Dr. Anthony F Guanciale , MD
Orthopaedic Surgery โข Cincinnati, OH
9250 Blue Ash Rd
Cincinnati, OH 45242
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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Dr. Anthony Guanciale is listed in NPPES under Orthopaedic Surgery.
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NPI assigned on May 5, 2006; this date does not establish years in practice.
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Published CMS data list 80 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99215 โ Established patient outpatient office visit: 66 service units.
- 99203 โ New patient outpatient office visit: 14 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ 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 ยท Guide: How to read Medicare Part B data
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Published CMS data list 12 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Alendronate Sodium โ 12 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 95% of clinicians listed under Orthopaedic Surgery in Cincinnati, OH (2024, 52 clinicians with data). Median for this group: 1,676. Middle half: 635 to 3,781.
Fewer Medicare Part B services than 90% of clinicians listed under Orthopaedic Surgery in Ohio (2024, 552 clinicians with data). Median for this group: 964. Middle half: 380 to 2,335.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 222 in 2020 to 80 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
9250 Blue Ash Rd
Cincinnati, OH 45242
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: University Of Cincinnati Physicians Company Llc. 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
University Of Toledo College Of Medicine
1989
What Public CMS Data Show
Orthopaedic Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
78 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 โ by Provider, 2024.
Medicare-allowed amount
About $12,165 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 โ by Provider and Service, 2024.
Paid by Medicare
About $9,312 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 โ by Provider and Service, 2024.
30-day fills
12 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
$14 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 โ by Provider and Drug, 2024.
Open Payments general payments, program year 2023
All general payments: $113.86 across 2 records.
By nature of payment
- Food and Beverage: $113.86 across 2 records.
Reporting-company totals
- Zimmer Biomet Holdings, Inc.: $113.86 across 2 records.
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 2023 (published June 30, 2026).
Years since graduation
37 years (graduated 1989)
CMS Doctors and Clinicians data list 1989 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
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; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
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)
Dr. Guanciale 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 Dr. Guanciale 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 Cincinnati and Ohio
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 95% of clinicians listed under Orthopaedic Surgery in Cincinnati, OH (2024, 52 clinicians with data). Median for this group: 1,676. Middle half: 635 to 3,781.
Fewer Medicare Part B services than 90% of clinicians listed under Orthopaedic Surgery in Ohio (2024, 552 clinicians with data). Median for this group: 964. Middle half: 380 to 2,335.
Medicare-allowed amount
A lower Medicare-allowed amount than 90% of clinicians listed under Orthopaedic Surgery in Cincinnati, OH (2024, 52 clinicians with data). Median for this group: $92,309. Middle half: $54,614 to $222,513.
A lower Medicare-allowed amount than 85% of clinicians listed under Orthopaedic Surgery in Ohio (2024, 552 clinicians with data). Median for this group: $71,629. Middle half: $29,789 to $144,995.
Paid by Medicare
A lower Medicare payment amount than 90% of clinicians listed under Orthopaedic Surgery in Cincinnati, OH (2024, 52 clinicians with data). Median for this group: $65,856. Middle half: $41,271 to $167,224.
A lower Medicare payment amount than 85% of clinicians listed under Orthopaedic Surgery in Ohio (2024, 552 clinicians with data). Median for this group: $55,132. Middle half: $22,474 to $108,641.
Medicare Part D prescriptions
Fewer Part D prescriptions than 95% of clinicians listed under Orthopaedic Surgery in Cincinnati, OH (2024, 51 clinicians with data). Median for this group: 242. Middle half: 78 to 620.
Fewer Part D prescriptions than 95% of clinicians listed under Orthopaedic Surgery in Ohio (2024, 552 clinicians with data). Median for this group: 197. Middle half: 69 to 466.
Part D drug cost
A lower Part D drug cost than 95% of clinicians listed under Orthopaedic Surgery in Cincinnati, OH (2024, 51 clinicians with data). Median for this group: $1,280. Middle half: $563 to $3,509.
A lower Part D drug cost than 95% of clinicians listed under Orthopaedic Surgery in Ohio (2024, 552 clinicians with data). Median for this group: $1,246. Middle half: $362 to $3,336.
97 active clinicians are listed under Orthopaedic Surgery with a practice address in Cincinnati, OH (923 in Ohio).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Cincinnati
2.1% of these 97 clinicians have the CMS telehealth indicator.
