Khalila Guzman, PA
NPI 1265919526 · Medical Physician Assistant · O Fallon, IL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Khalila Guzman, PA is a Medical Physician Assistant provider in O Fallon, IL (NPI 1265919526).
Provider details
- NPI number
- 1265919526
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- 0110006305 (VA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
7 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
1,275 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) |
|---|---|---|
| Destruction of Precancer Skin Growth, 2-14 Growths17003 | 357 | $5 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 238 | $73 |
| Therapy Procedure Using Ultraviolet Radiation With Tar Or Petroleum Jelly Application96910 | 177 | $91 |
| Destruction of Precancer Skin Growth, 1 Growth17000 | 105 | $38 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 98 | $103 |
| Biopsy of Related Skin Growth, First Growth11102 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 8 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Triamcinolone Acetonide | 61 | 47 |
| Betamethasone Dipropionate | 25 | 16 |
| Ketoconazole | 20 | 11 |
| Clobetasol Propionate | 18 | — |
| Amoxicillin | 16 | 14 |
| Mupirocin | 14 | 12 |
| Doxycycline Hyclate | 11 | 11 |
| Fluconazole | 11 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$334 across 10 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
- 2018-07-19
- Last updated
- 2025-02-14
- Certified
- 2025-02-14
Frequently asked questions
- What is Khalila Guzman's NPI number?
- Khalila Guzman's National Provider Identifier (NPI) is 1265919526, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Khalila Guzman's specialty?
- Khalila Guzman is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Khalila Guzman located?
- Khalila Guzman's practice location on file with NPPES is 930 Talon Dr Ste 1, O Fallon, IL 62269-1962.
- What is Khalila Guzman's phone number?
- The practice phone number listed in the NPPES registry for Khalila Guzman is (618) 726-1080.
- Does Khalila Guzman accept Medicare?
- Khalila Guzman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Khalila Guzman's NPI active?
- Yes — Khalila Guzman's NPI (1265919526) is active in the NPPES registry as of the last update on 2025-02-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.