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Anthony C Guidone , APRN, CNP

Nurse Practitioner • Duluth, MN

Active NPI 1134685035 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

4212 Grand Ave
Duluth, MN 558072737

Call 2187863500 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4212 Grand Ave

Duluth, MN 558072737

Telephone 2187863500
Organization at the Same NPPES Address or Phone
The Duluth Clinic, Ltd Facility NPI 1669410221

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Valley Regional Hospital Inc. 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

Graduation Year

2018

Medicare-allowed amount

About $5,275 in 2020

The total amount Medicare approved for these services in 2020. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

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, 2020.

Paid by Medicare

About $3,004 in 2020

The part of the Medicare-allowed amount that Medicare itself paid in 2020, after patients' deductibles and coinsurance.

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, 2020.

30-day fills

319 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

$2,997 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

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.

Guide: How to read an Open Payments record

Years since graduation

8 years (graduated 2018)

CMS Doctors and Clinicians data list 2018 as the year this clinician finished professional 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

2019

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.

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?”

Guide: What Medicare assignment means

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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Anthony Guidone 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Anthony Guidone 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.

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.

Guide: What ordering and referring status means

Compared with the same specialty in Duluth and Minnesota

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Nurse Practitioner in Duluth, MN (2024, 34 clinicians with data). Median for this group: 435. Middle half: 128 to 1,281.

Close to the middle for clinicians listed under Nurse Practitioner in Minnesota (2024, 1,222 clinicians with data). Median for this group: 260. Middle half: 78 to 1,006.

Part D drug cost

A lower Part D drug cost than 60% of clinicians listed under Nurse Practitioner in Duluth, MN (2024, 34 clinicians with data). Median for this group: $20,232. Middle half: $1,775 to $125,813.

A lower Part D drug cost than 60% of clinicians listed under Nurse Practitioner in Minnesota (2024, 1,222 clinicians with data). Median for this group: $13,678. Middle half: $1,290 to $110,944.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Anthony Guidone are from 2020.

51 active clinicians are listed under Nurse Practitioner with a practice address in Duluth, MN (2,583 in Minnesota).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Duluth

29.4% of these 51 clinicians have the CMS telehealth indicator.

78.4% of these 51 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2020), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2020.

CMS Part B · Data Year 2020
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2018–2019 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, 2019–2020; 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
47 47 $141.15 $89.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
17 17 $272.18 $62.18

Source: CMS Part B by Provider and Service, 2020; 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.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Prednisone Prednisone 59 580 $153.04 58
Albuterol Sulfate Hfa Albuterol Sulfate 48 855 $1,005.73 41
Doxycycline Monohydrate Doxycycline Monohydrate 44 365 $577.31 43
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 42 394 $442.79 41
Cephalexin Cephalexin 23 147 $239.15 23
Sulfamethoxazole-Trimethoprim Sulfamethoxazole/Trimethoprim 21 196 $81.30 21
Doxycycline Hyclate Doxycycline Hyclate 16 147 $102.78 16
Cyclobenzaprine Hcl Cyclobenzaprine Hcl 15 149 $139.48 15
Azithromycin Azithromycin 13 65 $45.06 12
Fluconazole Fluconazole 13 51 $85.09 11
Polymyxin B Sul-Trimethoprim Polymyxin B Sulf/Trimethoprim 12 232 $71.99 12
Triamcinolone Acetonide Triamcinolone Acetonide 11 161 $53.37 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

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES MN CNP6337

(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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Minnesota Board of Medical Practice.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20210714001133

Enrollment State Jurisdiction

NH

PECOS Control ID

1557601226

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

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

Valley Regional Hospital Inc

7 Dunning St, Claremont, NH 037432005

Phone: 6035426700

Valley Regional Hospital Inc

243 Elm St, Claremont, NH 037434921

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

22 listed
Mark Albee , LICSW

Social Worker - Clinical

NPI 1639235914

Licensed Independent Clinical Social Worker

Dr. Steven Baker , MD

Family Medicine

NPI 1164441770

Doctor of Medicine (M.D.)

Dr. Kirsten Bich , MD

Family Medicine

NPI 1548290257

Doctor of Medicine (M.D.)

NPI 1033140660

Doctor of Medicine (M.D.)

Samuel Brickley , PA-C

Physician Assistant

NPI 1720863129

Physician Assistant (Certified)

Jason Buffington

Family Medicine

NPI 1649206012

Career & Practice History

NPI enumerated February 15, 2019.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from March 2019 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1134685035
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 15, 2019
Last Update: February 15, 2019
Sole Proprietor: No

Other Nurse Practitioners in Duluth

All Nurse Practitioners in Duluth

Mailing Address

1702 University Dr S

Fargo, ND 581034940

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.