DR. SHAUNA LEIGH GUTHRIE M.D.
NPI 1609004936
Family Medicine in Oxford, NC

Active since June 25, 2009Opted out of Medicare · through Feb 2, 2028
87.95/100
CMS Quality Rating
101 HUNT DR, OXFORD, NC 27565(919) 693-2141(919) 693-8517 Get Directions Write a Review

NPPES record last updated: August 17, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 17, 2021, Jan 10, 2017, Nov 6, 2016 (3 updates tracked since 2016).

About Dr. Shauna Leigh Guthrie M.d. NPPES

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

DR. SHAUNA LEIGH GUTHRIE M.D. (NPI 1609004936) is an individual family medicine provider in Oxford, North Carolina, licensed in North Carolina (2013-01090) and active in the NPI registry since June 2009. She has opted out of Medicare through February 2, 2028 and remains eligible to order and refer and maintains a secondary practice location in Henderson.

NPPES Registry Identity

NPI1609004936
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SHAUNA LEIGH GUTHRIECredential: M.D.
Location Address101 HUNT DROxford, NC 27565-3497
Mailing Address1103 Closs CtHenderson, NC 27536-3570 · (252) 572-1731 · Fax (877) 992-2298
Fax(919) 693-8517
Sole ProprietorYes
Enumeration DateJune 25, 2009
Last NPPES UpdateAugust 17, 20213 updates tracked since enumeration
NPPES CertifiedAugust 17, 2021
NPI 1609004936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 2013-01090
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.
Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X · License 2013-01090 (NC)
101 HUNT DR, Oxford, NC 27565

Secondary Practice Location 1

Location 1123 Horner StHenderson, NC 27536-4126 · Phone (252) 572-1731 · Fax (877) 992-2298

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Shauna Leigh Guthrie M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 2, 2024 through February 2, 2028.

Opt-Out Effective DateFebruary 2, 2024
Opt-Out In Effect ThroughFebruary 2, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27565 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

87.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.75
Improvement Activities40
Cost61.78

Other Providers at the Same Location NPPES 2

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

Dietitian, Registered
101 HUNT DR
OXFORD, NC 27565
Dietitian, Registered
101 HUNT DR
OXFORD, NC 27565

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 Shauna Guthrie's NPI number?

The NPI number for Shauna Guthrie is 1609004936. It was assigned to this individual provider in the NPPES registry on June 25, 2009.

Where is Shauna Guthrie located?

Shauna Guthrie practices at 101 Hunt Dr, Oxford, NC 27565. The listed phone number is (919) 693-2141.

What is Shauna Guthrie's specialty?

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

Is Shauna Guthrie enrolled in Medicare?

No. Shauna Guthrie has opted out of Medicare through February 2, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Shauna Guthrie accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC list Shauna Guthrie 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 Shauna Guthrie was last updated on August 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.