2026 NPPES data Family Medicine Physician NPI 1326400086 M.D.
Verify on CMS →

Lulu Guo, M.D.

Family Medicine Physician in Tacoma, Washington.

This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 150,125 in Family Medicine 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
53
Medicare Part D claims · 19 beneficiaries · Family Medicine Physician avg: 4K
MIPS score
45.5/100
▼ 38 pts below national avg 83.5 · Below average
Industry payments
$144.72
1 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

Lulu Guo, M.D. reported a CMS MIPS final score of 45.5/100 - below the 83.5 national average - and filed 53 Medicare Part D claims in 2024.

45.5/100
MIPS score · -38 vs avg
53
Part D claims, 2024
Likely
board-certified (heuristic)
≥4th
pct among measured MIPS (lower-bound band)

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.

Federal trust snapshot

What official records show about Lulu Guo, M.D.

Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.

  • Verified

    NPI registry status

    Active listing in the CMS National Provider Identifier Registry (NPI 1326400086), first enumerated 03/22/2016.

    Source: CMS NPPES

  • Reported

    Medicare Part D participation

    Filed 53 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.

    Source: CMS Part D Prescriber PUF

  • Reported

    CMS quality reporting (MIPS)

    Reported a CMS MIPS final score of 45.5/100 in the Quality Payment Program — a federal quality measure, not a patient review.

    Source: CMS Quality Payment Program

  • Reported

    Board certification signal

    Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.

    Source: NUCC taxonomy + CMS participation heuristic

  • Reported

    Hospital affiliations

    1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.

    Source: CMS Care Compare

  • Reported

    Industry payment transparency

    $144.72 in reported industry payments (1 transfers) in 2024 under the federal Sunshine Act — disclosed transfers of value, not a quality rating.

    Source: CMS Open Payments

  • State context

    State board disciplinary context

    Washington statewide board action statistics are published annually — these figures describe aggregate state activity, not Lulu Guo, M.D.'s individual license status. Verify directly with the state medical board.

    Source: WMC annual report 2023

  • Not in federal data

    Individual sanction lookup

    PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.

    Source: State medical board / FSMB

This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.

CMS NPPES provider registry desk

NPI 1326400086 · Family Medicine Physician

NPI-10 · ENUM-MID · TAX-MEGA · MIPS-LOW · RX-TRACE · BOOK-MID · PHOTO-FINISH

  • NPI-10 1326400086
  • ENUM-MID 2016
  • TAX-MEGA 150K Family Medicine
  • MIPS-LOW 45.5/100
  • RX-TRACE 53
  • BOOK-MID 5,264 in Washington
  • PHOTO-FINISH Bashir Rashid · ±0.0

MIPS final-score neighbourhood

Same-specialty nationwide peers by CMS final score, not geographic proximity

MIPS pts

What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).

Source CMS Quality Payment Program (MIPS) As of 2023

Lulu Guo, M.D.'s MIPS score vs every measured U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.

46 ≥ 4th percentile 4% of 454,083 measured providers are in lower value bands

0–10: 8,684 measured providers (2%). Below this entry. 10–20: 3,008 measured providers (1%). Below this entry. 20–30: 3,069 measured providers (1%). Below this entry. 30–40: 2,746 measured providers (1%). Below this entry. 40–50: 2,928 measured providers (1%). This entry sits in this band. 50–60: 5,882 measured providers (1%). Above this entry. 60–70: 13,906 measured providers (3%). Above this entry. 70–80: 94,570 measured providers (21%). Above this entry. 80–90: 129,887 measured providers (29%). Above this entry. 90+: 189,403 measured providers (42%). Above this entry. This provider 0 100 every measured MIPS clinician, bucketed by value

Each bar is a band; taller bars hold more measured 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.

The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Where Lulu Guo, M.D. sits

This provider among family medicine physician peers

Across the 21,266 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Lulu Guo, M.D. writes more Part D claims than 3% of them and scores higher on MIPS quality than 5% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.

