2026 NPPES data Rheumatology Physician NPI 1376655407 D.O.
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MICHAEL GUMA, D.O.

Rheumatology Physician in NORTH ARLINGTON, New Jersey. 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
3K
Medicare Part D claims · 499 beneficiaries · Rheumatology Physician avg: 2K
MIPS score
84.0144/100
▲ 1 pts above national avg 83.1 · [object Object]
Industry payments
$761.01
8 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: MICHAEL GUMA, D.O. is a Rheumatology Physician ([object Object]) practicing in NORTH ARLINGTON, New Jersey with a Medicare Part D prescribing footprint of 3K claims across 499 beneficiaries . Their CMS MIPS Final Score of 84.0144/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $761.01 across 8 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: MICHAEL GUMA, D.O. reported a CMS MIPS final score of 84.0144 out of 100, above the 83.1 national average, and filed 3,031 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

MICHAEL GUMA, D.O. 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).

MICHAEL GUMA, D.O. at a glance

Near national average

NPI registry status

Active

Issued 08/31/2006

NPI 1376655407

Primary specialty

Rheumatology Physician

Mid-sized

6,181 US NPIs in this specialty

Medicare Part D claims

3,031 48% vs specialty avg

2023 prescription claims

Specialty avg: 2,054

MIPS final score

84.0144/100 0.9144000000000005% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New Jersey

How Rheumatology Physician compares to other specialties among New Jersey providers

New Jersey providers

Rheumatology Physician share within New Jersey

1. Rheumatology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Rheumatology Physician share within New Jersey

Medicare quality performance — MIPS

MICHAEL GUMA, D.O.'s 2023 MIPS final score plotted against the Rheumatology Physician national average

Near national average
MIPS Final Score
84.0144/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Rheumatology Physician) — 84.0144/100 vs national avg 83.1

0%100%National avg83%84%
MIPS final score (Rheumatology Physician) — 84.0144/100 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).

MICHAEL GUMA, D.O. is a Rheumatology Physician provider practicing in NORTH ARLINGTON, New Jersey, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: D.O.. NPI: 1376655407. 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.

MICHAEL GUMA, D.O. appears in the CMS NPPES registry as a Rheumatology Physician provider holding D.O. credentials at 312 BELLEVILLE TPKE, NORTH ARLINGTON, NJ, 07031, with a listed phone of (201) 998-2800. NPI 1376655407 was issued on 08/31/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GUMA 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 3,031 prescription claims written by this provider, covering 499 Medicare beneficiaries and totaling roughly $3.5 million in drug spend, with an opioid prescribing rate of 3.7%. 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 84.0144/100 for the 2023 performance year (Quality 68.6752, Cost 76.4864), compared with the national average of 83.1.

Rheumatology Physician is a mid-sized specialty nationwide, with 6,181 enrolled providers across 52 states and an average of 2,054 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

312 BELLEVILLE TPKE
NORTH ARLINGTON, NJ 07031

Provider Details

NPI 1376655407
Specialty Rheumatology Physician
Credentials D.O.
Gender Male
NPI Issued 08/31/2006

CMS Quality Score (MIPS)

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

84.0144
Final Score
Avg: 83.1
68.6752
Quality
76.4864
Cost
98
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where MICHAEL GUMA, D.O. 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.

OPTUM MEDICAL CARE OF NEW JERSEY PC
NORTH ARLINGTON, NJ

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 MICHAEL GUMA, D.O.. Source: openpaymentsdata.cms.gov.

Total received

$761

Largest payer

Amgen 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.

Medicare Part D Prescribing Data

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

3,031
Total Claims
$3.5M
Total Drug Cost
499
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
6,656
Total Day Supply
195,754
Generic Drug Cost
$109K
Opioid Claims
113 (3.7% rate)

Patient Demographics

Average Patient Age
71.9 years
Avg HCC Risk Score
1.59
Gender Split
75% female / 25% male
Age Distribution
<65: 71, 65-74: 250, 75-84: 142, 85+: 36

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Hydroxychloroquine Sulfate
395
Methotrexate
Methotrexate Sodium
355
Meloxicam
301
Prednisone
274
Celecoxib
208
Duloxetine Hcl
201
Diclofenac Sodium
115
Tramadol Hcl
111
Enbrel Sureclick
Etanercept
97
Folic Acid
90

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

Rheumatology Physician Overview

How MICHAEL GUMA, D.O. fits within the Rheumatology Physician landscape nationally.

6,181
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider

MICHAEL GUMA, D.O.'s 3,031 claims are above the specialty average of 2,054.

Nearby Rheumatology Physician Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as GUMA.

Compare Rheumatology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MICHAEL GUMA, D.O.'s specialty?
MICHAEL GUMA, D.O. specializes in Rheumatology Physician and practices in NORTH ARLINGTON, New Jersey. Credentials: D.O..
How much does MICHAEL GUMA, D.O. prescribe under Medicare Part D?
In 2023, MICHAEL GUMA, D.O. wrote 3,031 Medicare Part D claims totaling $3.5M in drug costs for 499 beneficiaries.
What is MICHAEL GUMA, D.O.'s Medicare quality score?
MICHAEL GUMA, D.O. has a CMS MIPS Final Score of 84.0144/100 (Quality: 68.6752, Cost: 76.4864). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MICHAEL GUMA, D.O. located?
MICHAEL GUMA, D.O. is located at 312 BELLEVILLE TPKE, NORTH ARLINGTON, NJ, 07031. Phone: (201) 998-2800.
What is MICHAEL GUMA, D.O.'s NPI number?
MICHAEL GUMA, D.O.'s National Provider Identifier (NPI) is 1376655407, issued on 08/31/2006.
Does MICHAEL GUMA, D.O. prescribe opioids?
Yes, MICHAEL GUMA, D.O. had 113 opioid claims in 2023 with an opioid prescribing rate of 3.7%.
How many Rheumatology Physician providers are there in the US?
There are 6,181 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
What drugs does MICHAEL GUMA, D.O. prescribe most often?
Based on 2023 Medicare Part D data, MICHAEL GUMA, D.O.'s most frequently prescribed drugs include Hydroxychloroquine Sulfate, Methotrexate, Meloxicam. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does MICHAEL GUMA, D.O. accept Medicare?
MICHAEL GUMA, D.O. appears in CMS Medicare data with 3,031 Part D claims and 499 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MICHAEL GUMA, D.O.'s credentials?
MICHAEL GUMA, D.O.'s NPI is 1376655407 with credentials D.O.. 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