Brett J. Guinn, MD
Individual provider Active NPI Surgery Physician · Lagrange, IN
NPI 1083683783 · NPPES record last updated Nov 4, 2024
Key facts
- NPI
- 1083683783
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 01051358A (IN)
- Practice address
- 207 N Townline Rd Ste 101
Lagrange, IN 46761-1325 - Phone
- (260) 463-9335
- Fax
- (260) 463-9334
- NPI assigned
- Mar 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
-
Mark O Lynch, M.D.
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Washington University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Parkview Health System Inc
Practice addresses (Care Compare)
207 N Townline Rd
101 PPG General Surgery
Lagrange, IN 46761-1325
Phone (260) 463-9335
Hospital & facility affiliations
- Parkview Noble Hospital
- Parkview Lagrange Hospital
- Parkview Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.53 of 100
- Quality
- 70
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.11
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.99 of 100
- Quality
- 77.41
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 31 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IN, WI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061122000455 | IN | Practitioner - General Surgery | 3375541568 | Reassigns benefits to 2 organizations |
| I20240409003521 | WI | Practitioner - General Surgery | 3375541568 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01051358A | IN | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Medford Hospital & Clinics, Inc. | Current |
Accepting new patients | |
| Parkview Health System, Inc. | Surgery | Current |
Accepting new patients |
| Aspirus Medford Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Parkview Health System Inc | Surgery | Current | Accepting new patients |
| Aspirus Medford Hospital & Clinics, Inc. | Current |
Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
11109 Parkview Plaza Dr
#117
Fort Wayne, IN 46845
Phone (260) 266-6012
6920 Pointe Inverness Way
Ste 200
Fort Wayne, IN 46804
Phone (260) 479-3514
240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000
512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556
412 N Sawyer Rd
Kendallville, IN 46755
Phone (260) 347-2231
207 N Townline Rd
Ste 101
Lagrange, IN 46761
Phone (260) 463-9316
135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100
2031 Peach St
Wisconsin Rapids, WI 54494
Phone (715) 423-0122
Interoperability endpoints
- brett.guinn@lutheranhealthnetwork.cernerdirect.com
- bguinn91218@direct.parkviewexchange.com
- bguinn@direct2doc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 01051358A | IN | Yes |
Addresses
Primary practice location
207 N Townline Rd Ste 101
Lagrange, IN 46761-1325
Mailing address
11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200242270 | Medicaid | IN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | brett.guinn@lutheranhealthnetwork.cernerdirect.com | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/ | ||
| Direct Messaging Address | bguinn91218@Direct.Parkviewexchange.com | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/ |
Other providers in Lagrange, IN
- Mary Celestine Laspinas Goiti
- Chana Nicole Goodin
- Katie A Grabe
- Maria Grabner
- Emily Guiff
- Sana Habib
- Rylee Hackworth
- Maura Rebecca Hantz
- Ahrarul Haque
- Brittney M Harmeyer
All providers in Lagrange, IN · Surgery Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.