NPPES file of Aug 9, 2026

Margret De Jesus De Guzman, M.D.

Surgery Physician · Red Bud, IL

Margret De Jesus De Guzman, M.D. is a surgery physician with a practice address in Red Bud, Illinois, and NPI 1477852028, issued on Mar 22, 2011. Check the license (Illinois 036.148607, as entered in NPPES) on the Illinois Department of Financial and Professional Regulation; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1477852028
Name
Margret De Jesus De Guzman
Credential
M.D.
Primary taxonomy
Surgery Physician 208600000X
License numbers
036.148607 IL
2018-02941 NC
Self-reported in NPPES; status is on the state search
Practice location
Red Bud Illinois Hospital Comany LLC, Red Bud, IL 62278
Phone
(618) 282-7373
Enumerated
Mar 22, 2011
Record last updated
May 29, 2026
Fax
(618) 282-7376
Medicare enrollment
Enrolled (PECOS I20190510000846); accepts Medicare assignment
Medical or professional school
University Of South Florida College Of Medicine, 2011
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Margret De Jesus De Guzman in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersIllinois Department of Financial and Professional Regulation
    Search for license 036.148607
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Illinois license search

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64% fewer Medicare Part D claims than the average surgery physician in 2024

53 Medicare Part D claims for 24 beneficiaries, against an average of 147 among the 20,115 providers of this specialty who prescribed in Part D.

  1. Margret De Guzman53
  2. Specialty average147

Most prescribed

  1. Omeprazole20 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 95 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score80.0
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

4 hospitals and group practices

  1. Memorial HospitalChester, IL · Acute Care Hospitals5 of 5 stars
  2. Deaconess Illinois Red Bud Regional Hospital IncRed Bud, IL
  3. Red Bud Illinois Hospital Company LLCRed Bud, IL
  4. Sparta Community Hospital D/B/A Quality Healthcare ClinicsSparta, IL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through); hospitals matched to CMS Hospital General Information (Care Compare) (data.cms.gov). Star ratings are CMS hospital ratings, not ratings of this provider.

Margret De Jesus De Guzman among 1,520 surgery physician records in Illinois

Margret De Jesus De Guzman, M.D. is one of 1,520 surgery physician records with a practice address in Illinois. 66% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2011, is newer than 53% of them.

  • NPI issued2011 · 53% of these records are older, 45% newer
  • In a Medicare fileYes · 66% of these records are
  • In the CMS Doctors and Clinicians fileYes · 43% of these records are
  • Graduated2011 · median 2004 among the 650 with a school on file
  • Record last updated2026 · 49% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208600000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

3 surgery physician records list a practice address in Red Bud

They are 3 of the 89 NPPES records with a practice address in Red Bud, and 1,520 surgery physician records in Illinois.

The 8 surgery physician records with the nearest ZIP codes

  1. Ziya Baghmanli, M.D.Red Bud, IL 622781699068767
  2. Chung Khan, MDRed Bud, IL 622781225032808
  3. Olukunle Obadina, MDPickneyville, IL 622741336323765
  4. Atkavi Sawadisavi, MDPinckneyville, IL 622741144211764
  5. Frantz Charles, MDSparta, IL 622861679657548
  6. Douglas Aach, MDShiloh, IL 622691508817040
  7. Kevin Barnett, MDShiloh, IL 622691932166030
  8. Michael Bergom, MDShiloh, IL 622691801814108

Common questions

What is Margret De Jesus De Guzman, M.D.'s NPI number?

Margret De Jesus De Guzman, M.D.'s National Provider Identifier (NPI) is 1477852028, issued on Mar 22, 2011. An NPI identifies a provider in billing; it is not a license.

Where is Margret De Jesus De Guzman, M.D. located?

The NPPES record lists a practice address at Red Bud Illinois Hospital Comany LLC, Red Bud, IL, 62278. Phone: (618) 282-7373. Providers update this record themselves, so call before visiting.

How can I verify Margret De Jesus De Guzman, M.D.'s license?

NPPES lists Illinois license number 036.148607, as entered by the provider. Search the Illinois Department of Financial and Professional Regulation at https://idfpr.illinois.gov/checklicense.html. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Margret De Jesus De Guzman, M.D. prescribe under Medicare Part D?

In 2024, Margret De Jesus De Guzman, M.D. had 53 Medicare Part D claims for 24 beneficiaries; the average among surgery physician prescribers was 147. Part D covers Medicare prescriptions only.

What is Margret De Jesus De Guzman, M.D.'s MIPS final score?

The 2023 MIPS final score is 95 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.