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CAROLE A GUY M.D.
NPI 1659318921
Internal Medicine - Pulmonary Disease in Newark, DE

Active since June 02, 2006PECOS Enrolled
4735 OGLETOWN STANTON RD, SUITE 1225, NEWARK, DE 19713(302) 224-6000(302) 224-6688 Get Directions Write a Review

NPPES record last updated: March 30, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carole A Guy M.d. NPPES

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

CAROLE A GUY M.D. (NPI 1659318921) is an individual pulmonary disease provider in Newark, Delaware, licensed in Delaware (C10004223) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659318921
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameCAROLE A GUYCredential: M.D.
Location Address4735 OGLETOWN STANTON RD, SUITE 1225Newark, DE 19713-2072
Mailing Address4735 Ogletown Stanton Rd, Suite 1225Newark, DE 19713-2072 · (302) 224-6000 · Fax (302) 224-6688
Phone(302) 224-6000
Fax(302) 224-6688
Sole ProprietorYes
Enumeration DateJune 2, 2006
Last NPPES UpdateMarch 30, 2010
✔ NPI 1659318921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in DE · C10004223
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
4735 OGLETOWN STANTON RD, Newark, DE 19713
Open in Google Maps ↗

Other Identifiers 2

Medicare UPING02087
Medicare ID-Type UnspecifiedG02087S01DE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carole A Guy M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

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 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.
20 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19713 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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 13

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers28 claims28 services$29.33 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers68 claims68 services$68.42 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers69 claims205 services$27.33 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers48 claims284 services$14.36 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers53 claims302 services$11.45 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
8 suppliers109 claims109 services$42.75 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 20

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

MR. JOHN PATRICK RANONIS JR. PA-C
Physician Assistant (Surgical)
4735 OGLETOWN STANTON RD, MAP II, STE 2121
NEWARK, DE 19713
New Castle County (302) 733-4500
CHRISTIANA FAMILY DENTAL CARE
Dentist (General Practice)
4735 OGLETOWN STANTON RD, SUITE 1101
NEWARK, DE 19713
New Castle County (302) 369-6900
JOANNE GOSHOW-HARRIS D.O.
Obstetrics & Gynecology
4735 OGLETOWN STANTON RD, SUITE 2300
NEWARK, DE 19713
New Castle County (302) 224-8400
FRANK P MALINSKY SW
Social Worker (Clinical)
4735 OGLETOWN STANTON RD, MAP 2, SUITE 1250
NEWARK, DE 19713
New Castle County (302) 623-4336
HOWARD B GOLDSTEIN DO
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
4735 OGLETOWN STANTON RD, SUITE 1208
NEWARK, DE 19713
New Castle County (302) 623-4055
DR. ANN MARIE MASCIANTONIO M.D.
Pediatrics
4735 OGLETOWN STANTON RD, M.A.P. #2, SUITE 1116
NEWARK, DE 19713
New Castle County (302) 368-8653
DELAWARE VASCULAR ASSOCIATES P A
Surgery (Vascular Surgery)
4735 OGLETOWN STANTON RD, MEDICAL ARTS PAVILION 2 SUITE 1208
NEWARK, DE 19713
New Castle County (302) 733-5700
MS. SUSAN L CHUDZIK CRNP
Nurse Practitioner (Family)
4735 OGLETOWN STANTON RD, MAPII SUITE 2123
NEWARK, DE 19713
New Castle County (302) 225-3888

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 Carole Guy's NPI number?

The NPI number for Carole Guy is 1659318921. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Carole Guy located?

Carole Guy practices at 4735 Ogletown Stanton Rd Suite 1225, Newark, DE 19713. The listed phone number is (302) 224-6000.

What is Carole Guy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Carole Guy enrolled in Medicare?

Yes. Carole Guy is registered in the Medicare PECOS enrollment system.

What insurance does Carole Guy accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Carole Guy 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 Carole Guy was last updated on March 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.