DR. MICHAEL GUIDO III M.D.
NPI 1477594034
Psychiatry & Neurology - Neurology in East Setauket, NY

Active since June 08, 2006PECOS EnrolledAccepts Medicare Assignment
98.52/100
CMS Quality Rating
181 N BELLE MEAD RD, EAST SETAUKET, NY 11733(631) 444-2599 Get Directions Write a Review

NPPES record last updated: April 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael Guido Iii M.d. NPPES

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

DR. MICHAEL GUIDO III M.D. (NPI 1477594034) is an individual neurology provider in East Setauket, New York, licensed in New York (222674) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with St Charles Hospital, and is a graduate of State University Of New York Downstate Medical Center (1996).

NPPES Registry Identity

NPI1477594034
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. MICHAEL GUIDO IIICredential: M.D.
Location Address181 N BELLE MEAD RDEast Setauket, NY 11733-3495
Mailing AddressPo Box 1559Stony Brook, NY 11790-0989 · (631) 444-2599
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1996
Enumeration DateJune 8, 2006
Last NPPES UpdateApril 13, 2022
NPPES CertifiedApril 13, 2022
NPI 1477594034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in NY · 222674
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License 222674 (NY)
Also ListedPsychiatry & Neurology · Vascular NeurologyTaxonomy 2084V0102X · License 222674 (NY)
181 N BELLE MEAD RD, East Setauket, NY 11733

Other Identifiers 3

Other2M3732NY · Empire Bc/bs
Medicaid02410162NY
Other7224450NY · Aetna

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. Michael Guido Iii 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 ID840180758
PECOS Enrollment IDI20040316000822
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 12

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.
204 services147 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
117 services67 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.
114 services90 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.
106 services84 patients
Nerve conduction, 9-10 studies 95911
Nerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.
45 services45 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.
35 services15 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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY
4/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330393
LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11733 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
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.

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.

98.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.85
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Radiology (Radiation Oncology)
181 N BELLE MEAD RD, SUITE 1
EAST SETAUKET, NY 11733
Dietitian, Registered
181 N BELLE MEAD RD
EAST SETAUKET, NY 11733
Family Medicine
181 N BELLE MEAD RD
EAST SETAUKET, NY 11733
Nurse Practitioner (Family)
181 N BELLE MEAD RD, SUITE 2
EAST SETAUKET, NY 11733
Family Medicine
181 N BELLE MEAD RD
EAST SETAUKET, NY 11733
Family Medicine
181 N BELLE MEAD RD
EAST SETAUKET, NY 11733
Nurse Practitioner (Adult Health)
181 N BELLE MEAD RD
EAST SETAUKET, NY 11733
Dermatology
181 N BELLE MEAD RD
EAST SETAUKET, NY 11733

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 Michael Guido's NPI number?

The NPI number for Michael Guido is 1477594034. It was assigned to this individual provider in the NPPES registry on June 8, 2006.

Where is Michael Guido located?

Michael Guido practices at 181 N Belle Mead Rd, East Setauket, NY 11733. The listed phone number is (631) 444-2599.

What is Michael Guido's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Michael Guido enrolled in Medicare?

Yes. Michael Guido 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 Michael Guido affiliated with any hospitals?

According to CMS data, Michael Guido is affiliated with St Charles Hospital and Suny/Stony Brook University Hospital.

When was this NPI record last updated?

The NPPES record for Michael Guido was last updated on April 13, 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.