPI 1417918038
Orthopaedic Surgery in Shelby, OH

Q: What is Joseph Guth's NPI number?

The NPI number for Joseph Guth is 1417918038. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Q: What is Joseph Guth's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Q: When was this NPI record last updated?

The NPPES record for Joseph Guth was last updated on December 15, 2021. 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.

Active since March 31, 2006PECOS EnrolledAccepts Medicare Assignment

87.65/100

CMS Quality Rating

24 MORRIS RD, SUITE 2, SHELBY, OH 44875(419) 347-4177 Get Directions Write a Review

NPPES record last updated: December 15, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 15, 2021, Sep 13, 2021, Dec 4, 2019 and 5 more (8 updates tracked since 2015).

On this page

About Joseph Jay Guth M.d. NPPES

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

JOSEPH JAY GUTH M.D. (NPI 1417918038) is an individual orthopaedic surgery provider in Shelby, Ohio, licensed in Ohio (35.064900) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Marion General Hospital, and is a graduate of Ohio State University College Of Medicine (1988).

NPPES Registry Identity

NPI1417918038

Entity TypeIndividualMale

Primary Taxonomy207X00000X

Provider Legal NameJOSEPH JAY GUTHCredential: M.D.

Location Address24 MORRIS RD, SUITE 2Shelby, OH 44875-1170

Mailing Address1040 Delaware AveMarion, OH 43302-6416 · (740) 383-7936 · Fax (740) 375-8174

Phone(419) 347-4177

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 1988

Enumeration DateMarch 31, 2006

Last NPPES UpdateDecember 15, 20218 updates tracked since enumeration

NPPES CertifiedSeptember 13, 2021

✔ NPI 1417918038 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code207X00000X

License✔ Licensed in OH · 35.064900

Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Also ListedOrthopaedic Surgery · Sports MedicineTaxonomy 207XX0005X · License 35.064900 (OH)

24 MORRIS RD, Shelby, OH 44875

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Other Identifiers 2

OtherH383664OH · Medicare

Medicaid0925431OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare.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

Joseph Jay Guth 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 ID1557268539

PECOS Enrollment IDI20071211000024

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 13

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

2,722 services198 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

329 services215 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

309 services186 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.

213 services175 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

132 services132 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

58 services54 patients

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

57 services55 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

27 services27 patients

Aspiration and/or injection of fluid from small joint 20600

This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.

23 services19 patients

Replacement of thigh bone and hip joint with prosthesis 27130

This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.

20 services20 patients

Release and/or relocation of hand nerve 64721

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

18 services15 patients

Prosthetic repair of shoulder joint, total shoulder 23472

Total shoulder prosthetic repair is a surgical procedure to replace a damaged shoulder joint with artificial components. It aims to relieve pain and restore mobility. The procedure involves replacing the ball (humeral head) and socket (glenoid) of the shoulder joint.

17 services17 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.

16 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Marion General Hospital

Acute Care Hospitals · Marion, OH

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360011

Location1000 Mckinley Park DriveMarion, OH 43302 · Marion County

Emergency services Birthing friendly

Ohiohealth Mansfield Hospital

Acute Care Hospitals · Mansfield, OH

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number360118

Location335 Glessner AvenueMansfield, OH 44903 · Richland County

Emergency services Birthing friendly

Morrow County Hospital

Critical Access Hospitals · Mount Gilead, OH

OwnershipGovernment - Local

CMS Certification Number361313

Location651 West Marion RoadMount Gilead, OH 43338 · Morrow County

Emergency services

Bucyrus Community Hospital

Critical Access Hospitals · Bucyrus, OH

OwnershipVoluntary non-profit - Other

CMS Certification Number361316

Location629 North Sandusky AvenueBucyrus, OH 44820 · Crawford County

Emergency services

Ohiohealth Shelby Hospital

Critical Access Hospitals · Shelby, OH

OwnershipVoluntary non-profit - Private

CMS Certification Number361324

Location199 West Main StreetShelby, OH 44875 · Richland County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44875 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.10 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

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.

87.65/100

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

Scored through an Alternative Payment Model

Quality

74.45

Promoting Interoperability

96.03

Improvement Activities

Other Providers at the Same Location NPPES 3

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

SHELBY FAMILY MEDICINE INC

Family Medicine

24 MORRIS RD, SUITE 1
SHELBY, OH 44875

Richland County (419) 347-4040

OMAR F S GUIMARAES M D OBSTETRICS AND GYNECOLOGY INC

Obstetrics & Gynecology

24 MORRIS RD, SUITE 3
SHELBY, OH 44875

Richland County (419) 342-2900

MARK C LEESON MD

Orthopaedic Surgery

24 MORRIS RD, SUITE 2
SHELBY, OH 44875

Richland County (419) 347-4177

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 Joseph Guth's NPI number?

The NPI number for Joseph Guth is 1417918038. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Joseph Guth located?

Joseph Guth practices at 24 Morris Rd Suite 2, Shelby, OH 44875. The listed phone number is (419) 347-4177.

What is Joseph Guth's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Joseph Guth enrolled in Medicare?

Yes. Joseph Guth 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 Joseph Guth accept?

Health plans from CareSource, MedMutual and Molina Healthcare list Joseph Guth 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 Joseph Guth affiliated with any hospitals?

According to CMS data, Joseph Guth is affiliated with Marion General Hospital, Ohiohealth Mansfield Hospital, Morrow County Hospital, Bucyrus Community Hospital and Ohiohealth Shelby Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Guth was last updated on December 15, 2021. 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.