Lower volume · High qualityHigh volume · High qualityLower volume · Lower qualityHigh volume · Lower quality02550751000255075100Part D claim volume, percentile in specialtyMIPS quality, percentilePoint, Part D claim volume, percentile in specialty: 92 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 68 · MIPS quality, percentile: 47Point, Part D claim volume, percentile in specialty: 18 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 65 · MIPS quality, percentile: 60Point, Part D claim volume, percentile in specialty: 43 · MIPS quality, percentile: 77Point, Part D claim volume, percentile in specialty: 23 · MIPS quality, percentile: 35Point, Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 80Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 90Point, Part D claim volume, percentile in specialty: 7 · MIPS quality, percentile: 38Point, Part D claim volume, percentile in specialty: 8 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 70 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 63 · MIPS quality, percentile: 58Point, Part D claim volume, percentile in specialty: 33 · MIPS quality, percentile: 42Point, Part D claim volume, percentile in specialty: 22 · MIPS quality, percentile: 22Point, Part D claim volume, percentile in specialty: 72 · MIPS quality, percentile: 15Point, Part D claim volume, percentile in specialty: 13 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 62 · MIPS quality, percentile: 20Point, Part D claim volume, percentile in specialty: 38 · MIPS quality, percentile: 13Point, Part D claim volume, percentile in specialty: 45 · MIPS quality, percentile: 33Point, Part D claim volume, percentile in specialty: 20 · MIPS quality, percentile: 43Point, Part D claim volume, percentile in specialty: 77 · MIPS quality, percentile: 12Point, Part D claim volume, percentile in specialty: 25 · MIPS quality, percentile: 72Point, Part D claim volume, percentile in specialty: 2 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 12 · MIPS quality, percentile: 3Point, Part D claim volume, percentile in specialty: 55 · MIPS quality, percentile: 10Point, Part D claim volume, percentile in specialty: 82 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 87 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 88 · MIPS quality, percentile: 5Point, Part D claim volume, percentile in specialty: 35 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 15 · MIPS quality, percentile: 40Point, Part D claim volume, percentile in specialty: 83 · MIPS quality, percentile: 25Point, Part D claim volume, percentile in specialty: 85 · MIPS quality, percentile: 97Point, Part D claim volume, percentile in specialty: 98 · MIPS quality, percentile: 0Point, Part D claim volume, percentile in specialty: 28 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 50 · MIPS quality, percentile: 78Point, Part D claim volume, percentile in specialty: 52 · MIPS quality, percentile: 7Point, Part D claim volume, percentile in specialty: 93 · MIPS quality, percentile: 62Point, Part D claim volume, percentile in specialty: 90 · MIPS quality, percentile: 27Point, Part D claim volume, percentile in specialty: 57 · MIPS quality, percentile: 30Point, Part D claim volume, percentile in specialty: 97 · MIPS quality, percentile: 23Point, Part D claim volume, percentile in specialty: 67 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 10 · MIPS quality, percentile: 17Point, Part D claim volume, percentile in specialty: 75 · MIPS quality, percentile: 48Point, Part D claim volume, percentile in specialty: 42 · MIPS quality, percentile: 32Point, Part D claim volume, percentile in specialty: 27 · MIPS quality, percentile: 8Point, Part D claim volume, percentile in specialty: 17 · MIPS quality, percentile: 28Point, Part D claim volume, percentile in specialty: 47 · MIPS quality, percentile: 45Point, Part D claim volume, percentile in specialty: 32 · MIPS quality, percentile: 82Point, Part D claim volume, percentile in specialty: 100 · MIPS quality, percentile: 98Point, Part D claim volume, percentile in specialty: 40 · MIPS quality, percentile: 68Point, Part D claim volume, percentile in specialty: 0 · MIPS quality, percentile: 73Point, Part D claim volume, percentile in specialty: 80 · MIPS quality, percentile: 50Point, Part D claim volume, percentile in specialty: 53 · MIPS quality, percentile: 55Point, Part D claim volume, percentile in specialty: 60 · MIPS quality, percentile: 85Point, Part D claim volume, percentile in specialty: 58 · MIPS quality, percentile: 63Point, Part D claim volume, percentile in specialty: 73 · MIPS quality, percentile: 87Point, Part D claim volume, percentile in specialty: 78 · MIPS quality, percentile: 57Point, Part D claim volume, percentile in specialty: 37 · MIPS quality, percentile: 67Point, Part D claim volume, percentile in specialty: 95 · MIPS quality, percentile: 92Point, Part D claim volume, percentile in specialty: 48 · MIPS quality, percentile: 37Lulu Guo, M.D., Part D claim volume, percentile in specialty: 3 · MIPS quality, percentile: 5
Part D claim volume vs MIPS quality, by specialty percentile

Each dot is one family medicine physician peer from a representative sample of 60; the gold marker is Lulu Guo, M.D.. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.

Board certification likely (heuristic, not verified)

Lulu Guo, M.D. 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).

What does the federal data show about Lulu Guo, M.D.?

