Andrew K. Guardia , PA
Physician Assistant • Springfield, IL
1025 S 6th St
Springfield, IL 627032403
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Andrew Guardia is listed in NPPES under Physician Assistant.
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NPI assigned on September 10, 2007; this date does not establish years in practice.
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Published CMS data list 28,530 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- J1756 — Injection, iron sucrose, 1 mg: 17,400 service units.
- Q0138 — Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use): 6,630 service units.
- J9030 — Bcg live intravesical instillation, 1 mg: 2,500 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
See all 22 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 552 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) — 73 prescription fills, including refills.
- Anastrozole — 65 prescription fills, including refills.
- Ondansetron Hcl — 53 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 21 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 95% of clinicians listed under Physician Assistant in Springfield, IL (2024, 70 clinicians with data). Median for this group: 320. Middle half: 130 to 706.
More Medicare Part B services than 95% of clinicians listed under Physician Assistant in Illinois (2024, 2,422 clinicians with data). Median for this group: 212. Middle half: 76 to 548.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 5,902 in 2020 to 28,530 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
1025 S 6th St
Springfield, IL 627032403
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Springfield Clinic, Llp. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2007
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
487 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $63,376 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
Paid by Medicare
About $49,747 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.
30-day fills
785 standardized 30-day fills in 2024
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$195,824 in 2024
The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $56.46 across 2 records.
By nature of payment
- Education: $30.65 across 1 record.
- Food and Beverage: $25.81 across 1 record.
Reporting-company totals
- Pfizer Inc.: $30.65 across 1 record.
- Myriad Genetic Laboratories, Inc.: $25.81 across 1 record.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
19 years (graduated 2007)
CMS Doctors and Clinicians data list 2007 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2007
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Andrew Guardia has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Andrew Guardia as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Springfield and Illinois
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 95% of clinicians listed under Physician Assistant in Springfield, IL (2024, 70 clinicians with data). Median for this group: 320. Middle half: 130 to 706.
More Medicare Part B services than 95% of clinicians listed under Physician Assistant in Illinois (2024, 2,422 clinicians with data). Median for this group: 212. Middle half: 76 to 548.
Medicare-allowed amount
A higher Medicare-allowed amount than 90% of clinicians listed under Physician Assistant in Springfield, IL (2024, 70 clinicians with data). Median for this group: $24,845. Middle half: $12,747 to $46,632.
A higher Medicare-allowed amount than 85% of clinicians listed under Physician Assistant in Illinois (2024, 2,422 clinicians with data). Median for this group: $16,580. Middle half: $6,650 to $35,717.
Paid by Medicare
A higher Medicare payment amount than 90% of clinicians listed under Physician Assistant in Springfield, IL (2024, 70 clinicians with data). Median for this group: $18,328. Middle half: $8,916 to $32,908.
A higher Medicare payment amount than 85% of clinicians listed under Physician Assistant in Illinois (2024, 2,422 clinicians with data). Median for this group: $12,415. Middle half: $4,894 to $26,472.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Physician Assistant in Springfield, IL (2024, 75 clinicians with data). Median for this group: 493. Middle half: 144 to 1,269.
More Part D prescriptions than 70% of clinicians listed under Physician Assistant in Illinois (2024, 2,668 clinicians with data). Median for this group: 203. Middle half: 67 to 595.
Part D drug cost
A higher Part D drug cost than 75% of clinicians listed under Physician Assistant in Springfield, IL (2024, 75 clinicians with data). Median for this group: $7,395. Middle half: $1,054 to $156,853.
A higher Part D drug cost than 85% of clinicians listed under Physician Assistant in Illinois (2024, 2,668 clinicians with data). Median for this group: $3,018. Middle half: $535 to $48,132.
103 active clinicians are listed under Physician Assistant with a practice address in Springfield, IL (4,929 in Illinois).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Springfield
10.7% of these 103 clinicians have the CMS telehealth indicator.
