NPPES file of Aug 9, 2026

Paul Guarino, M.D.

Gastroenterology Physician · Newport News, VA

Paul Guarino, M.D. is a gastroenterology physician with a practice address in Newport News, Virginia, and NPI 1437204302, issued on Jan 23, 2007. Check the license (Virginia 0101234605, as entered in NPPES) on the Virginia Department of Health Professions; 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
1437204302
Name
Paul Guarino
Credential
M.D.
Primary taxonomy
Gastroenterology Physician 207RG0100X
License number
0101234605 VA
Self-reported in NPPES; status is on the state search
Practice location
12200 Warwick Blvd Ste 490, Newport News, VA 23601
Phone
(757) 599-6333
Enumerated
Jan 23, 2007
Record last updated
Jan 14, 2022
Fax
(757) 591-7261
Medicare enrollment
Enrolled (PECOS I20100927001460); accepts Medicare assignment
Medical or professional school
Boston University School Of Medicine, 2000
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 12200 Warwick Blvd Ste 490

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

  1. Christina Cawley, D.O.Orthopaedic Surgery Physician1063468866
  2. Andrea Lese, M.D.Orthopaedic Hand Surgery Physician1336322882

Verify Paul Guarino in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersVirginia Department of Health Professions
    Search for license 0101234605
    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 Virginia license search

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98% fewer Medicare Part D claims than the average gastroenterology physician in 2024

18 Medicare Part D claims, against an average of 811 among the 16,445 providers of this specialty who prescribed in Part D.

  1. Paul Guarino18
  2. Specialty average811

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 MIPS final score for 2023 (Medicare payment program): 95.1 of 100

The Merit-based Incentive Payment System score is reported for this clinician. 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 score86.3
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

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

Bills Medicare through one group practice

  1. Rmh Medical Group LLCHarrisonburg, VA

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

Gastroenterology Physician providers in Virginia

There are 536 gastroenterology physician records in Virginia.

Other gastroenterology physician records in Virginia

  1. Mahmood Abedi, MDFairfax, VA1649255233
  2. Mohammad Abidi, MDManassas, VA1295153690
  3. Souheil Abou Assi, M.D.Richmond, VA1023004710
  4. Emad Abuhamda, MDAlexandria, VA1649228099
  5. Jason Adam, M.D.North Chesterfield, VA1275894792
  6. Kenneth Adams, MDNewport News, VA1639161300
  7. Tonya Adams, M.D.Fairfax, VA1861472862
  8. Satyanisth Agrawal, D.O.Norfolk, VA1356503593
  9. Rizwan Ahmed, M.D.Manassas, VA1841469061
  10. Tokunbo Ajayi, M.D.Manassas, VA1255625307

Common questions

What is Paul Guarino, M.D.'s NPI number?

Paul Guarino, M.D.'s National Provider Identifier (NPI) is 1437204302, issued on Jan 23, 2007. An NPI identifies a provider in billing; it is not a license.

Where is Paul Guarino, M.D. located?

The NPPES record lists a practice address at 12200 Warwick Blvd Ste 490, Newport News, VA, 23601. Phone: (757) 599-6333. Providers update this record themselves, so call before visiting.

How can I verify Paul Guarino, M.D.'s license?

NPPES lists Virginia license number 0101234605, as entered by the provider. Search the Virginia Department of Health Professions at https://dhp.virginiainteractive.org/lookup/index. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Paul Guarino, M.D. prescribe under Medicare Part D?

In 2024, Paul Guarino, M.D. had 18 Medicare Part D claims; the average among gastroenterology physician prescribers was 811. Part D covers Medicare prescriptions only.

What is Paul Guarino, M.D.'s MIPS final score?

The 2023 MIPS final score is 95.1 of 100. 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.