CAROL WINFRED GUESS M.D.
NPI 1992848816
Family Medicine in Tiptonville, TN

Active since February 14, 2007PECOS EnrolledAccepts Medicare Assignment
710 CARL PERKINS PARKWAY, TIPTONVILLE, TN 38079(731) 253-6690 Get Directions Write a Review

NPPES record last updated: December 3, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Carol Winfred Guess M.d. NPPES

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

CAROL WINFRED GUESS M.D. (NPI 1992848816) is an individual family medicine provider in Tiptonville, Tennessee, licensed in Tennessee (MD17158) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital Union City, and is a graduate of University Of Louisville School Of Medicine (1979).

NPPES Registry Identity

NPI1992848816
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCAROL WINFRED GUESSCredential: M.D.
Location Address710 CARL PERKINS PARKWAYTiptonville, TN 38079-1305
Mailing Address710 Carl Perkins ParkwayTiptonville, TN 38079 · (731) 253-6690 · Fax (731) 253-6692
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 1979
Enumeration DateFebruary 14, 2007
Last NPPES UpdateDecember 3, 2012
NPI 1992848816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TN · MD17158
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.
710 CARL PERKINS PARKWAY, Tiptonville, TN 38079

Other Identifiers 1

Medicare UPINC70365TN

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

Carol Winfred Guess 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 ID4880632587
PECOS Enrollment IDI20050830000226
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

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.

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.
22 services17 patients

Hospital Affiliations CMS Care Compare

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

Baptist Memorial Hospital Union City

Acute Care Hospitals · Union City, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440130
Location1201 Bishop St, PO Box 310Union City, TN 38261 · Obion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38079 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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
3 suppliers11 claims28 services$6.40 avg. paid by Medicare
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
2 suppliers21 claims21 services$119.19 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Carol Guess's NPI number?

The NPI number for Carol Guess is 1992848816. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Where is Carol Guess located?

Carol Guess practices at 710 Carl Perkins Parkway, Tiptonville, TN 38079. The listed phone number is (731) 253-6690.

What is Carol Guess's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Carol Guess enrolled in Medicare?

Yes. Carol Guess 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 Carol Guess accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 4 other insurers list Carol Guess 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 Carol Guess affiliated with any hospitals?

According to CMS data, Carol Guess is affiliated with Baptist Memorial Hospital Union City.

When was this NPI record last updated?

The NPPES record for Carol Guess was last updated on December 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.