2026 NPPES data Nephrology Physician NPI 1699940874 M.D.
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Eugene De Guzman, M.D.

Nephrology Physician in Mount Vernon, Washington. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 10,534 in Nephrology Physician, 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
2K
Medicare Part D claims · 246 beneficiaries · Nephrology Physician avg: 1K
Generic prescribing
95%
generic claims · 5% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
87/100
▲ 4 pts above national avg 83.1 · Above neutral
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Eugene De Guzman, M.D. reported a CMS MIPS final score of 87/100 - above the 83.1 national average - and filed 1,717 Medicare Part D claims in 2023.

87/100
MIPS score · +4 vs avg
2K
Part D claims, 2023
95%
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.

Eugene De Guzman, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure

87 Top 46% higher than 54% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90+: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored 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.

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

Where Eugene De Guzman, M.D. sits

This provider among nephrology physician peers

Across the 2,476 nephrology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Eugene De Guzman, M.D. writes more Part D claims than 68% of them and scores higher on MIPS quality than 61% - placing this provider in the high-volume, high-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Part D claim volume vs MIPS quality, by specialty percentile

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality0255075100024.148.372.496.6Part D claim volume, percentile in specialtyMIPS quality, percentilePart D claim volume, percentile in specialty: 30 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 48Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 40Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 23Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 68Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 25Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 88Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 75Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 55Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 50Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 3Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 73Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 33Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 10Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 52Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 45Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 12Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 67Part D claim volume, percentile in specialty: 5 · MIPS quality, percentile: 43Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 53Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 8Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 77Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 63Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 62Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 65Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 13Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 78Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 83Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 15Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 47Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 70Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 18Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 5Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 2Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 37Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 85Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 35Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 92Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 28Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 38Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 0Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 90Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 17Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 80Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 7Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 20Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 42Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 57Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 25Eugene De Guzman, M.D.-Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 61
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one nephrology physician peer from a representative sample of 60; the gold marker is Eugene De Guzman, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Eugene De Guzman, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 Eugene De Guzman, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 04/28/2008

NPI 1699940874

Primary specialty

Nephrology Physician

Mid-sized

10,534 US NPIs in this specialty

Medicare Part D claims

1,717 18% vs specialty avg

2023 prescription claims

Specialty avg: 1,454

MIPS final score

87/100 3.9 pts vs avg

Above neutral band

vs 83.1 national avg

Specialty distribution in Washington

How Nephrology Physician compares to other specialties among Washington providers

Washington providers

Largest specialties in Washington (% of in-state providers)

Mental Health Counselor - 8.6%Mental Health Counselor8.6%Massage Therapist - 6.5%Massage Therapist6.5%Counselor - 5.7%Counselor5.7%Behavior Technician - 4.5%Behavior Technician4.5%Pharmacist - 4%Pharmacist4%Physical Therapist - 3.6%Physical Therapist3.6%Nephrology Physician - 0.1%Nephrology Physician0.1%
Largest specialties in Washington (% of in-state providers)

Medicare quality performance, MIPS

Eugene De Guzman, M.D.'s 2023 MIPS final score plotted against the Nephrology Physician national average

High performer (top quartile)
MIPS Final Score
87/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nephrology Physician) - 87/100 vs national avg 83.1

0%100%National avg83%87%
MIPS final score (Nephrology Physician) - 87/100 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).

Eugene De Guzman, M.D. appears in the CMS NPPES registry as a Nephrology Physician provider holding M.D. credentials at 208 S HOSPITAL PKWY, Mount Vernon, WA, 98274, with a listed phone of (360) 428-2550. NPI 1699940874 was issued on 04/28/2008. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what De Guzman 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 1,717 prescription claims written by this provider, covering 246 Medicare beneficiaries and totaling roughly $174K in drug spend, split 5% brand-name and 95% 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 87/100 for the 2023 performance year (Quality 100, Cost 90.1), compared with the national average of 83.1.

