Rafael Guzman, MD
NPI 1750730016 · Family Medicine Physician · Utica, NY
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rafael Guzman, MD is a Family Medicine Physician provider in Utica, NY (NPI 1750730016).
Provider details
- NPI number
- 1750730016
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 299929 (NM)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
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
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,127 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 430 | $74 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 365 | $112 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 187 | $108 |
| Critical Care, First 30-74 Minutes99291 | 104 | $201 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 41 | $164 |
Typical Medicare-allowed amounts for these services range $74–$201 (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 |
|---|---|---|
| Ondansetronbrand: Ondansetron Odt | 104 | 101 |
| Pantoprazole Sodium | 43 | 26 |
| Cefpodoxime Proxetil | 25 | 25 |
| Atorvastatin Calcium | 21 | 12 |
| Prednisone | 20 | 19 |
| Furosemide | 15 | 14 |
| Bisoprolol Fumarate | 14 | — |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$136 across 6 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
- 2016-06-08
- Last updated
- 2022-06-09
- Certified
- 2022-06-02
Frequently asked questions
- What is Rafael Guzman's NPI number?
- Rafael Guzman's National Provider Identifier (NPI) is 1750730016, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rafael Guzman's specialty?
- Rafael Guzman is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Rafael Guzman located?
- Rafael Guzman's practice location on file with NPPES is 1656 Champlin Ave, Utica, NY 13502-4830.
- What is Rafael Guzman's phone number?
- The practice phone number listed in the NPPES registry for Rafael Guzman is (315) 624-6829.
- Does Rafael Guzman accept Medicare?
- Rafael Guzman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Rafael Guzman's NPI active?
- Yes — Rafael Guzman's NPI (1750730016) is active in the NPPES registry as of the last update on 2022-06-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.