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DR. PAUL GUARINO M.D.
NPI 1437204302
Internal Medicine - Gastroenterology in Newport News, VA

Active since January 23, 2007PECOS EnrolledAccepts Medicare Assignment
95.11/100
CMS Quality Rating
12200 WARWICK BLVD STE 490, NEWPORT NEWS, VA 23601(757) 599-6333(757) 591-7261 Get Directions Write a Review

NPPES record last updated: January 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 14, 2022, Jul 12, 2019, Dec 17, 2015 (3 updates tracked since 2015).

About Dr. Paul Guarino M.d. NPPES

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

DR. PAUL GUARINO M.D. (NPI 1437204302) is an individual gastroenterology provider in Newport News, Virginia, licensed in Virginia (0101234605) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Sentara Rmh Medical Center, and is a graduate of Boston University School Of Medicine (2000).

NPPES Registry Identity

NPI1437204302
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. PAUL GUARINOCredential: M.D.
Location Address12200 WARWICK BLVD STE 490Newport News, VA 23601
Mailing Address856 J Clyde Morris Blvd Ste ANewport News, VA 23601-1318 · (757) 316-5800 · Fax (757) 534-5190
Phone(757) 599-6333
Fax(757) 591-7261
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2000
Enumeration DateJanuary 23, 2007
Last NPPES UpdateJanuary 14, 20223 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2022
✔ NPI 1437204302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in VA · 0101234605
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
12200 WARWICK BLVD STE 490, Newport News, VA 23601
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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. Paul Guarino 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 ID8527155290
PECOS Enrollment IDI20100927001460
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 9

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
131 services127 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
131 services82 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
42 services40 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
35 services34 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
25 services24 patients
Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43255
This procedure involves using a flexible tube with a light, called an endoscope, to examine and treat bleeding in the esophagus, stomach, or upper small bowel. It's a safe, effective way to control bleeding and ensure your digestive health.
21 services19 patients

Hospital Affiliations CMS Care Compare

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

Sentara Rmh Medical Center

Acute Care Hospitals · Harrisonburg, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490004
Location2010 Health Campus DriveHarrisonburg, VA 22801 · Harrisonburg City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23601 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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.

95.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.31
Promoting Interoperability100
Improvement Activities40

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.

DR. CHRISTINA M CAWLEY D.O.
Orthopaedic Surgery
12200 WARWICK BLVD STE 490
NEWPORT NEWS, VA 23601
Newport News City (757) 534-9988
RIVERSIDE PHYSICIAN SERVICES INC
Clinic/Center (Multi-Specialty)
12200 WARWICK BLVD STE 490
NEWPORT NEWS, VA 23601
Newport News City (757) 534-9988
DR. ANDREA LESE M.D.
Orthopaedic Surgery (Hand Surgery)
12200 WARWICK BLVD STE 490
NEWPORT NEWS, VA 23601
Newport News City (757) 534-9986

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 Paul Guarino's NPI number?

The NPI number for Paul Guarino is 1437204302. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Paul Guarino located?

Paul Guarino practices at 12200 Warwick Blvd Ste 490, Newport News, VA 23601. The listed phone number is (757) 599-6333.

What is Paul Guarino's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Paul Guarino enrolled in Medicare?

Yes. Paul Guarino 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.

Is Paul Guarino affiliated with any hospitals?

According to CMS data, Paul Guarino is affiliated with Sentara Rmh Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Guarino was last updated on January 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.