James A Guy , PA
Physician Assistant • Springfield, MO
1229 E Seminole
Springfield, MO 658042227
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 September 6, 2012; this date does not establish years in practice.
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Published CMS data list 473 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:
- 99213 — Established patient outpatient office visit: 282 service units.
- 99214 — Established patient outpatient office visit: 173 service units.
- 72110 — X-ray of lower and sacral spine, minimum of 4 views: 18 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.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Published CMS data list 729 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:
- Baclofen — 270 prescription fills, including refills.
- Gabapentin — 264 prescription fills, including refills.
- Tizanidine Hcl — 54 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 8 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 70% of clinicians listed under Physician Assistant in Springfield, MO (2024, 135 clinicians with data). Median for this group: 241. Middle half: 103 to 553.
More Medicare Part B services than 70% of clinicians listed under Physician Assistant in Missouri (2024, 944 clinicians with data). Median for this group: 229. Middle half: 96 to 567.
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 440 in 2020 to 473 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
1229 E Seminole
Springfield, MO 658042227
CMS Doctors and Clinicians lists 2 distinct group names: Healing Arts Center L.L.C.; Mercy Clinic Springfield Communities. 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
2011
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
239 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 $36,958 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 $26,145 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
986 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
$6,545 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 2024
All general payments: $156.30 across 3 records.
By nature of payment
- Food and Beverage: $156.30 across 3 records.
Reporting-company totals
- Nevro Corp.: $148.13 across 2 records.
- Vertos Medical, Inc.: $8.17 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 2024 (published June 30, 2026).
Years since graduation
15 years (graduated 2011)
CMS Doctors and Clinicians data list 2011 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
2012
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?”
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
James Guy 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 James Guy 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 Missouri
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 70% of clinicians listed under Physician Assistant in Springfield, MO (2024, 135 clinicians with data). Median for this group: 241. Middle half: 103 to 553.
More Medicare Part B services than 70% of clinicians listed under Physician Assistant in Missouri (2024, 944 clinicians with data). Median for this group: 229. Middle half: 96 to 567.
Medicare-allowed amount
A higher Medicare-allowed amount than 75% of clinicians listed under Physician Assistant in Springfield, MO (2024, 135 clinicians with data). Median for this group: $15,991. Middle half: $5,876 to $30,846.
A higher Medicare-allowed amount than 75% of clinicians listed under Physician Assistant in Missouri (2024, 944 clinicians with data). Median for this group: $16,486. Middle half: $7,632 to $33,529.
Paid by Medicare
A higher Medicare payment amount than 75% of clinicians listed under Physician Assistant in Springfield, MO (2024, 135 clinicians with data). Median for this group: $12,105. Middle half: $4,297 to $21,178.
A higher Medicare payment amount than 75% of clinicians listed under Physician Assistant in Missouri (2024, 944 clinicians with data). Median for this group: $12,171. Middle half: $5,565 to $25,556.
Medicare Part D prescriptions
More Part D prescriptions than 65% of clinicians listed under Physician Assistant in Springfield, MO (2024, 124 clinicians with data). Median for this group: 295. Middle half: 68 to 923.
More Part D prescriptions than 75% of clinicians listed under Physician Assistant in Missouri (2024, 900 clinicians with data). Median for this group: 219. Middle half: 73 to 682.
Part D drug cost
Close to the middle for clinicians listed under Physician Assistant in Springfield, MO (2024, 124 clinicians with data). Median for this group: $5,369. Middle half: $553 to $67,984.
Close to the middle for clinicians listed under Physician Assistant in Missouri (2024, 900 clinicians with data). Median for this group: $2,647. Middle half: $562 to $57,833.
234 active clinicians are listed under Physician Assistant with a practice address in Springfield, MO (1,791 in Missouri).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Springfield
12% of these 234 clinicians have the CMS telehealth indicator.
73.1% of these 234 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 stayed about the same: 440 in 2020 and 473 in 2024.
- 2020: 440
- 2021: 408
- 2022: 498
- 2023: 526
- 2024: 473
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Medicare-allowed amount
Medicare-allowed amount increased 71% from $21,649 in 2020 to $36,958 in 2024.
- 2020: $21,649
- 2021: $31,452
- 2022: $43,658
- 2023: $42,169
- 2024: $36,958
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Paid by Medicare
Paid by Medicare increased 79% from $14,572 in 2020 to $26,145 in 2024.
