2026 NPPES data Physician Assistant NPI 1912230954
Verify on CMS →

JUSTIN GUZMAN

Physician Assistant in APPLETON, Wisconsin. 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
348
Medicare Part D claims · 201 beneficiaries · Physician Assistant avg: 790

What the federal data shows

JUSTIN GUZMAN filed 348 Medicare Part D claims in 2023 as a Physician Assistant in APPLETON, Wisconsin.

348
Part D claims, 2023

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.

JUSTIN GUZMAN's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

348 Top 43% higher than 57% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). This entry sits in this band. 400–600: 90,619 prescribers (7%). Above this entry. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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

What does the federal data show about JUSTIN GUZMAN?

Quality data not reported

NPI registry status

Active

Issued 09/09/2009

NPI 1912230954

Primary specialty

Physician Assistant

High-volume

149,975 US NPIs in this specialty

Medicare Part D claims

348 56% vs specialty avg

2023 prescription claims

Specialty avg: 790

Specialty distribution in Wisconsin

How Physician Assistant compares to other specialties among Wisconsin providers

Wisconsin providers

Physician Assistant share within Wisconsin

1. Physician Assistant42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Physician Assistant share within Wisconsin

Specialty board-certification context

Estimated specialty board-certified rate — Physician Assistant (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Physician Assistant ABMS/AOA estimate

Est. board-certified rate (Physician Assistant) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Physician Assistant) — ABMS / AOA estimate

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).

JUSTIN GUZMAN appears in the CMS NPPES registry as a Physician Assistant provider at 2500 E CAPITOL DR STE 2500, APPLETON, WI, 54911, with a listed phone of (920) 831-5050. NPI 1912230954 was issued on 09/09/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what 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 348 prescription claims written by this provider, covering 201 Medicare beneficiaries and totaling roughly $5K in drug spend, with an opioid prescribing rate of 4.3%. 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.

Physician Assistant is a high-volume specialty nationwide, with 149,975 enrolled providers across 56 states and an average of 790 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

2500 E CAPITOL DR STE 2500
APPLETON, WI 54911

Provider Details

NPI 1912230954
Specialty Physician Assistant
Gender Male
NPI Issued 09/09/2009

Hospital and facility affiliations

Facilities where JUSTIN GUZMAN 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.

THEDACARE INCORPORATED
NEENAH, WI

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.

348
Total Claims
$5K
Total Drug Cost
201
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
363
Total Day Supply
5,666
Generic Drug Cost
$5K
Opioid Claims
15 (4.3% rate)

Patient Demographics

Average Patient Age
68.3 years
Avg HCC Risk Score
1.00
Gender Split
62% female / 38% male

Top Prescribed Drugs (Medicare Part D)

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

What JUSTIN GUZMAN 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
Diclofenac Sodium
150
Meloxicam
68
Prednisone
64
Celecoxib
28
Tramadol Hcl
15

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

Physician Assistant Overview

How JUSTIN GUZMAN fits within the Physician Assistant landscape nationally.

149,975
Physician Assistant Providers in US
56
States with Physician Assistant
790
Avg Claims per Provider

JUSTIN GUZMAN's 348 claims are below the specialty average of 790.

Nearby Physician Assistant Providers in Wisconsin

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

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

Frequently Asked Questions

What is JUSTIN GUZMAN's specialty?
JUSTIN GUZMAN specializes in Physician Assistant and practices in APPLETON, Wisconsin.
How much does JUSTIN GUZMAN prescribe under Medicare Part D?
In 2023, JUSTIN GUZMAN wrote 348 Medicare Part D claims totaling $5K in drug costs for 201 beneficiaries.
Where is JUSTIN GUZMAN located?
JUSTIN GUZMAN is located at 2500 E CAPITOL DR STE 2500, APPLETON, WI, 54911. Phone: (920) 831-5050.
What is JUSTIN GUZMAN's NPI number?
JUSTIN GUZMAN's National Provider Identifier (NPI) is 1912230954, issued on 09/09/2009.
Does JUSTIN GUZMAN prescribe opioids?
Yes, JUSTIN GUZMAN had 15 opioid claims in 2023 with an opioid prescribing rate of 4.3%.
How many Physician Assistant providers are there in the US?
There are 149,975 Physician Assistant providers across 56 states in the US. The average Physician Assistant provider writes 790 Medicare Part D claims per year.
What drugs does JUSTIN GUZMAN prescribe most often?
Based on 2023 Medicare Part D data, JUSTIN GUZMAN's most frequently prescribed drugs include Diclofenac Sodium, Meloxicam, Prednisone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does JUSTIN GUZMAN accept Medicare?
JUSTIN GUZMAN appears in CMS Medicare data with 348 Part D claims and 201 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify JUSTIN GUZMAN's credentials?
JUSTIN GUZMAN's NPI is 1912230954. 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.
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