DR. ANTHONY H GUARINO MD
NPI 1619993847
Anesthesiology in Effingham, IL
About Dr. Anthony H Guarino Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ANTHONY H GUARINO MD (NPI 1619993847) is an individual anesthesiology provider in Effingham, Illinois, licensed in Florida (ME139283) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with St Anthonys Memorial Hospital, and maintains a secondary practice location in Effingham.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Anthony H Guarino 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.
Medicare Billing Reassignments
3Medicare enrollment records show Anthony Guarino reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mattoon, IL 61938
- Reassigned Medicare billing, Illinois enrollment
- 652 clinicians in this Medicare group
Centralia, IL 62801
- Reassigned Medicare billing, Illinois enrollment
- 24 clinicians in this Medicare group
Alton, IL 62002
- Reassigned Medicare billing, Illinois and Missouri enrollments
- 11 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 29
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Anthonys Memorial Hospital
Acute Care Hospitals · Effingham, ILSsm Health St Mary's Hospital -Centralia
Acute Care Hospitals · Centralia, ILSarah Bush Lincoln Health Center
Acute Care Hospitals · Mattoon, ILFayette County Hospital
Critical Access Hospitals · Vandalia, ILClay County Hospital
Critical Access Hospitals · Flora, ILMedicare 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.
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 Guarino's NPI number?
The NPI number for Anthony Guarino is 1619993847. It was assigned to this individual provider in the NPPES registry on July 14, 2006.
Where is Anthony Guarino located?
Anthony Guarino practices at 901 Medical Park Dr Ste 200, Effingham, IL 62401. The listed phone number is (217) 347-2332.
What is Anthony Guarino's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Anthony Guarino enrolled in Medicare?
Yes. Anthony 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.
Which organizations bill Medicare for Anthony Guarino's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Guarino reassigns Medicare benefits to 3 organizations: Sarah Bush Lincoln Health Center (Mattoon, IL), Orthopaedic Center Of Southern Illinois, Ltd. (Centralia, IL) and Interventional Pain Consultants LLC (Alton, IL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Anthony Guarino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Anthony Guarino accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list Anthony Guarino 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.
Is Anthony Guarino affiliated with any hospitals?
According to CMS data, Anthony Guarino is affiliated with St Anthonys Memorial Hospital, Ssm Health St Mary's Hospital -Centralia, Sarah Bush Lincoln Health Center, Fayette County Hospital and Clay County Hospital.
When was this NPI record last updated?
The NPPES record for Anthony Guarino was last updated on September 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 49 days 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.