NPI registry status
Active
2026 NPPES data Addiction Medicine (Family Medicine) Physician NPI 1184776155 M.D.
Verify on CMS → Neal Guffey, M.D.
Addiction Medicine (Family Medicine) Physician in Sparta, North Carolina.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 763 in Addiction Medicine (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
5K
Medicare Part D claims · 175 beneficiaries · Addiction Medicine (Family Medicine) Physician avg: 1K
Industry payments
$106.25
1 payments · CMS Open Payments (Sunshine Act)
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Neal Guffey, M.D. filed 4,723 Medicare Part D claims in 2023 as a Addiction Medicine (Family Medicine) Physician in Sparta, North Carolina.
- 5K
- 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.
Neal Guffey, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023, across all CMS prescribers nationally
4,723 Top 7% higher than 93% of 1,370,886 prescribers
Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023
✓
Board certification likely (heuristic, not verified)
Neal Guffey, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 2 hospital affiliations - 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 Neal Guffey, M.D.?
Quality data not reportedPrimary specialty
Addiction Medicine (Family Medicine) Physician
Medicare Part D claims
4,723 316% vs specialty avg
Specialty distribution in North Carolina
How Addiction Medicine (Family Medicine) Physician compares to other specialties among North Carolina providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Addiction Medicine (Family Medicine) Physician. Verify directly:
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).
Neal Guffey, M.D. appears in the CMS NPPES registry as a Addiction Medicine (Family Medicine) Physician provider holding M.D. credentials at 158 CHESTNUT GROVE CHURCH RD, Sparta, NC, 28675, with a listed phone of (800) 765-7130. NPI 1184776155 was issued on 01/18/2007.
Medicare Part D records for calendar year 2023 show 4,723 prescription claims written by this provider, covering 175 Medicare beneficiaries and totaling roughly $430K in drug spend, with an opioid prescribing rate of 1.3%.
Addiction Medicine (Family Medicine) Physician is a narrow specialty nationwide, with 763 enrolled providers across 48 states and an average of 1,134 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
Provider Details
| NPI | 1184776155 |
|---|---|
| Specialty | Addiction Medicine (Family Medicine) Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 01/18/2007 |
Hospital and facility affiliations
Facilities where Neal Guffey, 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.
Eventus WH Southeast, LLC
Charlotte, NC
Eventus Wholehealth PLLC
Concord, NC
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 Neal Guffey, M.D.. Source: openpaymentsdata.cms.gov.
Total received
$106
Largest payer
Alkermes, 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.
4,723
Total Claims
$430K
Total Drug Cost
175
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 4,731
- Total Day Supply
- 105,824
- Generic Drug Cost
- $126K
- Opioid Claims
- 60 (1.3% rate)
- Antibiotic Claims
- 142
Patient Demographics
- Average Patient Age
- 79.2 years
- Avg HCC Risk Score
- 2.71
- Gender Split
- 67% female / 33% male
- Age Distribution
- <65: 14, 65-74: 37, 75-84: 66, 85+: 58
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Neal Guffey, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Atorvastatin Calcium
Atorvastatin Calcium
231 claims
- Eliquis
Eliquis
208 claims
- Levothyroxine Sodium
Levothyroxine Sodium
143 claims
- Potassium Chloride
Potassium Chloride
118 claims
- Gabapentin
Gabapentin
116 claims
- Furosemide
Furosemide
115 claims
- Amlodipine Besylate
Amlodipine Besylate
106 claims
- Carvedilol 90
Carvedilol
90 claims
| Drug | Claims |
|---|---|
| Atorvastatin Calcium | 231 |
| Eliquis Apixaban | 208 |
| Levothyroxine Sodium | 143 |
| Potassium Chloride | 118 |
| Gabapentin | 116 |
| Furosemide | 115 |
| Amlodipine Besylate | 106 |
| Carvedilol | 90 |
| Metoprolol Tartrate | 88 |
| Tamsulosin Hcl | 81 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
More Addiction Medicine (Family Medicine) Physician in NC →
All providers in North Carolina →
Compare specialties →
Addiction Medicine (Family Medicine) Physician Overview
How Neal Guffey, M.D. fits within the Addiction Medicine (Family Medicine) Physician landscape nationally.
763
Addiction Medicine (Family Medicine) Physician Providers in US
48
States with Addiction Medicine (Family Medicine) Physician
1,134
Avg Claims per Provider
Neal Guffey, M.D.'s 4,723 claims are above the specialty average of 1,134.
Nearby Addiction Medicine (Family Medicine) Physician Providers in North Carolina
Other clinicians with the same primary specialty enrolled in North Carolina, drawn from the same CMS NPPES roster as Guffey.
Michael Baca-Atlas
Chapel Hill, NC
Dr. James Finch
M.D.
Durham, NC
Dr. Surah Grumet
MD
Durham, NC
Dr. Letitia Hazel
MD
Raleigh, NC
Dr. David Kaplan
MD
Greensboro, NC
Compare Addiction Medicine (Family Medicine) Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the North Carolina medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Addiction Medicine (Family Medicine) Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
Healthcare Guides
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Medical Specialties Explained
Who treats what and how specialties differ
Understanding Medicare Claims Data
What prescribing data reveals about a provider
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How insurance networks affect your costs
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Explore North Carolina
Frequently Asked Questions
What is Neal Guffey, M.D.'s specialty? ▼
Neal Guffey, M.D. specializes in Addiction Medicine (Family Medicine) Physician and practices in Sparta, North Carolina. Credentials: M.D..
How much does Neal Guffey, M.D. prescribe under Medicare Part D? ▼
In 2023, Neal Guffey, M.D. wrote 4,723 Medicare Part D claims totaling $430K in drug costs for 175 beneficiaries.
Where is Neal Guffey, M.D. located? ▼
Neal Guffey, M.D. is located at 158 CHESTNUT GROVE CHURCH RD, Sparta, NC, 28675. Phone: (800) 765-7130.
What is Neal Guffey, M.D.'s NPI number? ▼
Neal Guffey, M.D.'s National Provider Identifier (NPI) is 1184776155, issued on 01/18/2007.
Does Neal Guffey, M.D. prescribe opioids? ▼
Yes, Neal Guffey, M.D. had 60 opioid claims in 2023 with an opioid prescribing rate of 1.3%.
How many Addiction Medicine (Family Medicine) Physician providers are there in the US? ▼
There are 763 Addiction Medicine (Family Medicine) Physician providers across 48 states in the US. The average Addiction Medicine (Family Medicine) Physician provider writes 1,134 Medicare Part D claims per year.
What drugs does Neal Guffey, M.D. prescribe most often? ▼
Based on 2023 Medicare Part D data, Neal Guffey, M.D.'s most frequently prescribed drugs include Atorvastatin Calcium, Eliquis, Levothyroxine Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Neal Guffey, M.D. accept Medicare? ▼
Neal Guffey, M.D. appears in CMS Medicare data with 4,723 Part D claims and 175 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Neal Guffey, M.D.'s credentials? ▼
Neal Guffey, M.D.'s NPI is 1184776155 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 (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- 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
Compiled from official public sources by the PlainDoctor editorial team.