KATHRYN GUIDONE, APRN
Pediatric Registered Nurse in NEW YORK, New York. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
KATHRYN GUIDONE, APRN reported a CMS MIPS final score of 84.4744/100 — above the 83.1 national average — and filed 421 Medicare Part D claims in 2023.
- 84.4744/100
- MIPS score · +1 vs avg
- 421
- Part D claims, 2023
- 31%
- generic prescribing
- $407.69
- industry payments (Sunshine Act)
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.
KATHRYN GUIDONE, APRN's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure
84 45th percentile higher than 45% of 477,587 scored providers
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
What does the federal data show about KATHRYN GUIDONE, APRN?
Near national averagePrimary specialty
Medicare Part D claims
MIPS final score
Specialty distribution in New York
How Pediatric Registered Nurse compares to other specialties among New York providers
Pediatric Registered Nurse share within New York
Pediatric Registered Nurse is one of the more visible NUCC categories in New York
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Medicare quality performance — MIPS
KATHRYN GUIDONE, APRN's 2023 MIPS final score plotted against the Pediatric Registered Nurse national average
- MIPS Final Score
- 84.4744/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pediatric Registered Nurse) — 84.4744/100 vs national avg 83.1
Quality benchmarks
- National MIPS avg 2023 reporting year
- Quality dim CMS Quality category
- Cost dim CMS Cost category
- Specialty volume Pediatric Registered Nurse US NPIs
84.4744/100 MIPS final score — 1.4 pts above the 83.1 national average
Quality, Cost, Promoting Interoperability, and Improvement Activities composite score for the 2023 performance year. Specialty: Pediatric Registered Nurse. Quality dim: 93.334. Cost dim: 54.914.
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).
KATHRYN GUIDONE, APRN appears in the CMS NPPES registry as a Pediatric Registered Nurse provider holding APRN credentials at 550 1ST AVE, NEW YORK, NY, 10016, with a listed phone of (212) 263-5800. NPI 1427784693 was issued on 07/28/2022. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GUIDONE 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 421 prescription claims written by this provider, covering 168 Medicare beneficiaries and totaling roughly $396K in drug spend, split 69% brand-name and 31% generic by claim count, with an opioid prescribing rate of 7.6%. 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 84.4744/100 for the 2023 performance year (Quality 93.334, Cost 54.914), compared with the national average of 83.1.
Pediatric Registered Nurse is a narrow specialty nationwide, with 2,899 enrolled providers across 52 states and an average of 748 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
Provider Details
| NPI | 1427784693 |
|---|---|
| Specialty | Pediatric Registered Nurse |
| Credentials | APRN |
| Gender | Female |
| NPI Issued | 07/28/2022 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm KATHRYN GUIDONE, APRN's current license status, disciplinary history, and board certifications with the New York State Education Department, Office of the Professions in New York before relying on this page for a clinical or care decision.
How we sourced this profile
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
Reporting: Group practice
Hospital and facility affiliations
Facilities where KATHRYN GUIDONE, 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.
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 KATHRYN GUIDONE, APRN. Source: openpaymentsdata.cms.gov.
Total received
$408
Largest payer
Novo Nordisk 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 — New York NYSBPMC 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 ~100K New York medical licensees in 2023 — they are NOT specific to KATHRYN GUIDONE, APRN. To verify KATHRYN GUIDONE, APRN's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Brand-heavy
69% brand-name claims vs 31% generic, on 421 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.
Prescribing Breakdown
- 30-Day Fills
- 522
- Total Day Supply
- 13,876
- Brand vs Generic
- 69% brand / 31% generic
- Brand Drug Cost
- $343K
- Opioid Claims
- 32 (7.6% rate)
Patient Demographics
- Average Patient Age
- 66.7 years
- Avg HCC Risk Score
- 1.12
- Gender Split
- 77% female / 23% male
- Age Distribution
- <65: 43, 65-74: 93, 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.
What KATHRYN GUIDONE, APRN prescribes most
Top Medicare Part D drugs by claim count, 2023
- Ozempic
Ozempic
201 claims
- Mounjaro 40
Mounjaro
40 claims
- Trulicity 28
Trulicity
28 claims
- Oxycodone-Acetamin… 19
Oxycodone-Acetaminophen
19 claims
- Naloxone Hcl 17
Naloxone Hcl
17 claims
- Metformin Hcl Er 13
Metformin Hcl Er
13 claims
- Oxycodone Hcl 12
Oxycodone Hcl
12 claims
- Rybelsus 12
Rybelsus
12 claims
| Drug | Claims |
|---|---|
| Ozempic Semaglutide | 201 |
| Mounjaro Tirzepatide | 40 |
| Trulicity Dulaglutide | 28 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 19 |
| Naloxone Hcl | 17 |
| Metformin Hcl Er Metformin Hcl | 13 |
| Oxycodone Hcl | 12 |
| Rybelsus Semaglutide | 12 |
| Ondansetron Odt Ondansetron | 11 |
| Ursodiol | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pediatric Registered Nurse Overview
How KATHRYN GUIDONE, APRN fits within the Pediatric Registered Nurse landscape nationally.
KATHRYN GUIDONE, APRN's 421 claims are below the specialty average of 748.
Nearby Pediatric Registered Nurse Providers in New York
Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as GUIDONE.
Compare Pediatric Registered Nurse nationally: see state-by-state distribution →
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Frequently Asked Questions
What is KATHRYN GUIDONE, APRN's specialty? ▼
How much does KATHRYN GUIDONE, APRN prescribe under Medicare Part D? ▼
What is KATHRYN GUIDONE, APRN's Medicare quality score? ▼
Where is KATHRYN GUIDONE, APRN located? ▼
What is KATHRYN GUIDONE, APRN's NPI number? ▼
Does KATHRYN GUIDONE, APRN prescribe more brand-name or generic drugs? ▼
Does KATHRYN GUIDONE, APRN prescribe opioids? ▼
How many Pediatric Registered Nurse providers are there in the US? ▼
What drugs does KATHRYN GUIDONE, APRN prescribe most often? ▼
Does KATHRYN GUIDONE, APRN accept Medicare? ▼
How can I verify KATHRYN GUIDONE, APRN's credentials? ▼
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