- 2020: $14,572
- 2021: $23,113
- 2022: $30,641
- 2023: $30,455
- 2024: $26,145
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Medicare Part D prescriptions
Medicare Part D prescriptions varied from year to year: 774 in 2020 and 729 in 2024.
- 2020: 774
- 2021: 1,034
- 2022: 897
- 2023: 743
- 2024: 729
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30-day fills
30-day fills decreased 10% from 1,091 in 2020 to 986 in 2024.
- 2020: 1,091
- 2021: 1,454
- 2022: 1,182
- 2023: 974
- 2024: 986
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Part D drug cost
Part D drug cost decreased 57% from $15,225 in 2020 to $6,545 in 2024.
- 2020: $15,225
- 2021: $20,920
- 2022: $15,603
- 2023: $8,685
- 2024: $6,545
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $124.85 in 2022 to $156.30 in 2024.
- 2022: $124.85
- 2023: $57.82
- 2024: $156.30
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2024), 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 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $156.30.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Nevro Corp. |
Food and Beverage
In-kind items and services
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Senza | General | $112.80 |
| Nevro Corp. |
Food and Beverage
In-kind items and services
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Senza | General | $35.33 |
| Vertos Medical, Inc. |
Food and Beverage
In-kind items and services
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mild Device Kit | General | $8.17 |
Source: CMS Open Payments, program year 2024, 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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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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282 | 181 | $131.90 | $70.46 |
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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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173 | 74 | $188.00 | $95.60 |
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72110
X-ray of lower and sacral spine, minimum of 4 views
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18 | 17 | $111.00 | $30.54 |
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 |
|---|---|---|---|---|---|
| Baclofen | Baclofen | 270 | 8,764 | $2,221.21 | 77 |
| Gabapentin | Gabapentin | 264 | 11,721 | $2,286.89 | 70 |
| Tizanidine Hcl | Tizanidine Hcl | 54 | 2,333 | $458.37 | 18 |
| Duloxetine Hcl | Duloxetine Hcl | 41 | 1,780 | $707.04 | — |
| Nortriptyline Hcl | Nortriptyline Hcl | 40 | 1,260 | $560.86 | — |
| Meloxicam | Meloxicam | 33 | 1,125 | $80.37 | 12 |
| Methocarbamol | Methocarbamol | 15 | 634 | $8.56 | — |
| Amitriptyline Hcl | Amitriptyline Hcl | 12 | 697 | $221.61 | — |
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
NUCC 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.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PHYSICIAN ASSISTANT
I20251126003311
MN
2769632751
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
Healing Arts Center L.l.c.
225 Violyn Dr, Branson, MO 656168128
Phone: 4173346660402
Mercy Clinic Springfield Communities
1235 E Cherokee St, Springfield, MO 658042203
Mercy Clinic Springfield Communities
1229 E Seminole St, Springfield, MO 658042227
Mercy Clinic Springfield Communities
2115 S Fremont Ave, Springfield, MO 658042205
Phone: 4178203738
Mercy Clinic Springfield Communities
1229 E Seminole St Fl, Springfield, MO 658042227
Phone: 4178202064
Mercy Clinic Springfield Communities
448 Hwy 248, Branson, MO 656163725
Phone: 4178205200
Mercy Clinic Springfield Communities
2115 S Fremont Ave, Springfield, MO 658042236
Phone: 4178203905
Mercy Clinic Springfield Communities
448 State Hwy 248, Branson, MO 656163725
Mercy Clinic Springfield Communities
1229 E Seminole, Springfield, MO 658042227
Phone: 4178886711
Mercy Clinic Springfield Communities
1605 Martin Springs Dr, Rolla, MO 654012980
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Anesthesiology - Pain Medicine
Doctor of Medicine (M.D.)
Anesthesiology - Pain Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Family Nurse Practitioner
Anesthesiology - Pain Medicine
Doctor of Osteopathic Medicine (D.O.)
Anesthesiology - Pain Medicine
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant (Certified)
Career & Practice History
NPI enumerated September 06, 2012.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Physician Assistants in Springfield
- Shelby Britt, PA-C
- Carrie Kugler, PA-C
- Ann Mcvey, PA-C
- Jason Glenn, PA
- Hannah Creek, PA-C
- Joshua Scott, PA-C
Mailing Address
P.o. Box 2580
Springfield, MO 658012580
Phone: 4178294620