2026 NPPES data Gynecologic Oncology Physician NPI 1336607647 APRN
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KARLI GUARINO, APRN

Gynecologic Oncology Physician in TAMPA, 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
116
Medicare Part D claims · 44 beneficiaries · Gynecologic Oncology Physician avg: 188
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
89.4387/100
▲ 6 pts above national avg 83.1 · [object Object]
Industry payments
$115.61
1 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: KARLI GUARINO, APRN is a Gynecologic Oncology Physician ([object Object]) practicing in TAMPA, Florida with a Medicare Part D prescribing footprint of 116 claims across 44 beneficiaries — 9% brand-name prescribing . Their CMS MIPS Final Score of 89.4387/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $115.61 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What the federal data shows

KARLI GUARINO, APRN reported a CMS MIPS final score of 89.4387/100 — above the 83.1 national average — and filed 116 Medicare Part D claims in 2023.

89.4387/100
MIPS score · +6 vs avg
116
Part D claims, 2023
91%
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.

KARLI GUARINO, APRN's MIPS score vs every scored U.S. clinician

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

89 Top 42% higher than 58% 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. 90–100: 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

Board certification likely (heuristic — not verified)

KARLI GUARINO, APRN 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).

KARLI GUARINO, APRN at a glance

High performer (top quartile)

NPI registry status

Active

Issued 03/05/2019

NPI 1336607647

Primary specialty

Gynecologic Oncology Physician

Niche

1,360 US NPIs in this specialty

Medicare Part D claims

116 38% vs specialty avg

2023 prescription claims

Specialty avg: 188

MIPS final score

89.4387/100 6.338700000000003% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Florida

How Gynecologic Oncology Physician compares to other specialties among Florida providers

Florida providers

Gynecologic Oncology Physician share within Florida

1. Gynecologic Oncology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Gynecologic Oncology Physician share within Florida

Medicare quality performance — MIPS

KARLI GUARINO, APRN's 2023 MIPS final score plotted against the Gynecologic Oncology Physician national average

High performer (top quartile)
MIPS Final Score
89.4387/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Gynecologic Oncology Physician) — 89.4387/100 vs national avg 83.1

0%100%National avg83%89.4%
MIPS final score (Gynecologic Oncology Physician) — 89.4387/100 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).

KARLI GUARINO, APRN is a Gynecologic Oncology Physician provider practicing in TAMPA, Florida, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: APRN. NPI: 1336607647. 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.

KARLI GUARINO, APRN appears in the CMS NPPES registry as a Gynecologic Oncology Physician provider holding APRN credentials at 12902 USF MAGNOLIA DR, TAMPA, FL, 33612, with a listed phone of (888) 663-3488. NPI 1336607647 was issued on 03/05/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GUARINO 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 116 prescription claims written by this provider, covering 44 Medicare beneficiaries and totaling roughly $138K in drug spend, split 9% brand-name and 91% 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 89.4387/100 for the 2023 performance year (Quality 73.844), compared with the national average of 83.1.

Gynecologic Oncology Physician is a narrow specialty nationwide, with 1,360 enrolled providers across 49 states and an average of 188 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

12902 USF MAGNOLIA DR
TAMPA, FL 33612

Provider Details

NPI 1336607647
Specialty Gynecologic Oncology Physician
Credentials APRN
Gender Female
NPI Issued 03/05/2019

CMS Quality Score (MIPS)

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

89.4387
Final Score
Avg: 83.1
73.844
Quality
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where KARLI GUARINO, APRN 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.

H LEE MOFFITT CANCER CTR AND RES INST LIFE TIME CANCER SCRN CTR INC
TAMPA, FL

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

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for KARLI GUARINO, APRN. Source: openpaymentsdata.cms.gov.

Total received

$116

Largest payer

Eisai Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

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 KARLI GUARINO, APRN. To verify KARLI GUARINO, APRN'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.

Brand vs generic prescribing mix · Generic-heavy

KARLI GUARINO, APRN — brand share 9.0%
Specialty average (est.)

9% brand-name claims vs 91% generic, on 116 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.

116
Total Claims
$138K
Total Drug Cost
44
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
157
Total Day Supply
3,163
Brand vs Generic
9% brand / 91% generic
Brand Drug Cost
$136K
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
71.1 years
Avg HCC Risk Score
2.76
Gender Split
100% female / 0% male

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Prochlorperazine Maleate
21
Dexamethasone
16
Ondansetron Hcl
16
Letrozole
12

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

Gynecologic Oncology Physician Overview

How KARLI GUARINO, APRN fits within the Gynecologic Oncology Physician landscape nationally.

1,360
Gynecologic Oncology Physician Providers in US
49
States with Gynecologic Oncology Physician
188
Avg Claims per Provider

KARLI GUARINO, APRN's 116 claims are below the specialty average of 188.

Nearby Gynecologic Oncology Physician Providers in Florida

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

Compare Gynecologic Oncology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KARLI GUARINO, APRN's specialty?
KARLI GUARINO, APRN specializes in Gynecologic Oncology Physician and practices in TAMPA, Florida. Credentials: APRN.
How much does KARLI GUARINO, APRN prescribe under Medicare Part D?
In 2023, KARLI GUARINO, APRN wrote 116 Medicare Part D claims totaling $138K in drug costs for 44 beneficiaries.
What is KARLI GUARINO, APRN's Medicare quality score?
KARLI GUARINO, APRN has a CMS MIPS Final Score of 89.4387/100 (Quality: 73.844). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is KARLI GUARINO, APRN located?
KARLI GUARINO, APRN is located at 12902 USF MAGNOLIA DR, TAMPA, FL, 33612. Phone: (888) 663-3488.
What is KARLI GUARINO, APRN's NPI number?
KARLI GUARINO, APRN's National Provider Identifier (NPI) is 1336607647, issued on 03/05/2019.
Does KARLI GUARINO, APRN prescribe more brand-name or generic drugs?
KARLI GUARINO, APRN's prescribing is 9% brand-name and 91% generic drugs by claim count, with $136K in brand drug costs.
How many Gynecologic Oncology Physician providers are there in the US?
There are 1,360 Gynecologic Oncology Physician providers across 49 states in the US. The average Gynecologic Oncology Physician provider writes 188 Medicare Part D claims per year.
What drugs does KARLI GUARINO, APRN prescribe most often?
Based on 2023 Medicare Part D data, KARLI GUARINO, APRN's most frequently prescribed drugs include Prochlorperazine Maleate, Dexamethasone, Ondansetron Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does KARLI GUARINO, APRN accept Medicare?
KARLI GUARINO, APRN appears in CMS Medicare data with 116 Part D claims and 44 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KARLI GUARINO, APRN's credentials?
KARLI GUARINO, APRN's NPI is 1336607647 with credentials APRN. 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