Dr. Garry Macasaet Guce , MD
Internal Medicine • Kaufman, TX
874 Ed Hall Dr Ste 106
Kaufman, TX 751421800
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 June 2, 2010; this date does not establish years in practice.
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Published CMS data list 21 Original Medicare Part B services in 2022.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2022. Published rows only; this is not a quality measure.
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Published Part B service records, 2022:
- 99441 — Telephone medical discussion with physician: 21 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2022. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2021 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2022). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Published CMS data list 8,661 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:
- Atorvastatin Calcium — 540 prescription fills, including refills.
- Lisinopril — 374 prescription fills, including refills.
- Levothyroxine Sodium — 355 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 142 records in the table · Guide: How to read Medicare Part D prescriber data
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More Part D prescriptions than 85% of clinicians listed under Internal Medicine in Texas (2024, 5,692 clinicians with data). Median for this group: 815. Middle half: 119 to 4,814.
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 2,906 in 2017 to 21 in 2022.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017–2022.
Practice Location & Contact Primary Location
874 Ed Hall Dr Ste 106
Kaufman, TX 751421800
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: Permanente Medical Group Inc. 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
2003
What Public CMS Data Show
Internal Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
20 people with Original Medicare in 2022
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2022.
Medicare-allowed amount
About $1,225 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.
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, 2022.
Paid by Medicare
About $550 in 2022
The part of the Medicare-allowed amount that Medicare itself paid in 2022, 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, 2022.
30-day fills
20,028 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
$440,452 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: $48.21 across 2 records.
By nature of payment
- Food and Beverage: $48.21 across 2 records.
Reporting-company totals
- ABBVIE INC.: $48.21 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 2024 (published June 30, 2026).
Years since graduation
23 years (graduated 2003)
CMS Doctors and Clinicians data list 2003 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
2010
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?”
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, CMS release of October 2, 2026.
Enrolled in Medicare (PECOS)
Dr. Guce 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. Guce 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 Kaufman and Texas
Billing and prescribing volume is not a quality rating.
Medicare Part D prescriptions
More Part D prescriptions than 85% of clinicians listed under Internal Medicine in Texas (2024, 5,692 clinicians with data). Median for this group: 815. Middle half: 119 to 4,814.
Too few clinicians listed under Internal Medicine in Kaufman have Medicare Part D data for 2024 to compare.
Part D drug cost
A higher Part D drug cost than 75% of clinicians listed under Internal Medicine in Texas (2024, 5,692 clinicians with data). Median for this group: $62,823. Middle half: $3,924 to $436,115.
Too few clinicians listed under Internal Medicine in Kaufman have Medicare Part D data for 2024 to compare.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Guce are from 2022.
9 active clinicians are listed under Internal Medicine with a practice address in Kaufman, TX (9,244 in Texas).
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 99% from 2,906 in 2017 to 21 in 2022.
- 2017: 2,906
- 2018: 2,158
- 2019: 956
- 2020: 434
- 2022: 21
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Medicare-allowed amount
Medicare-allowed amount decreased 99% from $185,607 in 2017 to $1,225 in 2022.
- 2017: $185,607
- 2018: $173,787
- 2019: $56,683
- 2020: $31,471
- 2022: $1,225
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Paid by Medicare
Paid by Medicare decreased 100% from $132,050 in 2017 to $550 in 2022.
- 2017: $132,050
- 2018: $129,431
- 2019: $38,518
- 2020: $18,470
- 2022: $550
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Medicare Part D prescriptions
Medicare Part D prescriptions decreased 49% from 16,902 in 2020 to 8,661 in 2024.
- 2020: 16,902
- 2021: 8,177
- 2022: 7,649
- 2023: 9,186
- 2024: 8,661
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30-day fills
30-day fills decreased 23% from 25,862 in 2020 to 20,028 in 2024.
- 2020: 25,862
- 2021: 13,380
- 2022: 16,823
- 2023: 20,781
- 2024: 20,028
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Part D drug cost
Part D drug cost decreased 50% from $882,649 in 2020 to $440,452 in 2024.
- 2020: $882,649
- 2021: $364,133
- 2022: $295,620
- 2023: $433,035
- 2024: $440,452
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $25.85 in 2021 to $48.21 in 2024.
