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2026 NPPES data Specialist NPI 1497704803 M.D.,F.A.C.S.
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Brian Guffin, M.D.,F.A.C.S.

Specialist in Birmingham, Alabama.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 69,567 in Specialist, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
1K
Medicare Part D claims · 300 beneficiaries · Specialist avg: 2K
MIPS score
46.9/100
▼ 37 pts below national avg 83.5 · Below average
Industry payments
$180.48
8 payments · CMS Open Payments (Sunshine Act)
Verify NPI on CMS Methodology
Compiled from official public sources by the editorial process.

What the federal data shows

Brian Guffin, M.D.,F.A.C.S. reported a CMS MIPS final score of 46.9/100 - below the 83.5 national average - and filed 1,052 Medicare Part D claims in 2024.

46.9/100
MIPS score · -37 vs avg
1K
Part D claims, 2024
$180.48
industry payments (Sunshine Act)
≥4th
pct among measured MIPS (lower-bound band)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.

Federal trust snapshot

What official records show about Brian Guffin, M.D.,F.A.C.S.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1497704803), first enumerated 05/10/2006.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 1,052 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 46.9/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Industry payment transparency

    $180.48 in reported industry payments (8 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1497704803 · Specialist

NPI-10 · ENUM-LEGACY · TAX-MEGA · MIPS-LOW · RX-MID · BOOK-LIGHT · PHOTO-FINISH

  • NPI-10 1497704803
  • ENUM-LEGACY 2006
  • TAX-MEGA 70K Specialist
  • MIPS-LOW 46.9/100
  • RX-MID 1,052
  • BOOK-LIGHT 638 in Alabama
  • PHOTO-FINISH Thieu Nguyen · ±0.1

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Brian Guffin, M.D.,F.A.C.S.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

47 ≥ 4th percentile 4% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). This entry sits in this band. 50–60: 5,882 measured providers (1%). Above this entry. 60–70: 13,906 measured providers (3%). Above this entry. 70–80: 94,570 measured providers (21%). Above this entry. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Brian Guffin, M.D.,F.A.C.S. sits

This provider among specialist peers

Across the 4,261 specialist providers who report both Medicare Part D prescribing and a MIPS quality score, Brian Guffin, M.D.,F.A.C.S. writes more Part D claims than 56% of them and scores higher on MIPS quality than 17% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.148.372.496.6Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 53Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 70Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 52Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 18Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 88Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 37Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 75Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 83Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 65Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 0Brian Guffin, M.D.,F.A.C.S., Part D claim volume, percentile in specialty: 56 · MIPS quality, percentile: 17
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one specialist peer from a representative sample of 60; the gold marker is Brian Guffin, M.D.,F.A.C.S.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

What does the federal data show about Brian Guffin, M.D.,F.A.C.S.?

Below national average

NPI registry status

Active

Issued 05/10/2006

NPI 1497704803

Primary specialty

Specialist

High-volume

69,567 US NPIs in this specialty

Medicare Part D claims

1,052 31% vs specialty avg

2024 prescription claims

Specialty avg: 1,524

MIPS final score

46.9/100 36.6 pts vs avg

Below average band

vs 83.5 national avg

Specialty distribution in Alabama

How Specialist compares to other specialties among Alabama providers

Alabama providers
Student in an Organized Heal…8.4%Pharmacist6.6%Family Nurse Practitioner5.9%Behavior Technician4.7%Physical Therapist4.2%Mental Health Counselor3.4%Specialist0.9%
Largest specialties in Alabama (% of in-state providers)

Medicare quality performance, MIPS

Brian Guffin, M.D.,F.A.C.S.'s 2023 MIPS final score plotted against the Specialist national average

Below national average
MIPS Final Score
46.9/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%46.9%
MIPS final score (Specialist) - 46.9/100 vs national avg 83.5
How MIPS and board certification work

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

Practice Address

3400 INDEPENDENCE DR
Birmingham, AL 35209
(205) 933-1199

Provider Details

NPI 1497704803
Specialty Specialist
Credentials M.D.,F.A.C.S.
Gender Male
NPI Issued 05/10/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

46.9324
Final Score
Measured-score avg: 83.5
42.331
Quality
100
Cost

Reporting: Group practice

Industry payments received (2024) - CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Brian Guffin, M.D.,F.A.C.S.. Source: openpaymentsdata.cms.gov.