Nephrology Physician is a mid-sized specialty nationwide, with 10,534 enrolled providers across 55 states and an average of 1,454 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

208 S HOSPITAL PKWY
Mount Vernon, WA 98274

Provider Details

NPI 1699940874
Specialty Nephrology Physician
Credentials M.D.
Gender Male
NPI Issued 04/28/2008

CMS Quality Score (MIPS)

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

87.0441
Final Score
Avg: 83.1
100
Quality
90.1471
Cost

Reporting: Individual

Hospital and facility affiliations

Facilities where Eugene De Guzman, M.D. 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.

Public Hospital Dist NO 1 Skagit
Mount Vernon, WA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

License & disciplinary context - Washington WMC 2023 annual report

Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~34K Washington medical licensees in 2023 - they are NOT specific to Eugene De Guzman, M.D.. To verify Eugene De Guzman, M.D.'s current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

Eugene De Guzman, M.D. - brand share 5.0%
Nephrology Physician average

5% brand-name claims vs 95% generic, on 1,717 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.

1,717
Total Claims
$174K
Total Drug Cost
246
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,544
Total Day Supply
135,754
Brand vs Generic
5% brand / 95% generic
Brand Drug Cost
$110K
Generic Drug Cost
$64K

Patient Demographics

Average Patient Age
72.1 years
Avg HCC Risk Score
3.42
Gender Split
51% female / 49% male
Age Distribution
<65: 38, 65-74: 94, 75-84: 85, 85+: 29

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What Eugene De Guzman, M.D. prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Amlodipine Besylate
182
Carvedilol
181
Lisinopril
144
Furosemide
120
Losartan Potassium
106
Torsemide
69
Hydrochlorothiazide
67
Hydralazine Hcl
66
Allopurinol
61
Spironolactone
59

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

Nephrology Physician Overview

How Eugene De Guzman, M.D. fits within the Nephrology Physician landscape nationally.

10,534
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,454
Avg Claims per Provider

Eugene De Guzman, M.D.'s 1,717 claims are above the specialty average of 1,454.

Nearby Nephrology Physician Providers in Washington

Other clinicians with the same primary specialty enrolled in Washington, drawn from the same CMS NPPES roster as De Guzman.

Compare Nephrology Physician nationally: see state-by-state distribution →

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Washington medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Nephrology Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Eugene De Guzman, M.D.'s specialty?
Eugene De Guzman, M.D. specializes in Nephrology Physician and practices in Mount Vernon, Washington. Credentials: M.D..
How much does Eugene De Guzman, M.D. prescribe under Medicare Part D?
In 2023, Eugene De Guzman, M.D. wrote 1,717 Medicare Part D claims totaling $174K in drug costs for 246 beneficiaries.
What is Eugene De Guzman, M.D.'s Medicare quality score?
Eugene De Guzman, M.D. has a CMS MIPS Final Score of 87/100 (Quality: 100, Cost: 90.1). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Eugene De Guzman, M.D. located?
Eugene De Guzman, M.D. is located at 208 S HOSPITAL PKWY, Mount Vernon, WA, 98274. Phone: (360) 428-2550.
What is Eugene De Guzman, M.D.'s NPI number?
Eugene De Guzman, M.D.'s National Provider Identifier (NPI) is 1699940874, issued on 04/28/2008.
Does Eugene De Guzman, M.D. prescribe more brand-name or generic drugs?
Eugene De Guzman, M.D.'s prescribing is 5% brand-name and 95% generic drugs by claim count, with $110K in brand drug costs.
How many Nephrology Physician providers are there in the US?
There are 10,534 Nephrology Physician providers across 55 states in the US. The average Nephrology Physician provider writes 1,454 Medicare Part D claims per year.
What drugs does Eugene De Guzman, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Eugene De Guzman, M.D.'s most frequently prescribed drugs include Amlodipine Besylate, Carvedilol, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Eugene De Guzman, M.D. accept Medicare?
Eugene De Guzman, M.D. appears in CMS Medicare data with 1,717 Part D claims and 246 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Eugene De Guzman, M.D.'s credentials?
Eugene De Guzman, M.D.'s NPI is 1699940874 with credentials M.D.. 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

Compiled from official public sources by the PlainDoctor editorial team.