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BRIAN GUADAGNO MD
NPI 1922266261
Internal Medicine in Glens Falls, NY

Active since May 22, 2008PECOS EnrolledAccepts Medicare Assignment
65.44/100
CMS Quality Rating
100 BROAD ST, GLENS FALLS, NY 12801(518) 792-2223(518) 792-8231 Get Directions Write a Review

NPPES record last updated: March 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 13, 2026, May 22, 2025, Dec 20, 2024 and 2 more (5 updates tracked since 2020).

About Brian Guadagno Md NPPES

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

BRIAN GUADAGNO MD (NPI 1922266261) is an individual internal medicine provider in Glens Falls, New York, licensed in New York (257316) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1922266261
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBRIAN GUADAGNOCredential: MD
Location Address100 BROAD STGlens Falls, NY 12801-4349
Mailing Address9 Carey RdQueensbury, NY 12804-7880 · (518) 761-0300
Phone(518) 792-2223
Fax(518) 792-8231
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMay 22, 2008
Last NPPES UpdateMarch 13, 20265 updates tracked since enumeration
NPPES CertifiedMarch 13, 2026
✔ NPI 1922266261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 257316
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License 257316 (NY)
100 BROAD ST, Glens Falls, NY 12801
Open in Google Maps ↗

Secondary Practice Locations 4

Location 128 S Western AveQueensbury, NY 12804-3323 · Phone (518) 798-6400 · Fax (518) 798-4105
Location 21299 Route 9Gansevoort, NY 12831-1560 · Phone (518) 761-6961 · Fax (518) 761-1006
Location 33767 Main StWarrensburg, NY 12885-1890 · Phone (518) 623-2844 · Fax (518) 623-3416
Location 46223 State Route 9Chestertown, NY 12817-2823 · Phone (518) 494-2761 · Fax (518) 494-3541

Other Identifiers 1

Medicaid03237092NY

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

Brian Guadagno 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 ID8820114697
PECOS Enrollment IDI20100929000929
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 5

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.

Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005
An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.
23 services23 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
22 services22 patients
Stool analysis for blood, by fecal hemoglobin determination by immunoassay 82274
A stool analysis for blood, or fecal hemoglobin determination by immunoassay, is a test that checks for hidden blood in your stool. This test helps identify potential issues in your digestive system. It involves collecting a small stool sample which is then analyzed in a lab for the presence of blood.
21 services20 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
17 services17 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330013
Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County
Emergency services Birthing friendly

Glens Falls Hospital

Acute Care Hospitals · Glens Falls, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330191
Location100 Park StreetGlens Falls, NY 12801 · Warren County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12801 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

65.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.37
Improvement Activities40
Cost64.8

Reported Quality Measures

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.
85%1,825 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
11%211 patients1/55-star benchmark: 96%
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.
7%891 patients1/55-star benchmark: 99%
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…
77%891 patients4/55-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…
22%891 patients2/55-star benchmark: 59%
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.

Referred Medical Equipment & Supplies CMS DME claims 15

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers61 claims193 services$5.91 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers47 claims80 services$1.00 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
1 supplier11 claims11 services$108.73 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
1 supplier18 claims44 services$36.62 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers15 claims15 services$19.82 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers26 claims26 services$16.54 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.

JAMES FOX PHARMD
Pharmacist
100 BROAD ST
GLENS FALLS, NY 12801
Warren County (518) 798-3700
JENNIFER S CASE RPA-C
Physician Assistant (Medical)
100 BROAD ST
GLENS FALLS, NY 12801
Warren County (518) 792-2223
ELIZABETH D CRAWFORD RPA-C
Physician Assistant
100 BROAD ST
GLENS FALLS, NY 12801
Warren County (518) 792-2223
HUDSON HEADWATERS HEALTH NETWORK
Internal Medicine
100 BROAD ST
GLENS FALLS, NY 12801
Warren County (518) 792-2223
MAGDELINE INZERILLI RPA-C
Physician Assistant
100 BROAD ST
GLENS FALLS, NY 12801
Warren County (518) 792-2223
MICHAEL GUMUKA MD
Family Medicine
100 BROAD ST
GLENS FALLS, NY 12801
Warren County (518) 792-2223
HUDSON HEADWATERS HEALTH NETWORK
Nurse Practitioner (Psychiatric/Mental Health)
100 BROAD ST
GLENS FALL, NY 12801
Warren County (518) 792-2223
RANYA ALI HAMDAN PA-C
Physician Assistant
100 BROAD ST
GLENS FALLS, NY 12801
Warren County (518) 792-2223

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 Brian Guadagno's NPI number?

The NPI number for Brian Guadagno is 1922266261. It was assigned to this individual provider in the NPPES registry on May 22, 2008.

Where is Brian Guadagno located?

Brian Guadagno practices at 100 Broad St, Glens Falls, NY 12801. The listed phone number is (518) 792-2223.

What is Brian Guadagno's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Brian Guadagno enrolled in Medicare?

Yes. Brian Guadagno 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 Brian Guadagno affiliated with any hospitals?

According to CMS data, Brian Guadagno is affiliated with Albany Medical Center Hospital and Glens Falls Hospital.

When was this NPI record last updated?

The NPPES record for Brian Guadagno was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.