2026 NPPES data Surgery Physician NPI 1851355366 DO
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JEROME GUANCIALE, DO

Surgery Physician in WAHPETON, North Dakota. 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
27
Medicare Part D claims · 16 beneficiaries · Surgery Physician avg: 169
MIPS score
82.9973/100
▼ 0 pts below national avg 83.1 · [object Object]
What the federal data reveals: JEROME GUANCIALE, DO is a Surgery Physician ([object Object]) practicing in WAHPETON, North Dakota with a Medicare Part D prescribing footprint of 27 claims across 16 beneficiaries . Their CMS MIPS Final Score of 82.9973/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: JEROME GUANCIALE, DO reported a CMS MIPS final score of 82.9973 out of 100, below the 83.1 national average, and filed 27 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)

JEROME GUANCIALE, DO 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).

JEROME GUANCIALE, DO at a glance

Near national average

NPI registry status

Active

Issued 04/13/2006

NPI 1851355366

Primary specialty

Surgery Physician

Mid-sized

36,191 US NPIs in this specialty

Medicare Part D claims

27 84% vs specialty avg

2023 prescription claims

Specialty avg: 169

MIPS final score

82.9973/100 0.10269999999999868% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in North Dakota

How Surgery Physician compares to other specialties among North Dakota providers

North Dakota providers

Surgery Physician share within North Dakota

1. Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Surgery Physician share within North Dakota

Medicare quality performance — MIPS

JEROME GUANCIALE, DO's 2023 MIPS final score plotted against the Surgery Physician national average

Near national average
MIPS Final Score
82.9973/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Surgery Physician) — 82.9973/100 vs national avg 83.1

0%100%National avg83%83%
MIPS final score (Surgery Physician) — 82.9973/100 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).

JEROME GUANCIALE, DO is a Surgery Physician provider practicing in WAHPETON, North Dakota, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: DO. NPI: 1851355366. 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.

JEROME GUANCIALE, DO appears in the CMS NPPES registry as a Surgery Physician provider holding DO credentials at 332 2ND AVE N, WAHPETON, ND, 58075, with a listed phone of (701) 642-7000. NPI 1851355366 was issued on 04/13/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GUANCIALE 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 27 prescription claims written by this provider, covering 16 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 82.9973/100 for the 2023 performance year (Quality 87.0681, Cost 57.0897), compared with the national average of 83.1.

Surgery Physician is a mid-sized specialty nationwide, with 36,191 enrolled providers across 56 states and an average of 169 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

332 2ND AVE N
WAHPETON, ND 58075

Provider Details

NPI 1851355366
Specialty Surgery Physician
Credentials DO
Gender Male
NPI Issued 04/13/2006

CMS Quality Score (MIPS)

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

82.9973
Final Score
Avg: 83.1
87.0681
Quality
57.0897
Cost
99
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where JEROME GUANCIALE, DO 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.

SANFORD MEDICAL CENTER FARGO
★★★★☆ 4/5
WEST FARGO, ND
Acute Care Hospitals
CMS CCN: 350011

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

Medicare Part D Prescribing Data

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

27
Total Claims
$1K
Total Drug Cost
16
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
37
Total Day Supply
1,014
Generic Drug Cost
$927

Patient Demographics

Average Patient Age
72.6 years
Avg HCC Risk Score
1.12

Surgery Physician Overview

How JEROME GUANCIALE, DO fits within the Surgery Physician landscape nationally.

36,191
Surgery Physician Providers in US
56
States with Surgery Physician
169
Avg Claims per Provider

JEROME GUANCIALE, DO's 27 claims are below the specialty average of 169.

Nearby Surgery Physician Providers in North Dakota

Other clinicians with the same primary specialty enrolled in North Dakota, drawn from the same CMS NPPES roster as GUANCIALE.

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

Frequently Asked Questions

What is JEROME GUANCIALE, DO's specialty?
JEROME GUANCIALE, DO specializes in Surgery Physician and practices in WAHPETON, North Dakota. Credentials: DO.
How much does JEROME GUANCIALE, DO prescribe under Medicare Part D?
In 2023, JEROME GUANCIALE, DO wrote 27 Medicare Part D claims totaling $1K in drug costs for 16 beneficiaries.
What is JEROME GUANCIALE, DO's Medicare quality score?
JEROME GUANCIALE, DO has a CMS MIPS Final Score of 82.9973/100 (Quality: 87.0681, Cost: 57.0897). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is JEROME GUANCIALE, DO located?
JEROME GUANCIALE, DO is located at 332 2ND AVE N, WAHPETON, ND, 58075. Phone: (701) 642-7000.
What is JEROME GUANCIALE, DO's NPI number?
JEROME GUANCIALE, DO's National Provider Identifier (NPI) is 1851355366, issued on 04/13/2006.
How many Surgery Physician providers are there in the US?
There are 36,191 Surgery Physician providers across 56 states in the US. The average Surgery Physician provider writes 169 Medicare Part D claims per year.
Does JEROME GUANCIALE, DO accept Medicare?
JEROME GUANCIALE, DO appears in CMS Medicare data with 27 Part D claims and 16 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JEROME GUANCIALE, DO's credentials?
JEROME GUANCIALE, DO's NPI is 1851355366 with credentials DO. 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