2026 NPPES data Addiction Medicine (Family Medicine) Physician NPI 1184776155 M.D.
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NEAL GUFFEY, M.D.

Addiction Medicine (Family Medicine) Physician in SPARTA, North Carolina. 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
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)
What the federal data reveals: NEAL GUFFEY, M.D. is a Addiction Medicine (Family Medicine) Physician ([object Object]) practicing in SPARTA, North Carolina with a Medicare Part D prescribing footprint of 5K claims across 175 beneficiaries . Industry payments of $106.25 across 1 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: NEAL GUFFEY, M.D. filed 4,723 Medicare Part D claims in 2023 across SPARTA, North Carolina. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

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).

NEAL GUFFEY, M.D. at a glance

Quality data not reported

NPI registry status

Active

Issued 01/18/2007

NPI 1184776155

Primary specialty

Addiction Medicine (Family Medicine) Physician

Niche

763 US NPIs in this specialty

Medicare Part D claims

4,723 316% vs specialty avg

2023 prescription claims

Specialty avg: 1,134

Specialty distribution in North Carolina

How Addiction Medicine (Family Medicine) Physician compares to other specialties among North Carolina providers

North Carolina providers

Addiction Medicine (Family Medicine) Physician share within North Carolina

1. Addiction Medicine (Family Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Addiction Medicine (Family Medicine) Physician share within North Carolina

Specialty board-certification context

Estimated specialty board-certified rate — Addiction Medicine (Family Medicine) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Addiction Medicine (Family Medicine) Physician ABMS/AOA estimate

Est. board-certified rate (Addiction Medicine (Family Medicine) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Addiction Medicine (Family Medicine) Physician) — ABMS / AOA estimate

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. is a Addiction Medicine (Family Medicine) Physician provider practicing in SPARTA, North Carolina, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1184776155. 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.

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. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GUFFEY 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 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%. 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.

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

158 CHESTNUT GROVE CHURCH RD
SPARTA, NC 28675

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.

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.

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.

Compare Addiction Medicine (Family Medicine) Physician nationally: see state-by-state distribution →

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

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