Benjamin Guiney, M.D.
NPI 1376693317 · Family Medicine Physician · Cherokee, NC
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Benjamin Guiney, M.D. is a Family Medicine Physician provider in Cherokee, NC (NPI 1376693317).
Provider details
- NPI number
- 1376693317
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 2014-00119 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
416 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 206 | $164 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 105 | $113 |
| Critical Care, First 30-74 Minutes99291 | 68 | $199 |
| Critical Care, Each Additional 30 Minutes99292 | 25 | $100 |
| Nursing Facility Discharge Management, More Than 30 Minutes99316 | 12 | $123 |
Typical Medicare-allowed amounts for these services range $100–$199 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 10 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 52 | 49 |
| Ondansetronbrand: Ondansetron Odt | 46 | 46 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 35 | 35 |
| Tramadol Hcl | 25 | 25 |
| Doxycycline Hyclate | 23 | 23 |
| Ibuprofen | 22 | 22 |
| Cyclobenzaprine Hcl | 16 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-11
- Last updated
- 2014-12-30
Frequently asked questions
- What is Benjamin Guiney's NPI number?
- Benjamin Guiney's National Provider Identifier (NPI) is 1376693317, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Benjamin Guiney's specialty?
- Benjamin Guiney is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Benjamin Guiney located?
- Benjamin Guiney's practice location on file with NPPES is 1 Hospital Rd, Cherokee, NC 28719.
- What is Benjamin Guiney's phone number?
- The practice phone number listed in the NPPES registry for Benjamin Guiney is (828) 497-9163.
- Does Benjamin Guiney accept Medicare?
- Benjamin Guiney is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Benjamin Guiney's NPI active?
- Yes — Benjamin Guiney's NPI (1376693317) is active in the NPPES registry as of the last update on 2014-12-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.