76.7% of these 103 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 383% from 5,902 in 2020 to 28,530 in 2024.
- 2020: 5,902
- 2021: 4,099
- 2022: 8,809
- 2023: 15,147
- 2024: 28,530
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Medicare-allowed amount
Medicare-allowed amount increased 311% from $15,413 in 2020 to $63,376 in 2024.
- 2020: $15,413
- 2021: $11,547
- 2022: $28,910
- 2023: $39,983
- 2024: $63,376
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Paid by Medicare
Paid by Medicare increased 316% from $11,961 in 2020 to $49,747 in 2024.
- 2020: $11,961
- 2021: $9,189
- 2022: $22,673
- 2023: $31,895
- 2024: $49,747
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 149% from 222 in 2020 to 552 in 2024.
- 2020: 222
- 2021: 306
- 2022: 462
- 2023: 552
- 2024: 552
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30-day fills
30-day fills increased 131% from 340 in 2020 to 785 in 2024.
- 2020: 340
- 2021: 474
- 2022: 643
- 2023: 757
- 2024: 785
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Part D drug cost
Part D drug cost increased 1011% from $17,621 in 2020 to $195,824 in 2024.
- 2020: $17,621
- 2021: $28,105
- 2022: $30,680
- 2023: $559,744
- 2024: $195,824
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $145.62 in 2022 to $56.46 in 2025.
- 2022: $145.62
- 2023: $30.26
- 2025: $56.46
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $56.46.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Pfizer Inc. |
Education
In-kind items and services
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IBRANCE | General | $30.65 |
| Myriad Genetic Laboratories, Inc. |
Food and Beverage
In-kind items and services
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MYRISK | General | $25.81 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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J1756
Injection, iron sucrose, 1 mg
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17,400 | 43 | $1.60 | $0.22 |
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Q0138
Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-esrd use)
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6,630 | 13 | $3.00 | $0.35 |
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J9030
Bcg live intravesical instillation, 1 mg
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2,500 | 19 | $5.00 | $2.84 |
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85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
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315 | 219 | $82.00 | $7.61 |
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J1100
Injection, dexamethasone sodium phosphate, 1 mg
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244 | 20 | $0.66 | $0.11 |
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36415
Insertion of needle into vein for collection of blood sample
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221 | 176 | $8.21 | $7.92 |
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80047
Blood test, basic group of blood chemicals (calcium, ionized)
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179 | 114 | $120.01 | $13.46 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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170 | 138 | $582.94 | $103.62 |
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J7050
Infusion, normal saline solution, 250 cc
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160 | 83 | $5.00 | $0.65 |
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96365
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less
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113 | 63 | $316.73 | $49.39 |
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96361
Infusion into a vein for hydration, each additional hour
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104 | 30 | $118.87 | $8.42 |
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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97 | 89 | $411.68 | $73.17 |
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J7030
Infusion, normal saline solution , 1000 cc
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65 | 28 | $5.00 | $2.29 |
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51720
Instillation of anti-cancer drug into bladder
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63 | 21 | $1248.41 | $72.20 |
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96375
Injection of additional new drug or substance into vein
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58 | 20 | $89.76 | $12.32 |
