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JOHN L GUGLIELMETTI JR. MD
NPI 1780630988
Surgery in Lynchburg, VA

Active since May 26, 2006PECOS EnrolledAccepts Medicare Assignment
94.07/100
CMS Quality Rating
1906 THOMSON DR, LYNCHBURG, VA 24501(434) 947-3933(434) 947-3988 Get Directions Write a Review

NPPES record last updated: October 15, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John L Guglielmetti Jr. Md NPPES

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

JOHN L GUGLIELMETTI JR. MD (NPI 1780630988) is an individual surgery provider in Lynchburg, Virginia, licensed in Virginia (0101234016) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Centra Health - Lynchburg Gen Hospital, and is a graduate of Brody School Of Medicine At East Carolina University (1997).

NPPES Registry Identity

NPI1780630988
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJOHN L GUGLIELMETTI JR.Credential: MD
Location Address1906 THOMSON DRLynchburg, VA 24501-1009
Mailing Address2010 Atherholt RdLynchburg, VA 24501-1106
Phone(434) 947-3933
Fax(434) 947-3988
Sole ProprietorNo
Medical School CMSBrody School Of Medicine At East Carolina UniversityGraduated 1997
Enumeration DateMay 26, 2006
Last NPPES UpdateOctober 15, 2015
✔ NPI 1780630988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in VA · 0101234016
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1906 THOMSON DR, Lynchburg, VA 24501
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Other Identifiers 3

Medicare UPINH85544
Medicaid010002443VA
OtherP00051110Medicare Railroad

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

John L Guglielmetti Jr. 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.

PECOS PAC ID4183710684
PECOS Enrollment IDI20091205000161
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 11

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 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.
135 services112 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
67 services67 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
49 services49 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
45 services42 patients
Biopsy or removal of deep lymph nodes of underarm 38525
A biopsy or removal of deep underarm lymph nodes is a procedure where a small sample of lymph node tissue is taken for testing. This helps in diagnosing or ruling out conditions like infections or cancers. It involves a small incision and is typically done under local or general anesthesia.
45 services45 patients
Imaging of lymph nodes during surgery 38900
Imaging of lymph nodes during surgery involves taking detailed pictures of your lymph nodes to help surgeons see and assess them in real-time. This procedure can aid in detecting disease, guiding treatment, and improving surgical precision.
45 services45 patients

Hospital Affiliations CMS Care Compare 3

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

Centra Health - Lynchburg Gen Hospital

Acute Care Hospitals · Lynchburg, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490021
Location1901 Tate Springs RoadLynchburg, VA 24501 · Lynchburg City County
Emergency services Birthing friendly

Centra Bedford Memorial Hospital

Acute Care Hospitals · Bedford, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490088
Location1613 Oakwood StreetBedford, VA 24523 · Bedford County
Emergency services

Centra Southside Community Hospital, Inc

Acute Care Hospitals · Farmville, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490090
Location800 Oak StreetFarmville, VA 23901 · Prince Edward County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24501 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
Most-billed visit code 99213
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.

94.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.44
Promoting Interoperability94
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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

Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
1 supplier28 claims155 services$29.67 avg. paid by Medicare
External breast prosthesis garment, with mastectomy form, post mastectomy L8015
DME-Orthotic Devices · category DF000N
2 suppliers17 claims34 services$48.87 avg. paid by Medicare
Breast prosthesis, mastectomy form L8020
DME-Orthotic Devices · category DF000N
1 supplier15 claims17 services$194.34 avg. paid by Medicare
Breast prosthesis, silicone or equal, without integral adhesive L8030
DME-Orthotic Devices · category DF000N
1 supplier18 claims21 services$258.01 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 9

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

CENTRA MEDICAL GROUP, LLC
Colon & Rectal Surgery
1906 THOMSON DR
LYNCHBURG, VA 24501
Campbell County (434) 947-3933
THE ORTHOPAEDIC CENTER OF CENTRAL VIRGINIA, INC.
Durable Medical Equipment & Medical Supplies
1906 THOMSON DR
LYNCHBURG, VA 24501
Campbell County (434) 845-7035
DR. LUCIUS DUBIGNON CLAY III MD
Surgery
1906 THOMSON DR
LYNCHBURG, VA 24501
Campbell County (434) 947-3950
SYDNEY OZMAR PA-C
Physician Assistant
1906 THOMSON DR
LYNCHBURG, VA 24501
Campbell County (434) 200-4938
WILLIAM L KITTRELL JR. MD
Surgery
1906 THOMSON DR, CENTRAL VIRGINIA SURGERY
LYNCHBURG, VA 24501
Campbell County (434) 947-3933
MRS. GABRIELLE MONIQUE RHODES CRAWFORD FNP
Nurse Practitioner (Family)
1906 THOMSON DR
LYNCHBURG, VA 24501
Campbell County (434) 200-3933
MICHAEL CHARLES LILLY MD
Surgery
1906 THOMSON DR
LYNCHBURG, VA 24501
Campbell County (434) 200-3933
LYNCHBURG SURGICAL ASSOCIATES, INC.
Surgery
1906 THOMSON DR
LYNCHBURG, VA 24501
Campbell County (434) 947-3950

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 John Guglielmetti's NPI number?

The NPI number for John Guglielmetti is 1780630988. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is John Guglielmetti located?

John Guglielmetti practices at 1906 Thomson Dr, Lynchburg, VA 24501. The listed phone number is (434) 947-3933.

What is John Guglielmetti's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is John Guglielmetti enrolled in Medicare?

Yes. John Guglielmetti 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 John Guglielmetti affiliated with any hospitals?

According to CMS data, John Guglielmetti is affiliated with Centra Health - Lynchburg Gen Hospital, Centra Bedford Memorial Hospital and Centra Southside Community Hospital, Inc.

When was this NPI record last updated?

The NPPES record for John Guglielmetti was last updated on October 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.