Larry Guinto, M.D.
NPI 1497109144 · Sports Medicine (Physical Medicine & Rehabilitation) Physician · Fresno, CA
Enrolled with Medicare as Practitioner - Physical Medicine and Rehabilitation · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Larry Guinto, M.D. is a Sports Medicine (Physical Medicine & Rehabilitation) Physician provider in Fresno, CA (NPI 1497109144).
Provider details
- NPI number
- 1497109144
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- A161722 (CA)
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
10 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
2,832 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 | 753 | $130 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 332 | $92 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 258 | $167 |
| Needle Measurement of Electrical Activity in Arm Or Leg Muscles, Complete Study95886 | 225 | $100 |
| Injection of Anesthetic And/Or Steroid Drug Into Sacral Spine Nerve Root Using Imaging Guidance, Single Level64483 | 154 | $125 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 115 | 37 |
| Cyclobenzaprine Hcl | 31 | 14 |
| Meloxicam | 28 | 14 |
| Tramadol Hcl | 17 | 12 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 16 | — |
| Methylprednisolone | 16 | 15 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 11 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,069 across 64 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)
- 1270 E Spruce AveFresno, CA 93720-3312Phone: (559) 256-5200Fax: (559) 256-5376
Registry dates
- Enumerated
- 2016-04-19
- Last updated
- 2026-01-30
- Certified
- 2026-01-30
Frequently asked questions
- What is Larry Guinto's NPI number?
- Larry Guinto's National Provider Identifier (NPI) is 1497109144, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Larry Guinto's specialty?
- Larry Guinto is listed in the NPPES registry with a primary specialty of Sports Medicine (Physical Medicine & Rehabilitation) Physician (Allopathic & Osteopathic Physicians).
- Where is Larry Guinto located?
- Larry Guinto's practice location on file with NPPES is 1630 E Herndon Ave, Fresno, CA 93720-3391.
- What is Larry Guinto's phone number?
- The practice phone number listed in the NPPES registry for Larry Guinto is (559) 256-5200.
- Does Larry Guinto accept Medicare?
- Larry Guinto is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Larry Guinto's NPI active?
- Yes — Larry Guinto's NPI (1497109144) is active in the NPPES registry as of the last update on 2026-01-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.