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DR. JOSEPH ANTHONY GUZZO M.D.
NPI 1881680098
Internal Medicine - Interventional Cardiology in Raleigh, NC

Active since September 22, 2005PECOS EnrolledAccepts Medicare Assignment
4201 LAKE BOONE TRL, SUITE 104, RALEIGH, NC 27607(919) 881-0160(919) 881-0887 Get Directions Write a Review

NPPES record last updated: April 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 14, 2021, Sep 19, 2019 (2 updates tracked since 2019).

About Dr. Joseph Anthony Guzzo M.d. NPPES

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

DR. JOSEPH ANTHONY GUZZO M.D. (NPI 1881680098) is an individual interventional cardiology provider in Raleigh, North Carolina, licensed in North Carolina (9500923) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Rex Hospital, and is a graduate of Albany Medical College Of Union University (1992).

NPPES Registry Identity

NPI1881680098
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. JOSEPH ANTHONY GUZZOCredential: M.D.
Location Address4201 LAKE BOONE TRL, SUITE 104Raleigh, NC 27607-7512
Mailing Address4201 Lake Boone Trl Ste 104Raleigh, NC 27607-7511 · (919) 881-0160 · Fax (919) 881-0887
Phone(919) 881-0160
Fax(919) 881-0887
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 1992
Enumeration DateSeptember 22, 2005
Last NPPES UpdateApril 14, 20212 updates tracked since enumeration
NPPES CertifiedApril 14, 2021
✔ NPI 1881680098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License✔ Licensed in NC · 9500923
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 9500923 (NC)
4201 LAKE BOONE TRL, Raleigh, NC 27607
Open in Google Maps ↗

Other Identifiers 8

Other0190ENC · Bcbs Of Nc
Other060056118Railroad Medicare
Other268431Mamsi
Other3499126001Medcost
Other5727215Aetna
Other2555708United Healthcare
Other7965Partners
Medicaid8937950NC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

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

Dr. Joseph Anthony Guzzo 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 ID2567442304
PECOS Enrollment IDI20040722000854
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 7

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.
47 services43 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.
35 services35 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
28 services28 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
23 services23 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015
An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.
20 services20 patients
Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244
A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Rex Hospital

Acute Care Hospitals · Raleigh, NC
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number340114
Location4420 Lake Boone TrailRaleigh, NC 27607 · Wake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27607 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
89%61 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%983 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%988 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
95%1,131 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
84%586 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
16%586 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
2%586 patients1/55-star benchmark: 89%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 285 patients
0%285 patients5/55-star benchmark: 100%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
12%586 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

BIO-LIFECYCLE MEDICAL CENTERS, PLLC
Preventive Medicine (Public Health & General Preventive Medicine)
4201 LAKE BOONE TRL, STE 005
RALEIGH, NC 27607
Wake County (919) 851-9100
ANAM CARA WELLNESS PLLC
Psychiatry & Neurology (Psychiatry)
4201 LAKE BOONE TRL
RALEIGH, NC 27607
Wake County (984) 230-2416
GREGORY J WILMOTH M.D.
Dermatology (MOHS-Micrographic Surgery)
4201 LAKE BOONE TRL, SUITE 200
RALEIGH, NC 27607
Wake County (919) 782-2152
LINDSEY MCADAMS-PERRY LCSW
Social Worker (Clinical)
4201 LAKE BOONE TRL, STE 4
RALEIGH, NC 27607
Wake County (919) 781-4434
DR. ESTELLE CATHERINE TSALIK PT, DPT
Physical Therapist
4201 LAKE BOONE TRL, SUITE 4
RALEIGH, NC 27607
Wake County (919) 781-4434
MRS. JENNIFER H SPANGLER MS, CCC-SLP
Speech-Language Pathologist
4201 LAKE BOONE TRL, SUITE 4
RALEIGH, NC 27607
Wake County (919) 781-4434
DR. MARTHA FIELDS SIMPSON PHD
Psychologist
4201 LAKE BOONE TRL, SUITE 201
RALEIGH, NC 27607
Wake County (919) 785-0384
MISS BRITTANY D NORRIS M.S.
Speech-Language Pathologist
4201 LAKE BOONE TRL, SUITE 4
RALEIGH, NC 27607
Wake County (919) 781-4434

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 Joseph Guzzo's NPI number?

The NPI number for Joseph Guzzo is 1881680098. It was assigned to this individual provider in the NPPES registry on September 22, 2005.

Where is Joseph Guzzo located?

Joseph Guzzo practices at 4201 Lake Boone Trl Suite 104, Raleigh, NC 27607. The listed phone number is (919) 881-0160.

What is Joseph Guzzo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Joseph Guzzo enrolled in Medicare?

Yes. Joseph Guzzo 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.

What insurance does Joseph Guzzo accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Joseph Guzzo 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 Joseph Guzzo affiliated with any hospitals?

According to CMS data, Joseph Guzzo is affiliated with Rex Hospital.

When was this NPI record last updated?

The NPPES record for Joseph Guzzo was last updated on April 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.