Michael Guma, D.O.
NPI 1376655407 · Rheumatology Physician · Clifton, NJ
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Michael Guma, D.O. is a Rheumatology Physician provider in Clifton, NJ (NPI 1376655407).
Provider details
- NPI number
- 1376655407
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 25MB05563400 (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
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,739 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 Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 623 | $131 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 550 | $16 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 165 | $93 |
| Infusion Into a Vein for Therapy, Prevention, Or Diagnosis, 1 Hour Or Less96365 | 108 | $66 |
| Administration of Chemotherapy Into Vein, 1 Hour Or Less96413 | 69 | $125 |
| Aspiration And/Or Injection of Fluid From Large Joint |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 34 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Methotrexate Sodiumbrand: Methotrexate | 407 | 121 |
| Hydroxychloroquine Sulfate | 400 | 133 |
| Meloxicam | 310 | 161 |
| Duloxetine Hcl | 248 | 91 |
| Prednisone | 246 | 104 |
| Celecoxib | 203 | 90 |
| Tramadol Hcl | 135 | 26 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$761 across 8 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
Additional practice locations (1)
- 312 Belleville TpkeSuite 3aNorth Arlington, NJ 07031-6463Phone: (201) 998-2800Fax: (201) 998-0800
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2026-05-26
- Certified
- 2026-05-26
Frequently asked questions
- What is Michael Guma's NPI number?
- Michael Guma's National Provider Identifier (NPI) is 1376655407, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Michael Guma's specialty?
- Michael Guma is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Michael Guma located?
- Michael Guma's practice location on file with NPPES is 1 Metro Blvd, Clifton, NJ 07014-0010.
- What is Michael Guma's phone number?
- The practice phone number listed in the NPPES registry for Michael Guma is (973) 230-6610.
- Does Michael Guma accept Medicare?
- Michael Guma is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Michael Guma's NPI active?
- Yes — Michael Guma's NPI (1376655407) is active in the NPPES registry as of the last update on 2026-05-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.