DANIEL GUILES, MD, MPHTM, CTROPMED
Pediatrics Physician in NASHVILLE, Tennessee. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
DANIEL GUILES, MD, MPHTM, CTROPMED filed 826 Medicare Part D claims in 2023 as a Pediatrics Physician in NASHVILLE, Tennessee, prescribing 81% generic.
- 826
- Part D claims, 2023
- 81%
- generic prescribing
- Likely
- board-certified (heuristic)
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.
DANIEL GUILES, MD, MPHTM, CTROPMED's Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023 — across all CMS prescribers nationally
826 Top 27% higher than 73% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. 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.
Source CMS Medicare Part D Prescriber Public Use File · 2023
DANIEL GUILES, MD, MPHTM, CTROPMED practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about DANIEL GUILES, MD, MPHTM, CTROPMED?
Quality data not reportedPrimary specialty
Medicare Part D claims
Specialty distribution in Tennessee
How Pediatrics Physician compares to other specialties among Tennessee providers
Pediatrics Physician share within Tennessee
Pediatrics Physician is one of the more visible NUCC categories in Tennessee
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Specialty board-certification context
Estimated specialty board-certified rate — Pediatrics Physician (ABMS / AOA reference)
- Est. board-certified rate
- 78%
- Pediatrics Physician ABMS/AOA estimate
Est. board-certified rate (Pediatrics Physician) — ABMS / AOA estimate
Verify credentials
- Verify via ABMS free public lookup
- Verify via AOA osteopathic boards
- Specialty volume Pediatrics Physician US NPIs
Specialty board-certified rate — Pediatrics Physician estimate
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus Maintenance of Certification cycles. CMS does not publish a per-provider board-certification field; the figure shown is the specialty-level estimated rate from ABMS / AOA reference data.
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).
DANIEL GUILES, MD, MPHTM, CTROPMED appears in the CMS NPPES registry as a Pediatrics Physician provider holding MD, MPHTM, CTROPMED credentials at 3601 THE VANDERBILT CLINIC, NASHVILLE, TN, 37232, with a listed phone of (615) 322-3000. NPI 1396061669 was issued on 04/12/2010. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GUILES most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.
Medicare Part D records for calendar year 2023 show 826 prescription claims written by this provider, covering 111 Medicare beneficiaries and totaling roughly $93K in drug spend, split 19% brand-name and 81% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.
Pediatrics Physician is a high-volume specialty nationwide, with 80,574 enrolled providers across 56 states and an average of 762 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.
Practice Address
Provider Details
| NPI | 1396061669 |
|---|---|
| Specialty | Pediatrics Physician |
| Credentials | MD, MPHTM, CTROPMED |
| Gender | Male |
| NPI Issued | 04/12/2010 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm DANIEL GUILES, MD, MPHTM, CTROPMED's current license status, disciplinary history, and board certifications with the Tennessee Board of Medical Examiners in Tennessee before relying on this page for a clinical or care decision.
How we sourced this profile
Hospital and facility affiliations
Facilities where DANIEL GUILES, MD, MPHTM, CTROPMED bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Typical
19% brand-name claims vs 81% generic, on 826 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
Prescribing Breakdown
- 30-Day Fills
- 1,669
- Total Day Supply
- 47,923
- Brand vs Generic
- 19% brand / 81% generic
- Brand Drug Cost
- $82K
- Generic Drug Cost
- $11K
- Antibiotic Claims
- 20
Patient Demographics
- Average Patient Age
- 65.4 years
- Avg HCC Risk Score
- 1.50
- Gender Split
- 59% female / 41% male
- Age Distribution
- <65: 36, 65-74: 58, 75-84: N/A, 85+: N/A
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What DANIEL GUILES, MD, MPHTM, CTROPMED prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
63 claims
- Amlodipine Besylate
Amlodipine Besylate
60 claims
- Gabapentin
Gabapentin
28 claims
- Losartan Potassium
Losartan Potassium
26 claims
- Pantoprazole Sodium 25
Pantoprazole Sodium
25 claims
- Metformin Hcl 24
Metformin Hcl
24 claims
- Albuterol Sulfate … 22
Albuterol Sulfate Hfa
22 claims
- Hydrochlorothiazide 21
Hydrochlorothiazide
21 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 63 |
| Amlodipine Besylate | 60 |
| Gabapentin | 28 |
| Losartan Potassium | 26 |
| Pantoprazole Sodium | 25 |
| Metformin Hcl | 24 |
| Albuterol Sulfate Hfa Albuterol Sulfate | 22 |
| Hydrochlorothiazide | 21 |
| Lisinopril | 20 |
| Carvedilol | 17 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pediatrics Physician Overview
How DANIEL GUILES, MD, MPHTM, CTROPMED fits within the Pediatrics Physician landscape nationally.
DANIEL GUILES, MD, MPHTM, CTROPMED's 826 claims are above the specialty average of 762.
Nearby Pediatrics Physician Providers in Tennessee
Other clinicians with the same primary specialty enrolled in Tennessee, drawn from the same CMS NPPES roster as GUILES.
Compare Pediatrics Physician nationally: see state-by-state distribution →
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Frequently Asked Questions
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Data Sources
- 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 (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- 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 April 2026 (NPPES) / 2023 (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