Lynette Guss , APRN-BC
Nurse Practitioner • Dearborn Heights, MI
26200 Ford Rd Unit 95
Dearborn Heights, MI 481274304
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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NPI assigned on December 1, 2006; this date does not establish years in practice.
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Published CMS data list 73 Original Medicare Part B services in 2021.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021. Published rows only; this is not a quality measure.
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Published Part B service records, 2021:
- 99349 — Residence visit for established patient with moderate level of medical decision making, per day: 73 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2020 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2021). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Published CMS data list 306 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:
- Trazodone Hcl — 32 prescription fills, including refills.
- Diclofenac Sodium — 19 prescription fills, including refills.
- Escitalopram Oxalate — 16 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 22 records in the table · Guide: How to read Medicare Part D prescriber data
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Close to the middle for Part D prescriptions among clinicians listed under Nurse Practitioner in Michigan (2024, 1,583 clinicians with data). Median for this group: 357. Middle half: 97 to 1,476.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 770 in 2017 to 73 in 2021.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017–2021.
Practice Location & Contact Primary Location
26200 Ford Rd Unit 95
Dearborn Heights, MI 481274304
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: Medallus And Vacharothone Ltd. See the list
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File, CMS release of October 2, 2026
2006
What Public CMS Data Show
Nurse Practitioner: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
13 people with Original Medicare in 2021
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2021.
Medicare-allowed amount
About $8,181 in 2021
The total amount Medicare approved for these services in 2021. 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, 2021.
Paid by Medicare
About $5,882 in 2021
The part of the Medicare-allowed amount that Medicare itself paid in 2021, 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, 2021.
30-day fills
325 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
$3,540 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.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021–2025.
Years since graduation
20 years (graduated 2006)
CMS Doctors and Clinicians data list 2006 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, CMS release of October 2, 2026.
NPI first issued
2006
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, CMS release of October 2, 2026; 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, CMS release of October 2, 2026.
Enrolled in Medicare (PECOS)
Lynette Guss 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 Lynette Guss 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 Dearborn Heights and Michigan
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
Close to the middle for clinicians listed under Nurse Practitioner in Michigan (2024, 1,583 clinicians with data). Median for this group: 357. Middle half: 97 to 1,476.
Too few clinicians listed under Nurse Practitioner in Dearborn Heights have Medicare Part D data for 2024 to compare.
Part D drug cost
A lower Part D drug cost than 65% of clinicians listed under Nurse Practitioner in Michigan (2024, 1,583 clinicians with data). Median for this group: $24,377. Middle half: $1,492 to $175,387.
Too few clinicians listed under Nurse Practitioner in Dearborn Heights have Medicare Part D data for 2024 to compare.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Lynette Guss are from 2021.
8 active clinicians are listed under Nurse Practitioner with a practice address in Dearborn Heights, MI (3,598 in Michigan).
Addresses are self-reported to NPPES and may be out of date.
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 decreased 91% from 770 in 2017 to 73 in 2021.
- 2017: 770
- 2018: 280
- 2019: 304
- 2020: 128
- 2021: 73
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Medicare-allowed amount
Medicare-allowed amount decreased 85% from $53,488 in 2017 to $8,181 in 2021.
- 2017: $53,488
- 2018: $28,593
- 2019: $30,553
- 2020: $14,476
- 2021: $8,181
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Paid by Medicare
Paid by Medicare decreased 86% from $40,726 in 2017 to $5,882 in 2021.
- 2017: $40,726
- 2018: $21,264
- 2019: $23,508
- 2020: $10,492
- 2021: $5,882
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 76% from 1,277 in 2020 to 306 in 2024.
- 2020: 1,277
- 2021: 525
- 2022: 540
- 2023: 366
- 2024: 306
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30-day fills
30-day fills decreased 80% from 1,656 in 2020 to 325 in 2024.
- 2020: 1,656
- 2021: 642
- 2022: 571
- 2023: 391
- 2024: 325
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Part D drug cost
Part D drug cost decreased 94% from $60,568 in 2020 to $3,540 in 2024.
