2026 NPPES data Retina Specialist (Ophthalmology) Physician NPI 1417967258 MD
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JAMES GUILDFORD, MD

Retina Specialist (Ophthalmology) Physician in WEST PALM BEACH, Florida. 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
58
Medicare Part D claims · 14 beneficiaries · Retina Specialist (Ophthalmology) Physician avg: 558
MIPS score
91.2999/100
▲ 8 pts above national avg 83.1 · [object Object]
What the federal data reveals: JAMES GUILDFORD, MD is a Retina Specialist (Ophthalmology) Physician ([object Object]) practicing in WEST PALM BEACH, Florida with a Medicare Part D prescribing footprint of 58 claims across 14 beneficiaries . Their CMS MIPS Final Score of 91.2999/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: JAMES GUILDFORD, MD reported a CMS MIPS final score of 91.2999 out of 100, above the 83.1 national average, and filed 58 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)

JAMES GUILDFORD, 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).

JAMES GUILDFORD, MD at a glance

High performer (top quartile)

NPI registry status

Active

Issued 08/08/2006

NPI 1417967258

Primary specialty

Retina Specialist (Ophthalmology) Physician

Niche

913 US NPIs in this specialty

Medicare Part D claims

58 90% vs specialty avg

2023 prescription claims

Specialty avg: 558

MIPS final score

91.2999/100 8.1999% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Florida

How Retina Specialist (Ophthalmology) Physician compares to other specialties among Florida providers

Florida providers

Retina Specialist (Ophthalmology) Physician share within Florida

1. Retina Specialist (Ophthalmology) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Retina Specialist (Ophthalmology) Physician share within Florida

Medicare quality performance — MIPS

JAMES GUILDFORD, MD's 2023 MIPS final score plotted against the Retina Specialist (Ophthalmology) Physician national average

High performer (top quartile)
MIPS Final Score
91.2999/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Retina Specialist (Ophthalmology) Physician) — 91.2999/100 vs national avg 83.1

0%100%National avg83%91.3%
MIPS final score (Retina Specialist (Ophthalmology) Physician) — 91.2999/100 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).

JAMES GUILDFORD, MD is a Retina Specialist (Ophthalmology) Physician provider practicing in WEST PALM BEACH, Florida, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1417967258. 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.

JAMES GUILDFORD, MD appears in the CMS NPPES registry as a Retina Specialist (Ophthalmology) Physician provider holding MD credentials at 1500 N DIXIE HWY, WEST PALM BEACH, FL, 33401, with a listed phone of (561) 833-1810. NPI 1417967258 was issued on 08/08/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GUILDFORD 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 58 prescription claims written by this provider, covering 14 Medicare beneficiaries and totaling roughly $4K 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 91.2999/100 for the 2023 performance year (Quality 82.5998), compared with the national average of 83.1.

Retina Specialist (Ophthalmology) Physician is a narrow specialty nationwide, with 913 enrolled providers across 48 states and an average of 558 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

1500 N DIXIE HWY
WEST PALM BEACH, FL 33401

Provider Details

NPI 1417967258
Specialty Retina Specialist (Ophthalmology) Physician
Credentials MD
Gender Male
NPI Issued 08/08/2006

CMS Quality Score (MIPS)

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

91.2999
Final Score
Avg: 83.1
82.5998
Quality

Reporting: Group practice

License & disciplinary context — Florida FLDOH 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 ~75K Florida medical licensees in 2023 — they are NOT specific to JAMES GUILDFORD, MD. To verify JAMES GUILDFORD, MD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

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

58
Total Claims
$4K
Total Drug Cost
14
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
115
Total Day Supply
3,258
Generic Drug Cost
$3K

Patient Demographics

Average Patient Age
77.8 years
Avg HCC Risk Score
1.12
Age Distribution
<65: 0, 65-74: N/A, 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.

Drug Claims
Difluprednate
17

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

Retina Specialist (Ophthalmology) Physician Overview

How JAMES GUILDFORD, MD fits within the Retina Specialist (Ophthalmology) Physician landscape nationally.

913
Retina Specialist (Ophthalmology) Physician Providers in US
48
States with Retina Specialist (Ophthalmology) Physician
558
Avg Claims per Provider

JAMES GUILDFORD, MD's 58 claims are below the specialty average of 558.

Nearby Retina Specialist (Ophthalmology) Physician Providers in Florida

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

Compare Retina Specialist (Ophthalmology) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is JAMES GUILDFORD, MD's specialty?
JAMES GUILDFORD, MD specializes in Retina Specialist (Ophthalmology) Physician and practices in WEST PALM BEACH, Florida. Credentials: MD.
How much does JAMES GUILDFORD, MD prescribe under Medicare Part D?
In 2023, JAMES GUILDFORD, MD wrote 58 Medicare Part D claims totaling $4K in drug costs for 14 beneficiaries.
What is JAMES GUILDFORD, MD's Medicare quality score?
JAMES GUILDFORD, MD has a CMS MIPS Final Score of 91.2999/100 (Quality: 82.5998). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JAMES GUILDFORD, MD located?
JAMES GUILDFORD, MD is located at 1500 N DIXIE HWY, WEST PALM BEACH, FL, 33401. Phone: (561) 833-1810.
What is JAMES GUILDFORD, MD's NPI number?
JAMES GUILDFORD, MD's National Provider Identifier (NPI) is 1417967258, issued on 08/08/2006.
How many Retina Specialist (Ophthalmology) Physician providers are there in the US?
There are 913 Retina Specialist (Ophthalmology) Physician providers across 48 states in the US. The average Retina Specialist (Ophthalmology) Physician provider writes 558 Medicare Part D claims per year.
What drugs does JAMES GUILDFORD, MD prescribe most often?
Based on 2023 Medicare Part D data, JAMES GUILDFORD, MD's most frequently prescribed drugs include Difluprednate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JAMES GUILDFORD, MD accept Medicare?
JAMES GUILDFORD, MD appears in CMS Medicare data with 58 Part D claims and 14 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JAMES GUILDFORD, MD's credentials?
JAMES GUILDFORD, MD's NPI is 1417967258 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