DR. ANTHONY A. GUIDA MD
NPI 1467443291
Family Medicine in West Babylon, NY

Active since November 01, 2005PECOS EnrolledAccepts Medicare Assignment
373 SUNRISE HWY, WEST BABYLON, NY 11704(631) 422-3377 Get Directions Write a Review

NPPES record last updated: September 23, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Anthony A. Guida Md NPPES

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

DR. ANTHONY A. GUIDA MD (NPI 1467443291) is an individual family medicine provider in West Babylon, New York, licensed in New York (1432001) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with St Charles Hospital, and is a graduate of State University Of Ny Upstate Medical University (1979).

NPPES Registry Identity

NPI1467443291
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ANTHONY A. GUIDACredential: MD
Location Address373 SUNRISE HWYWest Babylon, NY 11704-5912
Mailing Address373 Sunrise HwyWest Babylon, NY 11704-5912 · (631) 422-3377
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1979
Enumeration DateNovember 1, 2005
Last NPPES UpdateSeptember 23, 2008
NPI 1467443291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 1432001
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
373 SUNRISE HWY, West Babylon, NY 11704

Other Identifiers 1

Medicare UPINC12254NY

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. Anthony A. Guida 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 ID5395646277
PECOS Enrollment IDI20040114000540
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 17

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.

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.
1,441 services689 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
385 services385 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
340 services340 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
256 services191 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.
194 services149 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
193 services167 patients

Hospital Affiliations CMS Care Compare 2

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

St Charles Hospital

Acute Care Hospitals · Port Jefferson, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330246
Location200 Belle Terre RoadPort Jefferson, NY 11777 · Suffolk County
Birthing friendly

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330286
Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11704 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Referred Medical Equipment & Supplies CMS DME claims 17

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers46 claims158 services$7.04 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
5 suppliers30 claims31 services$2.95 avg. paid by Medicare
Spring-powered device for lancet, each A4258
DME-Other DME · category DE000N
5 suppliers13 claims13 services$1.85 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers37 claims67 services$1.21 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers18 claims18 services$32.34 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers12 claims64 services$15.83 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

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

Family Medicine
373 SUNRISE HWY
WEST BABYLON, NY 11704
Family Medicine
373 SUNRISE HWY
WEST BABYLON, NY 11704
Physician Assistant
373 SUNRISE HWY
WEST BABYLON, NY 11704
Nurse Practitioner (Family)
373 SUNRISE HWY
WEST BABYLON, NY 11704
Physician Assistant
373 SUNRISE HWY
WEST BABYLON, NY 11704
Family Medicine
373 SUNRISE HWY
WEST BABYLON, NY 11704
Nurse Practitioner (Adult Health)
373 SUNRISE HWY
WEST BABYLON, NY 11704
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
373 SUNRISE HWY
WEST BABYLON, NY 11704

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 Anthony Guida's NPI number?

The NPI number for Anthony Guida is 1467443291. It was assigned to this individual provider in the NPPES registry on November 1, 2005.

Where is Anthony Guida located?

Anthony Guida practices at 373 Sunrise Hwy, West Babylon, NY 11704. The listed phone number is (631) 422-3377.

What is Anthony Guida's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Anthony Guida enrolled in Medicare?

Yes. Anthony Guida 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 Anthony Guida affiliated with any hospitals?

According to CMS data, Anthony Guida is affiliated with St Charles Hospital and Good Samaritan Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Anthony Guida was last updated on September 23, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.