DR. STACEY YI GUAN M.D.
NPI 1932429776
Family Medicine in Columbus, OH

Active since June 03, 2010PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
1171 FAIRWAY BLVD, COLUMBUS, OH 43213(614) 861-7051(614) 861-0614 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 6, 2023, Jan 19, 2021, Apr 16, 2018 and 2 more (5 updates tracked since 2016).

About Dr. Stacey Yi Guan M.d. NPPES

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

DR. STACEY YI GUAN M.D. (NPI 1932429776) is an individual family medicine provider in Columbus, Ohio, licensed in Ohio (35.120145) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1932429776
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. STACEY YI GUANCredential: M.D.
Location Address1171 FAIRWAY BLVDColumbus, OH 43213-2522
Mailing Address1171 Fairway BlvdColumbus, OH 43213-2522 · (614) 861-7051 · Fax (614) 861-0614
Fax(614) 861-0614
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJune 3, 2010
Last NPPES UpdateJuly 6, 20235 updates tracked since enumeration
NPPES CertifiedJuly 6, 2023
NPI 1932429776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in OH · 35.120145
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedEmergency MedicineTaxonomy 207P00000X · License 35.120145 (OH)
1171 FAIRWAY BLVD, Columbus, OH 43213

Other Identifiers 1

Medicaid0073159OH

Accepted 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. Stacey Yi Guan 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 ID1658521612
PECOS Enrollment IDI20121029000173
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.

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.
66 services53 patients
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.
33 services29 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
26 services20 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
15 services14 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43213 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

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

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$110.79 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 6

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

Family Medicine
1171 FAIRWAY BLVD
COLUMBUS, OH 43213
Family Medicine
1171 FAIRWAY BLVD
COLUMBUS, OH 43213
Family Medicine
1171 FAIRWAY BLVD
COLUMBUS, OH 43213
Family Medicine
1171 FAIRWAY BLVD
COLUMBUS, OH 43213
Family Medicine
1171 FAIRWAY BLVD
COLUMBUS, OH 43213
Family Medicine
1171 FAIRWAY BLVD
COLUMBUS, OH 43213

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932429776, enumerated as an "individual" on June 03, 2010.

The provider is located at 1171 FAIRWAY BLVD COLUMBUS, OH 43213 and the phone number is (614) 861-7051.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, CareSource,. Please consult your insurance carrier or call the provider to verify.