Total received

$180

Largest payer

Axonics, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

1,052
Total Claims
$84K
Total Drug Cost
300
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,122.433
Total Day Supply
17,993
Generic Drug Cost
$17K
Opioid Claims
153 (14.5% rate)
Antibiotic Claims
280

Patient Demographics

Average Patient Age
72.5 years
Avg HCC Risk Score
1.35
Gender Split
63% female / 37% male
Age Distribution
<65: 34, 65-74: 151, 75-84: 88, 85+: 27

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

What Brian Guffin, M.D.,F.A.C.S. prescribes most

Top Medicare Part D drugs by claim count, 2024

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2024
Drug Claims
Hydrocortisone
 183
Metronidazole
 179
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
150
Linzess
Linaclotide
96
Neomycin Sulfate
 55
Pantoprazole Sodium
 32
Ciprofloxacin Hcl
 27
Clotrimazole-Betamethasone
Clotrimazole/Betamethasone Dip
24
Cholestyramine
Cholestyramine (With Sugar)
23
Trulance
Plecanatide
18

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

More Specialist in AL → All providers in Alabama → Compare specialties →

Specialist Overview

How Brian Guffin, M.D.,F.A.C.S. fits within the Specialist landscape nationally.

69,567
Specialist Providers in US
55
States with Specialist
1,524
Avg Claims per Provider

Brian Guffin, M.D.,F.A.C.S.'s 1,052 claims are below the specialty average of 1,524.

Nationwide Specialist peers with similar MIPS or enrollment year

Two federal-record peer sets for Guffin, both outside Alabama so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (46.9 here).

Thieu Nguyen 47 TX Todd Watson 46.3 NJ William Willis 46.3 NJ Zukwung Wuu 46.3 NJ

Same NPPES enumeration year (2006)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Lynn Beaulieu Colorado Springs, CO James Robertson Santa Rosa, CA Carrie Whitehead Rochester, NY Raj Kansal Altoona, PA

Nearby Specialist Providers in Alabama

Other clinicians with the same primary specialty enrolled in Alabama, drawn from the same CMS NPPES roster as Guffin.

One of 638 Specialist providers enrolled in Alabama, 5 are shown here.

Dr. William Abernathy
M.D.
Montgomery, AL
Dr. Bernard Abi-Saleh
MD
Mobile, AL
Dr. Charles Adams
M.D.
Birmingham, AL
Dr. Mark Addison
M.D.
Cullman, AL
Dedrick Agee
Hoover, AL

Compare Specialist nationally: see state-by-state distribution →

Frequently Asked Questions

What is Brian Guffin, M.D.,F.A.C.S.'s specialty? ▼
Brian Guffin, M.D.,F.A.C.S. specializes in Specialist and practices in Birmingham, Alabama. Credentials: M.D.,F.A.C.S..
How much does Brian Guffin, M.D.,F.A.C.S. prescribe under Medicare Part D? ▼
In 2024, Brian Guffin, M.D.,F.A.C.S. wrote 1,052 Medicare Part D claims totaling $84K in drug costs for 300 beneficiaries.
What is Brian Guffin, M.D.,F.A.C.S.'s Medicare quality score? ▼
Brian Guffin, M.D.,F.A.C.S. has a CMS MIPS Final Score of 46.9/100 (Quality: 42.3, Cost: 100). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Brian Guffin, M.D.,F.A.C.S. located? ▼
Brian Guffin, M.D.,F.A.C.S. is located at 3400 INDEPENDENCE DR, Birmingham, AL, 35209. Phone: (205) 933-1199.
What is Brian Guffin, M.D.,F.A.C.S.'s NPI number? ▼
Brian Guffin, M.D.,F.A.C.S.'s National Provider Identifier (NPI) is 1497704803, issued on 05/10/2006.
Does Brian Guffin, M.D.,F.A.C.S. prescribe opioids? ▼
Yes, Brian Guffin, M.D.,F.A.C.S. had 153 opioid claims in 2024 with an opioid prescribing rate of 14.5%.
How many Specialist providers are there in the US? ▼
There are 69,567 Specialist providers across 55 states in the US. The average Specialist provider writes 1,524 Medicare Part D claims per year.
What drugs does Brian Guffin, M.D.,F.A.C.S. prescribe most often? ▼
Based on 2024 Medicare Part D data, Brian Guffin, M.D.,F.A.C.S.'s most frequently prescribed drugs include Hydrocortisone, Metronidazole, Oxycodone-Acetaminophen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Brian Guffin, M.D.,F.A.C.S. accept Medicare? ▼
Brian Guffin, M.D.,F.A.C.S. appears in CMS Medicare data with 1,052 Part D claims and 300 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Brian Guffin, M.D.,F.A.C.S.'s credentials? ▼
Brian Guffin, M.D.,F.A.C.S.'s NPI is 1497704803 with credentials M.D.,F.A.C.S.. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

View source datasets and methodology notes
Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2024). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology

Compiled from official public sources by the editorial process.

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.