Below national average

NPI registry status

Active

Issued 03/22/2016

NPI 1326400086

Primary specialty

Family Medicine Physician

High-volume

150,125 US NPIs in this specialty

Medicare Part D claims

53 98% vs specialty avg

2024 prescription claims

Specialty avg: 3,519

MIPS final score

45.5/100 38 pts vs avg

Below average band

vs 83.5 national avg

Specialty distribution in Washington

How Family Medicine Physician compares to other specialties among Washington providers

Washington providers
Mental Health Counselor8.5%Massage Therapist6.4%Counselor5.7%Behavior Technician4.7%Pharmacist3.8%Physical Therapist3.6%Family Medicine Physician2.6%
Largest specialties in Washington (% of in-state providers)

Medicare quality performance, MIPS

Lulu Guo, M.D.'s 2023 MIPS final score plotted against the Family Medicine Physician national average

Below national average
MIPS Final Score
45.5/100
vs 83.5 national avg · 2023 performance year
0%100%National avg84%45.5%
MIPS final score (Family Medicine Physician) - 45.5/100 vs national avg 83.5
How MIPS and board certification work

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).

Practice Address

209 MARTIN LUTHER KING JR WAY
Tacoma, WA 98405

Provider Details

NPI 1326400086
Specialty Family Medicine Physician
Credentials M.D.
Gender Female
NPI Issued 03/22/2016

CMS Quality Score (MIPS)

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

45.475
Final Score
Measured-score avg: 83.5
90.7814
Quality
35.802
Cost
0
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where Lulu Guo, M.D. 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.

Kaiser Foundation Health Plan OF Washington
Bellevue, WA

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 Lulu Guo, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$145

Largest payer

JAZZ PHARMACEUTICALS 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 - Washington WMC 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 ~34K Washington medical licensees in 2023 - they are NOT specific to Lulu Guo, M.D.. To verify Lulu Guo, M.D.'s current license status, search the WMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

88
Total board actions, Washington 2023
Across 85 cases
2.59
Actions per 1,000 licensees
Washington statewide rate
probation
Most common action type
31 cases

WMC 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 Washington disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2024.

53
Total Claims
$1K
Total Drug Cost
19
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
69
Total Day Supply
1,947
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
72.9 years
Avg HCC Risk Score
0.80

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2024. Based on Medicare Part D data only.

Drug Claims
Modafinil
15
Doxepin Hcl
11

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

Family Medicine Physician Overview

How Lulu Guo, M.D. fits within the Family Medicine Physician landscape nationally.

150,125
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,519
Avg Claims per Provider

Lulu Guo, M.D.'s 53 claims are below the specialty average of 3,519.

Nationwide Family Medicine Physician peers with similar MIPS or enrollment year

Two federal-record peer sets for Guo, both outside Washington so the neighborhoods are not geographic containment.

Similar MIPS final score

Nearest same-specialty clinicians by CMS MIPS final score (45.5 here).

Same NPPES enumeration year (2016)

Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.

Nearby Family Medicine Physician Providers in Washington

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

One of 5,264 Family Medicine Physician providers enrolled in Washington, 5 are shown here.

Compare Family Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is Lulu Guo, M.D.'s specialty?
Lulu Guo, M.D. specializes in Family Medicine Physician and practices in Tacoma, Washington. Credentials: M.D..
How much does Lulu Guo, M.D. prescribe under Medicare Part D?
In 2024, Lulu Guo, M.D. wrote 53 Medicare Part D claims totaling $1K in drug costs for 19 beneficiaries.
What is Lulu Guo, M.D.'s Medicare quality score?
Lulu Guo, M.D. has a CMS MIPS Final Score of 45.5/100 (Quality: 90.8, Cost: 35.8). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Lulu Guo, M.D. located?
Lulu Guo, M.D. is located at 209 MARTIN LUTHER KING JR WAY, Tacoma, WA, 98405. Phone: (253) 596-3300.
What is Lulu Guo, M.D.'s NPI number?
Lulu Guo, M.D.'s National Provider Identifier (NPI) is 1326400086, issued on 03/22/2016.
How many Family Medicine Physician providers are there in the US?
There are 150,125 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,519 Medicare Part D claims per year.
What drugs does Lulu Guo, M.D. prescribe most often?
Based on 2024 Medicare Part D data, Lulu Guo, M.D.'s most frequently prescribed drugs include Modafinil, Doxepin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Lulu Guo, M.D. accept Medicare?
Lulu Guo, M.D. appears in CMS Medicare data with 53 Part D claims and 19 Medicare beneficiaries in 2024. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Lulu Guo, M.D.'s credentials?
Lulu Guo, M.D.'s NPI is 1326400086 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

View source datasets and methodology notes
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 (2024). 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 August 2026 (NPPES) / 2024 (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

Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.