- 2021: $25.85
- 2024: $48.21
Sources: CMS Medicare Physician & Other Practitioners (2022), CMS Medicare Part D Prescribers (2024), CMS Open Payments (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.
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 $48.21.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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BOTOX | General | $26.42 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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BOTOX | General | $21.79 |
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 2016–2021 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 – by Provider and Service data, 2017–2022; 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 |
|---|---|---|---|---|
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99441
Telephone medical discussion with physician, 5-10 minutes
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21 | 12 | $75.00 | $58.34 |
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 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 540 | 49,807 | $7,035.92 | 188 |
| Lisinopril | Lisinopril | 374 | 33,853 | $4,795.59 | 127 |
| Levothyroxine Sodium | Levothyroxine Sodium | 355 | 30,934 | $6,311.02 | 115 |
| Amlodipine Besylate | Amlodipine Besylate | 325 | 27,516 | $3,920.82 | 109 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 307 | 7,348 | $7,983.03 | 74 |
| Losartan Potassium | Losartan Potassium | 264 | 23,816 | $3,453.22 | 97 |
| Gabapentin | Gabapentin | 216 | 16,497 | $5,848.18 | 87 |
| Furosemide | Furosemide | 201 | 15,611 | $2,294.00 | 87 |
| Metoprolol Tartrate | Metoprolol Tartrate | 199 | 15,372 | $2,060.46 | 64 |
| Tamsulosin Hcl | Tamsulosin Hcl | 196 | 16,883 | $3,303.76 | 64 |
| Albuterol Sulfate Hfa | Albuterol Sulfate | 194 | 5,151 | $3,494.16 | 89 |
| Ibuprofen | Ibuprofen | 153 | 4,916 | $2,205.85 | 67 |
| Cephalexin | Cephalexin | 150 | 1,086 | $1,269.44 | 105 |
| Pantoprazole Sodium | Pantoprazole Sodium | 148 | 11,081 | $1,778.93 | 60 |
| Hydrochlorothiazide | Hydrochlorothiazide | 144 | 13,140 | $1,563.46 | 52 |
| Fluticasone Propionate | Fluticasone Propionate | 131 | 4,516 | $2,880.64 | 42 |
| Famotidine | Famotidine | 117 | 7,722 | $1,763.06 | 39 |
| Trazodone Hcl | Trazodone Hcl | 108 | 8,343 | $1,586.21 | 48 |
| Azithromycin | Azithromycin | 100 | 519 | $671.20 | 66 |
| Atenolol | Atenolol | 99 | 9,563 | $1,265.78 | 36 |
| Simvastatin | Simvastatin | 98 | 8,477 | $1,009.78 | 31 |
| Metformin Hcl | Metformin Hcl | 92 | 7,946 | $1,090.12 | 42 |
| Omeprazole | Omeprazole | 90 | 6,762 | $1,398.04 | 30 |
| Clopidogrel | Clopidogrel Bisulfate | 88 | 5,264 | $1,185.31 | 25 |
| Montelukast Sodium | Montelukast Sodium | 85 | 6,240 | $893.21 | 31 |
(top 25 shown)
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: 2020-11-18NUCC Taxonomy Code: 207R00000X
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
NUCC Taxonomy Code: 390200000X
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - INTERNAL MEDICINE
I20110322001083
TX
4789867185
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
Permanente Medical Group Inc
1011 Riverside Ave, Roseville, CA 956785134
Phone: 9167844050
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Student in an Organized Health Care Education/Training Program (license number reported to NPPES: None NONE)
Registered at 800 MORNING DOVE LN, ROCKLIN, CA 957655348 (Tel: 6465121367)
NPI status registered as active in NPPES database
Registered at 874 ED HALL DR STE 106, KAUFMAN, TX 751421800 (Tel: 9729325270)
Registered at 2110 CLUBVIEW DR, ROCKWALL, TX 750873185 (Tel: 6465121367)
Recorded as GARRY GUCE, M.D.
Internal Medicine (license number reported to NPPES: TX N7094)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Internal Medicine Providers in Kaufman
Mailing Address
800 Morning Dove Ln
Rocklin, CA 957655348
Phone: 6465121367