2026 NPPES data Maternal & Fetal Medicine Physician NPI 1386627974 MD
Verify on CMS →

DEBRA GUINN, MD

Maternal & Fetal Medicine Physician in COLUMBIA, Missouri. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
12
Medicare Part D claims · Maternal & Fetal Medicine Physician avg: 75
MIPS score
100/100
▲ 17 pts above national avg 83.1 · [object Object]
What the federal data reveals: DEBRA GUINN, MD is a Maternal & Fetal Medicine Physician ([object Object]) practicing in COLUMBIA, Missouri with a Medicare Part D prescribing footprint of 12 claims . Their CMS MIPS Final Score of 100/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: DEBRA GUINN, MD reported a CMS MIPS final score of 100 out of 100, above the 83.1 national average, and filed 12 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

DEBRA GUINN, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

DEBRA GUINN, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 11/28/2005

NPI 1386627974

Primary specialty

Maternal & Fetal Medicine Physician

Niche

2,103 US NPIs in this specialty

Medicare Part D claims

12 84% vs specialty avg

2023 prescription claims

Specialty avg: 75

MIPS final score

100/100 16.900000000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Missouri

How Maternal & Fetal Medicine Physician compares to other specialties among Missouri providers

Missouri providers

Maternal & Fetal Medicine Physician share within Missouri

1. Maternal & Fetal Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Maternal & Fetal Medicine Physician share within Missouri

Medicare quality performance — MIPS

DEBRA GUINN, MD's 2023 MIPS final score plotted against the Maternal & Fetal Medicine Physician national average

High performer (top quartile)
MIPS Final Score
100/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Maternal & Fetal Medicine Physician) — 100/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Maternal & Fetal Medicine Physician) — 100/100 vs national avg 83.1

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).

DEBRA GUINN, MD is a Maternal & Fetal Medicine Physician provider practicing in COLUMBIA, Missouri, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1386627974. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

DEBRA GUINN, MD appears in the CMS NPPES registry as a Maternal & Fetal Medicine Physician provider holding MD credentials at 402 N KEENE ST STE 406, COLUMBIA, MO, 65201, with a listed phone of (573) 499-6041. NPI 1386627974 was issued on 11/28/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GUINN 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 12 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $1K in drug spend. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 100/100 for the 2023 performance year, compared with the national average of 83.1.

Maternal & Fetal Medicine Physician is a narrow specialty nationwide, with 2,103 enrolled providers across 52 states and an average of 75 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

402 N KEENE ST STE 406
COLUMBIA, MO 65201

Provider Details

NPI 1386627974
Specialty Maternal & Fetal Medicine Physician
Credentials MD
Gender Female
NPI Issued 11/28/2005

CMS Quality Score (MIPS)

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

100
Final Score
Avg: 83.1
100
Promoting Interoperability

Reporting: Group practice

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

12
Total Claims
$1K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
12
Total Day Supply
231

Patient Demographics

Average Patient Age
51.7 years
Avg HCC Risk Score
1.06

Maternal & Fetal Medicine Physician Overview

How DEBRA GUINN, MD fits within the Maternal & Fetal Medicine Physician landscape nationally.

2,103
Maternal & Fetal Medicine Physician Providers in US
52
States with Maternal & Fetal Medicine Physician
75
Avg Claims per Provider

DEBRA GUINN, MD's 12 claims are below the specialty average of 75.

Nearby Maternal & Fetal Medicine Physician Providers in Missouri

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

Compare Maternal & Fetal Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is DEBRA GUINN, MD's specialty?
DEBRA GUINN, MD specializes in Maternal & Fetal Medicine Physician and practices in COLUMBIA, Missouri. Credentials: MD.
How much does DEBRA GUINN, MD prescribe under Medicare Part D?
In 2023, DEBRA GUINN, MD wrote 12 Medicare Part D claims totaling $1K in drug costs for N/A beneficiaries.
What is DEBRA GUINN, MD's Medicare quality score?
DEBRA GUINN, MD has a CMS MIPS Final Score of 100/100. The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is DEBRA GUINN, MD located?
DEBRA GUINN, MD is located at 402 N KEENE ST STE 406, COLUMBIA, MO, 65201. Phone: (573) 499-6041.
What is DEBRA GUINN, MD's NPI number?
DEBRA GUINN, MD's National Provider Identifier (NPI) is 1386627974, issued on 11/28/2005.
How many Maternal & Fetal Medicine Physician providers are there in the US?
There are 2,103 Maternal & Fetal Medicine Physician providers across 52 states in the US. The average Maternal & Fetal Medicine Physician provider writes 75 Medicare Part D claims per year.
Does DEBRA GUINN, MD accept Medicare?
DEBRA GUINN, MD appears in CMS Medicare data with 12 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify DEBRA GUINN, MD's credentials?
DEBRA GUINN, MD's NPI is 1386627974 with credentials MD. 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

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.
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 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