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FRANK G. GUARNIERI M.D.
NPI 1609803238
Hospitalist in Damariscotta, ME

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
98.06/100
CMS Quality Rating
35 MILES STREET, DAMARISCOTTA, ME 04543(207) 563-4268(207) 563-4103 Get Directions Write a Review

NPPES record last updated: April 30, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Frank G. Guarnieri M.d. NPPES

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

FRANK G. GUARNIERI M.D. (NPI 1609803238) is an individual hospitalist provider in Damariscotta, Maine, licensed in Maine (016588) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Lincolnhealth, and is a graduate of Johns Hopkins University School Of Medicine (1999).

NPPES Registry Identity

NPI1609803238
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameFRANK G. GUARNIERICredential: M.D.
Location Address35 MILES STREETDamariscotta, ME 04543-4047
Mailing AddressP.o. Box 745Newcastle, ME 04553-0745 · (207) 563-4511 · Fax (207) 563-4103
Phone(207) 563-4268
Fax(207) 563-4103
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1999
Enumeration DateJune 27, 2006
Last NPPES UpdateApril 30, 2012
✔ NPI 1609803238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in ME · 016588
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
35 MILES STREET, Damariscotta, ME 04543
Open in Google Maps ↗

Other Identifiers 10

Other01-0443255Cigna
Other098415ME · Anthem
OtherAA71440Harvard Pilgrim
Other1461988Aetna Hmo
Medicare PINME2110ME
Other7399393Aetna Non Hmo
Medicaid432353599ME
OtherP00359220Railroad Medicare
Medicare PINME211001ME
Medicare UPINI62409

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

Frank G. Guarnieri 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 ID2163429200
PECOS Enrollment IDI20061102000003
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 6

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.

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.
62 services40 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
60 services48 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.
41 services31 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
33 services33 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.
28 services27 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
21 services18 patients

Hospital Affiliations CMS Care Compare

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

Lincolnhealth

Critical Access Hospitals · Damariscotta, ME
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number201302
Location35 Miles StreetDamariscotta, ME 04543 · Lincoln County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04543 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

98.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.13
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 4

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

HANS J. RUEHSEN M.D.
Hospitalist
35 MILES STREET
DAMARISCOTTA, ME 04543
Lincoln County (207) 563-4268
DANIEL J. BATES M.D.
Emergency Medicine
35 MILES STREET
DAMARISCOTTA, ME 04543
Lincoln County (207) 563-4521
MILES MEMORIAL HOSPITAL INCORPORATED
General Acute Care Hospital
35 MILES STREET
DAMARISCOTTA, ME 04543
Lincoln County (207) 563-1234
DR. JOHN M. MURRAY M.D.
Emergency Medicine
35 MILES STREET
DAMORISCOTTA, ME 04543
Lincoln County (207) 563-4521

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 Frank Guarnieri's NPI number?

The NPI number for Frank Guarnieri is 1609803238. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is Frank Guarnieri located?

Frank Guarnieri practices at 35 Miles Street, Damariscotta, ME 04543. The listed phone number is (207) 563-4268.

What is Frank Guarnieri's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Frank Guarnieri enrolled in Medicare?

Yes. Frank Guarnieri 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 Frank Guarnieri affiliated with any hospitals?

According to CMS data, Frank Guarnieri is affiliated with Lincolnhealth.

When was this NPI record last updated?

The NPPES record for Frank Guarnieri was last updated on April 30, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.