NPPES file of Aug 9, 2026

Michael Guma, D.O.

Rheumatology Physician · Clifton, NJ

Michael Guma, D.O. is a rheumatology physician with a practice address in Clifton, New Jersey, and NPI 1376655407, issued on Aug 31, 2006. Check the license (New Jersey 25MB05563400, as entered in NPPES) on the New Jersey State Board of Medical Examiners; 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
1376655407
Name
Michael Guma
Credential
D.O.
Primary taxonomy
Rheumatology Physician 207RR0500X
License number
25MB05563400 NJ
Self-reported in NPPES; status is on the state search
Practice location
1 Metro Blvd, Clifton, NJ 07014
Phone
(973) 230-6610
Enumerated
Aug 31, 2006
Record last updated
May 26, 2026
Fax
(551) 996-0202
Medicare enrollment
Enrolled (PECOS I20041116000016); accepts Medicare assignment
Medical or professional school
At Still University Of Health Sciences, College Of Osteo Med, Kirksville, 1989
Telehealth
Offers telehealth (CMS)
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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Also registered at 1 Metro Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Shenelle Gooden, APNFamily Nurse Practitioner1619756442
  2. James Hennig, R.PH.Pharmacist1174816441
  3. Christopher Koller, MDUrology Physician1760987689
  4. Ephrem Olweny, M.D.Urology Physician1821272006
  5. Gian Pal, M.D.Neurology Physician1629239371
  6. Momina Rahman, M.D.Family Medicine Physician1932770930

Verify Michael Guma in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
    Search for license 25MB05563400
    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 New Jersey license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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58% more Medicare Part D claims than the average rheumatology physician in 2024

3,126 Medicare Part D claims for 535 beneficiaries, against an average of 1,978 among the 6,301 providers of this specialty who prescribed in Part D. 135 claims were for opioids.

  1. Michael Guma3,126
  2. Specialty average1,978

Most prescribed

  1. Methotrexate407 claims
  2. Hydroxychloroquine Sulfate400 claims
  3. Meloxicam310 claims
  4. Duloxetine Hcl248 claims
  5. Prednisone246 claims
  6. Celecoxib203 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 practice group's MIPS final score for 2023 (Medicare payment program): 84 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. 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 score68.7
  2. Costout of 100 · 30%76.5
  3. Promoting interoperabilityout of 100 · 25%98.0
  4. Improvement activities40 of 40 points · 15%100.0

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

Industry payments in 2024: $761.01

8 payments; by number, the most common kind was food and beverage; the largest payer was Amgen Inc. The 4,486 providers of this specialty with any payment received $8,538.33 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Michael Guma$761.01
  2. Specialty average$8,538.33

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Optum Medical Care OF New Jersey PCNorth Arlington, NJ

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Michael Guma among 253 rheumatology physician records in New Jersey

Michael Guma, D.O. is one of 253 rheumatology physician records with a practice address in New Jersey. 86% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 6% of them.

  • NPI issued2006 · 6% of these records are older, 54% newer
  • In a Medicare fileYes · 86% of these records are
  • In the CMS Doctors and Clinicians fileYes · 75% of these records are
  • Graduated1989 · median 2003 among the 190 with a school on file
  • Record last updated2026 · 64% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RR0500X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Rheumatology Physician providers in New Jersey

There are 253 rheumatology physician records in New Jersey.

The 8 rheumatology physician records with the nearest ZIP codes

  1. Marc Goldberg, MD.,F.A.C.PClifton, NJ 070121376599563
  2. Michael Lewko, MDClifton, NJ 070121730121799
  3. Nikil Revuri, MDClifton, NJ 070121447710645
  4. Harvey Hechel, M.D.East Orange, NJ 070181114032224
  5. Lesley Fein, MDWest Caldwell, NJ 070061568535664
  6. Mowyad Khalid, M.DCaldwell, NJ 070061023540572
  7. Ahmed Fahmy, M.D.Fort Lee, NJ 070241568530210
  8. Joseph Marchesano, M.D.Bloomfield, NJ 070031811003726

Common questions

What is Michael Guma, D.O.'s NPI number?

Michael Guma, D.O.'s National Provider Identifier (NPI) is 1376655407, issued on Aug 31, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Michael Guma, D.O. located?

The NPPES record lists a practice address at 1 Metro Blvd, Clifton, NJ, 07014. Phone: (973) 230-6610. Providers update this record themselves, so call before visiting.

How can I verify Michael Guma, D.O.'s license?

NPPES lists New Jersey license number 25MB05563400, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Michael Guma, D.O. prescribe under Medicare Part D?

In 2024, Michael Guma, D.O. had 3,126 Medicare Part D claims for 535 beneficiaries; the average among rheumatology physician prescribers was 1,978. Part D covers Medicare prescriptions only.

What is Michael Guma, D.O.'s MIPS final score?

The 2023 MIPS final score is 84 of 100, reported for the practice group. 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.