2026 NPPES data Sports Medicine (Physical Medicine & Rehabilitation) Physician NPI 1043550718 MD
Verify on CMS →

MELISSA GUANCHE, MD

Sports Medicine (Physical Medicine & Rehabilitation) Physician in MIAMI, 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
1K
Medicare Part D claims · 401 beneficiaries · Sports Medicine (Physical Medicine & Rehabilitation) Physician avg: 579
MIPS score
99.9348/100
▲ 17 pts above national avg 83.1 · [object Object]

What the federal data shows

MELISSA GUANCHE, MD reported a CMS MIPS final score of 99.9348/100 — above the 83.1 national average — and filed 1,244 Medicare Part D claims in 2023.

99.9348/100
MIPS score · +17 vs avg
1K
Part D claims, 2023
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.

MELISSA GUANCHE, MD's MIPS score vs every scored U.S. clinician

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

100 Top 9% higher than 91% 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%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. 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)

MELISSA GUANCHE, MD 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 MELISSA GUANCHE, MD?

High performer (top quartile)

NPI registry status

Active

Issued 02/18/2013

NPI 1043550718

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) Physician

Niche

1,267 US NPIs in this specialty

Medicare Part D claims

1,244 115% vs specialty avg

2023 prescription claims

Specialty avg: 579

MIPS final score

99.9348/100 16.8348% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Florida

How Sports Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among Florida providers

Florida providers

Sports Medicine (Physical Medicine & Rehabilitation) Physician share within Florida

1. Sports Medicine (Physical Medicine & Rehabilitation) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sports Medicine (Physical Medicine & Rehabilitation) Physician share within Florida

Medicare quality performance — MIPS

MELISSA GUANCHE, MD's 2023 MIPS final score plotted against the Sports Medicine (Physical Medicine & Rehabilitation) Physician national average

High performer (top quartile)
MIPS Final Score
99.9348/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Sports Medicine (Physical Medicine & Rehabilitation) Physician) — 99.9348/100 vs national avg 83.1

0%100%National avg83%99%
MIPS final score (Sports Medicine (Physical Medicine & Rehabilitation) Physician) — 99.9348/100 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).

MELISSA GUANCHE, MD is a Sports Medicine (Physical Medicine & Rehabilitation) Physician provider practicing in MIAMI, Florida, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1043550718. 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.

MELISSA GUANCHE, MD appears in the CMS NPPES registry as a Sports Medicine (Physical Medicine & Rehabilitation) Physician provider holding MD credentials at 8950 N KENDALL DR STE 410W, MIAMI, FL, 33176, with a listed phone of (786) 596-2225. NPI 1043550718 was issued on 02/18/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GUANCHE 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 1,244 prescription claims written by this provider, covering 401 Medicare beneficiaries and totaling roughly $24K in drug spend, with an opioid prescribing rate of 16.3%. 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 99.9348/100 for the 2023 performance year (Quality 84.3003), compared with the national average of 83.1.

Sports Medicine (Physical Medicine & Rehabilitation) Physician is a narrow specialty nationwide, with 1,267 enrolled providers across 52 states and an average of 579 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

8950 N KENDALL DR STE 410W
MIAMI, FL 33176

Provider Details

NPI 1043550718
Specialty Sports Medicine (Physical Medicine & Rehabilitation) Physician
Credentials MD
Gender Female
NPI Issued 02/18/2013

CMS Quality Score (MIPS)

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

99.9348
Final Score
Avg: 83.1
84.3003
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where MELISSA GUANCHE, MD 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.

BAPTIST HEALTH MEDICAL GROUP PHYSICIANS LLC
MIAMI, 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).

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 MELISSA GUANCHE, MD. To verify MELISSA GUANCHE, MD'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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,244
Total Claims
$24K
Total Drug Cost
401
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,482
Total Day Supply
40,741
Generic Drug Cost
$23K
Opioid Claims
203 (16.3% rate)

Patient Demographics

Average Patient Age
75.4 years
Avg HCC Risk Score
1.53
Gender Split
65% female / 35% male
Age Distribution
<65: 14, 65-74: 169, 75-84: 170, 85+: 48

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Gabapentin
525
Pregabalin
155
Tramadol Hcl
136
Duloxetine Hcl
110
Methylprednisolone
70
Meloxicam
55
Diclofenac Sodium
27
Acetaminophen-Codeine
Acetaminophen With Codeine
25
Celecoxib
20
Tizanidine Hcl
19

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

Sports Medicine (Physical Medicine & Rehabilitation) Physician Overview

How MELISSA GUANCHE, MD fits within the Sports Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.

1,267
Sports Medicine (Physical Medicine & Rehabilitation) Physician Providers in US
52
States with Sports Medicine (Physical Medicine & Rehabilitation) Physician
579
Avg Claims per Provider

MELISSA GUANCHE, MD's 1,244 claims are above the specialty average of 579.

Nearby Sports Medicine (Physical Medicine & Rehabilitation) Physician Providers in Florida

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

Compare Sports Medicine (Physical Medicine & Rehabilitation) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MELISSA GUANCHE, MD's specialty?
MELISSA GUANCHE, MD specializes in Sports Medicine (Physical Medicine & Rehabilitation) Physician and practices in MIAMI, Florida. Credentials: MD.
How much does MELISSA GUANCHE, MD prescribe under Medicare Part D?
In 2023, MELISSA GUANCHE, MD wrote 1,244 Medicare Part D claims totaling $24K in drug costs for 401 beneficiaries.
What is MELISSA GUANCHE, MD's Medicare quality score?
MELISSA GUANCHE, MD has a CMS MIPS Final Score of 99.9348/100 (Quality: 84.3003). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MELISSA GUANCHE, MD located?
MELISSA GUANCHE, MD is located at 8950 N KENDALL DR STE 410W, MIAMI, FL, 33176. Phone: (786) 596-2225.
What is MELISSA GUANCHE, MD's NPI number?
MELISSA GUANCHE, MD's National Provider Identifier (NPI) is 1043550718, issued on 02/18/2013.
Does MELISSA GUANCHE, MD prescribe opioids?
Yes, MELISSA GUANCHE, MD had 203 opioid claims in 2023 with an opioid prescribing rate of 16.3%.
How many Sports Medicine (Physical Medicine & Rehabilitation) Physician providers are there in the US?
There are 1,267 Sports Medicine (Physical Medicine & Rehabilitation) Physician providers across 52 states in the US. The average Sports Medicine (Physical Medicine & Rehabilitation) Physician provider writes 579 Medicare Part D claims per year.
What drugs does MELISSA GUANCHE, MD prescribe most often?
Based on 2023 Medicare Part D data, MELISSA GUANCHE, MD's most frequently prescribed drugs include Gabapentin, Pregabalin, Tramadol Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MELISSA GUANCHE, MD accept Medicare?
MELISSA GUANCHE, MD appears in CMS Medicare data with 1,244 Part D claims and 401 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MELISSA GUANCHE, MD's credentials?
MELISSA GUANCHE, MD's NPI is 1043550718 with credentials MD. 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