55.7% of these 97 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 decreased 64% from 222 in 2020 to 80 in 2024.
- 2020: 222
- 2021: 365
- 2022: 117
- 2023: 123
- 2024: 80
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Medicare-allowed amount
Medicare-allowed amount decreased 71% from $41,656 in 2020 to $12,165 in 2024.
- 2020: $41,656
- 2021: $24,635
- 2022: $17,149
- 2023: $20,666
- 2024: $12,165
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Paid by Medicare
Paid by Medicare decreased 71% from $32,469 in 2020 to $9,312 in 2024.
- 2020: $32,469
- 2021: $18,332
- 2022: $12,553
- 2023: $15,507
- 2024: $9,312
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 86% from 88 in 2017 to 12 in 2024.
- 2017: 88
- 2018: 173
- 2019: 82
- 2020: 38
- 2024: 12
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30-day fills
30-day fills decreased 89% from 114 in 2017 to 12 in 2024.
- 2017: 114
- 2018: 199
- 2019: 100
- 2020: 48
- 2024: 12
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Part D drug cost
Part D drug cost decreased 100% from $4,018 in 2017 to $14 in 2024.
- 2017: $4,018
- 2018: $5,975
- 2019: $1,223
- 2020: $393
- 2024: $14
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $46.02 in 2019 to $113.86 in 2023.
- 2019: $46.02
- 2023: $113.86
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท 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 2023 (payments made January 1 โ December 31, 2023): fewer than 11 records totaling $113.86.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Zimmer Biomet Holdings, Inc. |
Food and Beverage
In-kind items and services
|
โ | General | $56.93 |
| Zimmer Biomet Holdings, Inc. |
Food and Beverage
In-kind items and services
|
โ | General | $56.93 |
Source: CMS Open Payments, program year 2023, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 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, 2017โ2024; 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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99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
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66 | 49 | $423.09 | $162.02 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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14 | 14 | $261.00 | $105.11 |
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 |
|---|---|---|---|---|---|
| Alendronate Sodium | Alendronate Sodium | 12 | 168 | $13.52 | โ |
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: 207X00000X
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
NUCC Taxonomy Code: 207X00000X
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
NUCC Taxonomy Code: 207XS0117X
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - ORTHOPEDIC SURGERY
I20040614000132
OH
7810971405
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
University Of Cincinnati Physicians Company Llc
222 Piedmont Ave, Cincinnati, OH 452194231
Phone: 5134757855
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant - Surgical
Physician Assistant (Certified)
Physical Medicine & Rehabilitation
Doctor of Medicine (M.D.)
Orthopaedic Surgery - Orthopaedic Surgery of the Spine
Physician Assistant
Physician Assistant (Certified)
Radiology - Neuroradiology
Doctor of Medicine (M.D.)
Physical Medicine & Rehabilitation
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
NPI status registered as active in NPPES database
Registered at PO BOX 636256 PO BOX 636256, CINCINNATI, OH 452636256 (Tel: 5135855506)
Registered at 9250 BLUE ASH RD, CINCINNATI, OH 45242 (Tel: 5137927445)
Recorded as ANTHONY GUANCIALE, M.D.
Orthopaedic Surgery (license number reported to NPPES: OH 35062680G)
NPI status registered as active in NPPES database
Registered at 9250 BLUE ASH RD, CINCINNATI, OH 45242 (Tel: 5137927445)
Registered at 237 WILLIAM HOWARD TAFT, PHYS. DIV., 2ND FL, CBO2-3, ATTN: CREDENTIALING, CINCINNATI, OH 452192906 (Tel: 5132639238)
Recorded as ANTHONY GUANCIALE, M.D.
Orthopaedic Surgery (license number reported to NPPES: OH 35.062680)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Orthopaedic Surgery Specialists in Cincinnati
- Dr. Nicholas Mirkopoulos, MD
- Dr. Michael Swank, MD
- Dr. Ferhan Asghar, MD
- Dr. Brian Rottinghaus, MD
- Dr. Shawn Yang, MD
- Dr. Craig Willis, MD
Mailing Address
Po Box 636256 Po Box 636256
Cincinnati, OH 452636256
Phone: 5135855506