- 2020: $60,568
- 2021: $8,116
- 2022: $8,207
- 2023: $7,814
- 2024: $3,540
Sources: CMS Medicare Physician & Other Practitioners (2021), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2020 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, 2017–2021; 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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99349
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
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73 | 13 | $162.72 | $112.07 |
Source: CMS Part B by Provider and Service, 2021; 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 |
|---|---|---|---|---|---|
| Trazodone Hcl | Trazodone Hcl | 32 | 1,090 | $377.93 | — |
| Diclofenac Sodium | Diclofenac Sodium | 19 | 557 | $296.80 | — |
| Escitalopram Oxalate | Escitalopram Oxalate | 16 | 480 | $36.45 | — |
| Furosemide | Furosemide | 15 | 480 | $24.39 | — |
| Metoprolol Succinate | Metoprolol Succinate | 15 | 630 | $154.40 | — |
| Potassium Chloride | Potassium Chloride | 14 | 480 | $135.29 | — |
| Hydroxychloroquine Sulfate | Hydroxychloroquine Sulfate | 14 | 336 | $352.98 | — |
| Lisinopril | Lisinopril | 13 | 390 | $6.16 | — |
| Levothyroxine Sodium | Levothyroxine Sodium | 13 | 395 | $193.08 | — |
| Montelukast Sodium | Montelukast Sodium | 13 | 390 | $34.80 | — |
| Tizanidine Hcl | Tizanidine Hcl | 13 | 390 | $102.34 | — |
| Amlodipine Besylate | Amlodipine Besylate | 12 | 366 | $2.89 | — |
| Atorvastatin Calcium | Atorvastatin Calcium | 12 | 366 | $231.98 | — |
| Digoxin | Digoxin | 12 | 360 | $178.05 | — |
| Omeprazole | Omeprazole | 12 | 366 | $244.32 | — |
| Ropinirole Hcl | Ropinirole Hcl | 12 | 366 | $11.13 | — |
| Lamotrigine | Lamotrigine | 12 | 366 | $61.01 | — |
| Oxcarbazepine | Oxcarbazepine | 12 | 366 | $174.57 | — |
| Azathioprine | Azathioprine | 12 | 360 | $286.64 | — |
| Warfarin Sodium | Warfarin Sodium | 11 | 330 | $17.88 | — |
| Cyclobenzaprine Hcl | Cyclobenzaprine Hcl | 11 | 334 | $13.95 | — |
| Ventolin Hfa | Albuterol Sulfate | 11 | 316 | $603.11 | — |
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: 2023-04-14NUCC Taxonomy Code: 363L00000X
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NURSE PRACTITIONER
I20070119000278
MI
3577564483
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, CMS release of October 2, 2026
Medallus And Vacharothone Ltd
2701 Uptown Way S, Fargo, ND 581045798
Phone: 7013684380
Medallus And Vacharothone Ltd
721 1st Ave S, Jamestown, ND 584014725
Phone: 8776339110
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 220 E ROSSER AVE UNIT 544, BISMARCK, ND 585026656 (Tel: 2487566025)
NPI status registered as active in NPPES database
Registered at 26200 FORD RD UNIT 95, DEARBORN HEIGHTS, MI 481274304 (Tel: 2487566025)
Registered at 34009 TOMAHAWK DR, WESTLAND, MI 481852742 (Tel: 2487566025)
Recorded as LYNETTE GUSS, APRN-BC
Nurse Practitioner (license number reported to NPPES: MI 4704218575)
NPI status registered as active in NPPES database
Registered at 18211 W 12 MILE RD, STE 2SE, LATHRUP VILLAGE, MI 480762641 (Tel: 2486772410)
Registered at 18211 W 12 MILE RD, STE 2SE, LATHRUP VILLAGE, MI 480762641 (Tel: 2486772410)
Recorded as LYNETTE GUSS, APRN-BC
Nurse Practitioner (license number reported to NPPES: MI 4704218575)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Nurse Practitioners in Dearborn Heights
- Grace Rosete-Lasala
- Abbass Hamze, NP
- Kay Elder, FNP-C
- Ebitehal Elbeshir, AGNP-C
- Mohamad Saad, FNP-BC
Mailing Address
220 E Rosser Ave Unit 544
Bismarck, ND 585026656
Phone: 2487566025