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96360
Infusion into a vein for hydration, 31-60 minutes
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49 | 18 | $227.00 | $21.03 |
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96372
Injection of drug or substance under skin or into muscle
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38 | 29 | $53.00 | $11.41 |
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96413
Administration of chemotherapy into vein, 1 hour or less
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37 | 26 | $689.27 | $102.44 |
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96523
Irrigation of implanted venous access drug delivery device
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26 | 13 | $119.00 | $19.66 |
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96374
Injection of drug or substance into vein
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23 | 14 | $201.35 | $29.18 |
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J3490
Unclassified drugs
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20 | 13 | $2.00 | $0.66 |
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96367
Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less
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18 | 14 | $158.06 | $22.69 |
Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 73 | 1,003 | $1,190.58 | 45 |
| Anastrozole | Anastrozole | 65 | 5,010 | $812.59 | 26 |
| Ondansetron Hcl | Ondansetron Hcl | 53 | 532 | $191.33 | 27 |
| Hydroxyurea | Hydroxyurea | 41 | 3,038 | $736.41 | 14 |
| Eliquis | Apixaban | 39 | 1,470 | $28,088.72 | 11 |
| Prednisone | Prednisone | 29 | 564 | $82.55 | 20 |
| Tramadol Hcl | Tramadol Hcl | 28 | 575 | $116.82 | 16 |
| Dexamethasone | Dexamethasone | 23 | 369 | $143.98 | — |
| Fentanyl | Fentanyl | 22 | 525 | $1,784.55 | — |
| Prochlorperazine Maleate | Prochlorperazine Maleate | 20 | 190 | $117.88 | 11 |
| Lorazepam | Lorazepam | 19 | 320 | $32.98 | 11 |
| Morphine Sulfate Er | Morphine Sulfate | 18 | 380 | $296.10 | — |
| Potassium Chloride | Potassium Chloride | 16 | 484 | $265.63 | 11 |
| Tamoxifen Citrate | Tamoxifen Citrate | 16 | 1,320 | $173.26 | — |
| Acyclovir | Acyclovir | 15 | 555 | $107.37 | — |
| Ciprofloxacin Hcl | Ciprofloxacin Hcl | 14 | 87 | $47.11 | 13 |
| Gabapentin | Gabapentin | 13 | 475 | $139.42 | — |
| Letrozole | Letrozole | 13 | 870 | $76.95 | — |
| Alprazolam | Alprazolam | 12 | 288 | $71.40 | — |
| Oxycodone Hcl | Oxycodone Hcl | 12 | 297 | $226.03 | — |
| Verzenio | Abemaciclib | 11 | 308 | $161,122.40 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2026-03-03NUCC Taxonomy Code: 363A00000X
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
NUCC Taxonomy Code: 363AM0700X
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20071030000436
IL
8022105675
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Springfield Clinic, Llp
1025 S 6th St, Springfield, IL 627032403
Phone: 2175287541
Springfield Clinic, Llp
775 Engineering Ave, Springfield, IL 627035909
Phone: 2175224300
Springfield Clinic, Llp
800 N 1st St, Springfield, IL 627023719
Phone: 2175287541
Springfield Clinic, Llp
2200 Wabash Ave, Springfield, IL 627045352
Phone: 2177870727
Springfield Clinic, Llp
900 N 1st St, Springfield, IL 627023749
Phone: 2175287541
Springfield Clinic, Llp
600 N Main St, Taylorville, IL 625681668
Phone: 2178248191
Springfield Clinic, Llp
400 Saint Johns Dr, Sherman, IL 626849779
Phone: 2175254150
Springfield Clinic, Llp
100 Stahlhut Dr, Lincoln, IL 626565059
Phone: 2177359555
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Internal Medicine - Interventional Cardiology
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Nurse Anesthetist, Certified Registered
Certified Registered Nurse Anesthetist
Pediatrics
Physician Assistant
Physician Assistant (Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Physician Assistant (license number reported to NPPES: IL 085003035)
NPI status registered as active in NPPES database
Registered at 1025 S 6TH ST, SPRINGFIELD, IL 627032403 (Tel: 2175287541)
Registered at 1025 S 6TH ST, SPRINGFIELD, IL 627032403 (Tel: 2175287541)
Recorded as ANDREW GUARDIA, PA
Physician Assistant (license number reported to NPPES: IL 085003035)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Springfield
- Austin Stallings, PA-C
- Mindy Sanders, PA-C
- Katherine Walls, PA-C
- Colleen Langer, PA-C
- Theresa Durbin, PA-C
- Carly Nyobinda, PA
Mailing Address
1025 S 6th St
Springfield, IL 627032403
Phone: 2175287541