Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Mary Guilfoyle

Nurse Practitioner โ€ข Cincinnati, OH

Active NPI 1952986499 Individual Practitioner Female Practitioner
Practice location in NPPES

3333 Burnet Avenue, Ml 7015
Cincinnati, OH 45229

Call 5136364266 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

3333 Burnet Avenue
Ml 7015

Cincinnati, OH 45229

Telephone 5136364266
Fax 5136363549
Organization at the Same NPPES Address or Phone
Children's Hospital Medical Center Facility NPI 1346388378

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

Medicare-allowed amount

About $745 in 2022

The total amount Medicare approved for these services in 2022. 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 โ€“ by Provider and Service, 2022.

Paid by Medicare

About $745 in 2022

The part of the Medicare-allowed amount that Medicare itself paid in 2022, 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 โ€“ by Provider and Service, 2022.

30-day fills

132 standardized 30-day fills in 2021

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

$1,417 in 2021

The total cost of these prescriptions in 2021, 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 โ€“ by Provider and Drug, 2021.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

NPI first issued

2021

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.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

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, โ€œDoes your provider accept Medicare as full payment?โ€

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

Can order Medicare-covered services

CMS lists Mary Guilfoyle as eligible to order or refer durable medical equipment (DME) 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 Cincinnati and Ohio

Billing and prescribing volume is not a quality rating.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Mary Guilfoyle are from 2022.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for Mary Guilfoyle are from 2021.

766 active clinicians are listed under Nurse Practitioner with a practice address in Cincinnati, OH (4,257 in Ohio).

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

Telehealth indicator in Cincinnati

3.1% of these 766 clinicians have the CMS telehealth indicator.

27.8% of these 766 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2022), CMS Medicare Part D Prescribers (2021), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2022.

CMS Part B ยท Data Year 2022
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2020โ€“2021 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 โ€“ by Provider and Service data, 2021โ€“2022; 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
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)
18 17 $90.00 $41.38

Source: CMS Part B by Provider and Service, 2022; 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 2021.

CMS Part D ยท Data Year 2021
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Methylprednisolone Methylprednisolone 27 162 $290.76 27
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 26 221 $338.45 26
Azithromycin Azithromycin 20 96 $163.32 20
Doxycycline Hyclate Doxycycline Hyclate 15 108 $275.77 15
Fluticasone Propionate Fluticasone Propionate 15 480 $192.73 14
Prednisone Prednisone 14 100 $32.43 13
Ciprofloxacin Hcl Ciprofloxacin Hcl 14 106 $123.63 14

Source: CMS Part D by Provider and Drug, 2021; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2022-09-06
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES OH 026610

(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.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

License # reported to NPPES KY 3015795
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: State Medical Board of Ohio.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Not Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Not 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.

Clinicians Sharing This Practice Address or Phone

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

15 listed
Rebecca Ashbrook , RN, FNP

Nurse Practitioner - Family

NPI 1952525206

Registered Nurse, Family Nurse Practitioner

NPI 1225325905

Doctor of Medicine (M.D.)

Dr. Jacob Bleesing , MD

Pediatrics - Clinical & Laboratory Immunology

NPI 1841220167

Doctor of Medicine (M.D.)

Brittany Cooper

Nurse Practitioner

NPI 1417403874
Dr. Peter De Blank , MD

Pediatrics - Pediatric Hematology-Oncology

NPI 1841497187

Doctor of Medicine (M.D.)

Lori Driver , CNP

Nurse Practitioner

NPI 1831640176

Certified Nurse Practitioner

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
๐Ÿ“
Updated Practice Location September 06, 2022

Registered at 3333 BURNET AVENUE, ML 7015, CINCINNATI, OH 45229 (Tel: 5136364266)

โœ…
NPI Profile Active March 16, 2021

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) March 16, 2021

Registered at 148 HARRINGTON AVE, MADISON, TN 371154018 (Tel: 8596539209)

๐Ÿ“
Business Mailing Address (Initial Record) March 16, 2021

Registered at 148 HARRINGTON AVE, MADISON, TN 371154018 (Tel: 8596539209)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) March 16, 2021

Recorded as MARY GUILFOYLE

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 16, 2021

Nurse Practitioner (license number reported to NPPES: KY 3015795)

๐ŸŸข
Initial NPI Registration & Enumeration March 16, 2021

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1952986499
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 16, 2021
Last Update: September 06, 2022
Sole Proprietor: Yes

Other Nurse Practitioners in Cincinnati

All Nurse Practitioners in Cincinnati

Mailing Address

148 Harrington Ave

Madison, TN 371154018

Phone: 8596539209

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.