Ralph Guarino, MD
NPI 1134140767 · Internal Medicine Physician · Toms River, NJ
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ralph Guarino, MD is a Internal Medicine Physician provider in Toms River, NJ (NPI 1134140767).
Provider details
- NPI number
- 1134140767
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 25MA04501400 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
3,802 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 2,281 | $96 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 530 | $15 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 355 | $135 |
| Administration of Influenza Virus VaccineG0008 | 303 | $34 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report93000 | 151 | $15 |
| Ultrasound of Both Sides of Head and Neck Blood Flow93880 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 146 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 406 | 124 |
| Atorvastatin Calcium | 398 | 128 |
| Amlodipine Besylate | 370 | 105 |
| Alprazolam | 339 | 105 |
| Prednisone | 320 | 208 |
| Escitalopram Oxalate | 300 | 88 |
| Azithromycin | 300 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$4,488 across 102 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-21
- Last updated
- 2007-07-08
Frequently asked questions
- What is Ralph Guarino's NPI number?
- Ralph Guarino's National Provider Identifier (NPI) is 1134140767, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ralph Guarino's specialty?
- Ralph Guarino is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Ralph Guarino located?
- Ralph Guarino's practice location on file with NPPES is 160 State Highway 37 West, Toms River, NJ 08755-8056.
- What is Ralph Guarino's phone number?
- The practice phone number listed in the NPPES registry for Ralph Guarino is (732) 286-0440.
- Does Ralph Guarino accept Medicare?
- Ralph Guarino is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ralph Guarino's NPI active?
- Yes — Ralph Guarino's NPI (1134140767) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.