CHARLES F GUARDIA III M.D.
NPI 1841464641
Psychiatry & Neurology - Neurology in Danbury, CT

Active since April 14, 2008PECOS EnrolledAccepts Medicare Assignment
94.24/100
CMS Quality Rating
69 SAND PIT RD, SUITE 300, DANBURY, CT 06810(203) 748-2551 Get Directions Write a Review

NPPES record last updated: June 28, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Charles F Guardia Iii M.d. NPPES

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

CHARLES F GUARDIA III M.D. (NPI 1841464641) is an individual neurology provider in Danbury, Connecticut, licensed in Connecticut (52764) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1841464641
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameCHARLES F GUARDIA IIICredential: M.D.
Location Address69 SAND PIT RD, SUITE 300Danbury, CT 06810-4004
Mailing Address69 Sand Pit Rd, Suite 300Danbury, CT 06810-4004
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateApril 14, 2008
Last NPPES UpdateJune 28, 2014
NPI 1841464641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in CT · 52764
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License 52764 (CT)
Also ListedPsychiatry & Neurology · Sleep MedicineTaxonomy 2084S0012X · License 52764 (CT)
69 SAND PIT RD, Danbury, CT 06810

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

Charles F Guardia Iii 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 ID9436378726
PECOS Enrollment IDI20140918001862
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 18

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
273 services171 patients
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.
94 services81 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.
66 services66 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
62 services39 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.
61 services55 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
61 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06810 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

94.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.26
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 6

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 suppliers17 claims17 services$35.70 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers14 claims14 services$75.31 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers14 claims35 services$29.40 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers14 claims14 services$16.76 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
7 suppliers25 claims127 services$2.06 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers30 claims30 services$30.34 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.

Occupational Therapist
69 SAND PIT RD
DANBURY, CT 06810
Hearing Instrument Specialist
69 SAND PIT RD
DANBURY, CT 06810
Psychiatry & Neurology (Neurology)
69 SAND PIT RD, SUITE 300
DANBURY, CT 06810
Nurse Practitioner (Gerontology)
69 SAND PIT RD
DANBURY, CT 06810
Clinical Neuropsychologist
69 SAND PIT RD, SUITE 300
DANBURY, CT 06810
Psychiatry & Neurology (Neurology)
69 SAND PIT RD
DANBURY, CT 06810
Hearing Instrument Specialist
69 SAND PIT RD
DANBURY, CT 06810
Physician Assistant
69 SAND PIT RD, SUITE 300
DANBURY, CT 06810

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 Charles Guardia's NPI number?

The NPI number for Charles Guardia is 1841464641. It was assigned to this individual provider in the NPPES registry on April 14, 2008.

Where is Charles Guardia located?

Charles Guardia practices at 69 Sand Pit Rd Suite 300, Danbury, CT 06810. The listed phone number is (203) 748-2551.

What is Charles Guardia's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Charles Guardia enrolled in Medicare?

Yes. Charles Guardia 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.

When was this NPI record last updated?

The NPPES record for Charles Guardia was last updated on June 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.