2026 NPPES data Pediatric Orthopaedic Surgery Physician NPI 1922150697 M.D.
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Kenneth Guidera, M.D.

Pediatric Orthopaedic Surgery Physician in Minneapolis, Minnesota. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 613 in Pediatric Orthopaedic Surgery Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.

Federal data, no proprietary rating. We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
39
Medicare Part D claims · Pediatric Orthopaedic Surgery Physician avg: 128
Generic prescribing
67%
generic claims · 33% brand-name · higher generic rates reduce patient out-of-pocket costs
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Kenneth Guidera, M.D. filed 39 Medicare Part D claims in 2023 as a Pediatric Orthopaedic Surgery Physician in Minneapolis, Minnesota, prescribing 67% generic.

39
Part D claims, 2023
67%
generic prescribing

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.

Kenneth Guidera, M.D.'s Medicare Part D volume vs every U.S. prescriber

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

39 0th percentile higher than 0% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). This entry sits in this band. 200–400: 182,923 prescribers (13%). Above this entry. 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

Board-eligible specialty (heuristic, not verified)

Kenneth Guidera, M.D. practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about Kenneth Guidera, M.D.?

Quality data not reported

NPI registry status

Active

Issued 01/16/2007

NPI 1922150697

Primary specialty

Pediatric Orthopaedic Surgery Physician

Niche

613 US NPIs in this specialty

Medicare Part D claims

39 70% vs specialty avg

2023 prescription claims

Specialty avg: 128

Specialty distribution in Minnesota

How Pediatric Orthopaedic Surgery Physician compares to other specialties among Minnesota providers

Minnesota providers

Largest specialties in Minnesota (% of in-state providers)

Behavior Technician - 11.7%Behavior Technician11.7%Clinical Social Worker - 4.7%Clinical Social Worker4.7%Physical Therapist - 4.1%Physical Therapist4.1%Pharmacist - 3.7%Pharmacist3.7%Student in an Organized Health Care Education/Training Program - 3.4%Student in an Organized Health Care Education/Training Program3.4%Mental Health Counselor - 3.1%Mental Health Counselor3.1%Pediatric Orthopaedic Surgery Physician - 0%Pediatric Orthopaedic Surgery Physician0%
Largest specialties in Minnesota (% of in-state providers)

Specialty board-certification context

Estimated specialty board-certified rate - Pediatric Orthopaedic Surgery Physician (ABMS / AOA reference)

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

Est. board-certified rate (Pediatric Orthopaedic Surgery Physician) - ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatric Orthopaedic Surgery Physician) - 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).

Kenneth Guidera, M.D. appears in the CMS NPPES registry as a Pediatric Orthopaedic Surgery Physician provider holding M.D. credentials at 2025 E RIVER PKWY, Minneapolis, MN, 55414, with a listed phone of (612) 596-6187. NPI 1922150697 was issued on 01/16/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Guidera 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 39 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $4K in drug spend, split 33% brand-name and 67% 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.

Pediatric Orthopaedic Surgery Physician is a narrow specialty nationwide, with 613 enrolled providers across 49 states and an average of 128 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

2025 E RIVER PKWY
Minneapolis, MN 55414

Provider Details

NPI 1922150697
Specialty Pediatric Orthopaedic Surgery Physician
Credentials M.D.
Gender Male
NPI Issued 01/16/2007

Brand vs generic prescribing mix · Above average

Kenneth Guidera, M.D. - brand share 33.0%
Pediatric Orthopaedic Surgery Physician average

33% brand-name claims vs 67% generic, on 39 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.

39
Total Claims
$4K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
39
Total Day Supply
1,104
Brand vs Generic
33% brand / 67% generic
Brand Drug Cost
$4K
Generic Drug Cost
$437

Patient Demographics

Average Patient Age
68.3 years
Avg HCC Risk Score
0.59

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Progesterone
"Progesterone
N/A

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

Pediatric Orthopaedic Surgery Physician Overview

How Kenneth Guidera, M.D. fits within the Pediatric Orthopaedic Surgery Physician landscape nationally.

613
Pediatric Orthopaedic Surgery Physician Providers in US
49
States with Pediatric Orthopaedic Surgery Physician
128
Avg Claims per Provider

Kenneth Guidera, M.D.'s 39 claims are below the specialty average of 128.

Nearby Pediatric Orthopaedic Surgery Physician Providers in Minnesota

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

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

Before you book an appointment

Use this federal record as your verification checklist, not as a recommendation.

  • Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
  • Check the active license and any disciplinary history with the Minnesota medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Pediatric Orthopaedic Surgery Physician peer on Medicare volume and prescribing patterns. Compare providers

Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.

Frequently Asked Questions

What is Kenneth Guidera, M.D.'s specialty?
Kenneth Guidera, M.D. specializes in Pediatric Orthopaedic Surgery Physician and practices in Minneapolis, Minnesota. Credentials: M.D..
How much does Kenneth Guidera, M.D. prescribe under Medicare Part D?
In 2023, Kenneth Guidera, M.D. wrote 39 Medicare Part D claims totaling $4K in drug costs for N/A beneficiaries.
Where is Kenneth Guidera, M.D. located?
Kenneth Guidera, M.D. is located at 2025 E RIVER PKWY, Minneapolis, MN, 55414. Phone: (612) 596-6187.
What is Kenneth Guidera, M.D.'s NPI number?
Kenneth Guidera, M.D.'s National Provider Identifier (NPI) is 1922150697, issued on 01/16/2007.
Does Kenneth Guidera, M.D. prescribe more brand-name or generic drugs?
Kenneth Guidera, M.D.'s prescribing is 33% brand-name and 67% generic drugs by claim count, with $4K in brand drug costs.
How many Pediatric Orthopaedic Surgery Physician providers are there in the US?
There are 613 Pediatric Orthopaedic Surgery Physician providers across 49 states in the US. The average Pediatric Orthopaedic Surgery Physician provider writes 128 Medicare Part D claims per year.
What drugs does Kenneth Guidera, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Kenneth Guidera, M.D.'s most frequently prescribed drugs include Progesterone. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Kenneth Guidera, M.D. accept Medicare?
Kenneth Guidera, M.D. appears in CMS Medicare data with 39 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Kenneth Guidera, M.D.'s credentials?
Kenneth Guidera, M.D.'s NPI is 1922150697 with credentials M.D.. 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

Compiled from official public sources by the PlainDoctor editorial team.