2026 NPPES data Neurology Physician NPI 1720519804
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PAUL GUIDOS

Neurology Physician in SHEBOYGAN, Wisconsin. 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
2K
Medicare Part D claims · 345 beneficiaries · Neurology Physician avg: 1K
Industry payments
$1.4K
69 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: PAUL GUIDOS is a Neurology Physician ([object Object]) practicing in SHEBOYGAN, Wisconsin with a Medicare Part D prescribing footprint of 2K claims across 345 beneficiaries . Industry payments of $1.4K across 69 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: PAUL GUIDOS filed 1,647 Medicare Part D claims in 2023 across SHEBOYGAN, Wisconsin. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

PAUL GUIDOS 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).

PAUL GUIDOS at a glance

Quality data not reported

NPI registry status

Active

Issued 03/21/2017

NPI 1720519804

Primary specialty

Neurology Physician

Mid-sized

19,866 US NPIs in this specialty

Medicare Part D claims

1,647 26% vs specialty avg

2023 prescription claims

Specialty avg: 1,309

Specialty distribution in Wisconsin

How Neurology Physician compares to other specialties among Wisconsin providers

Wisconsin providers

Neurology Physician share within Wisconsin

1. Neurology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Neurology Physician share within Wisconsin

Specialty board-certification context

Estimated specialty board-certified rate — Neurology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Neurology Physician ABMS/AOA estimate

Est. board-certified rate (Neurology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Neurology 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).

PAUL GUIDOS is a Neurology Physician provider practicing in SHEBOYGAN, Wisconsin, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1720519804. 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.

PAUL GUIDOS appears in the CMS NPPES registry as a Neurology Physician provider at 2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI, 53081, with a listed phone of (920) 457-4461. NPI 1720519804 was issued on 03/21/2017. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GUIDOS 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 1,647 prescription claims written by this provider, covering 345 Medicare beneficiaries and totaling roughly $315K in drug spend. 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.

Neurology Physician is a mid-sized specialty nationwide, with 19,866 enrolled providers across 54 states and an average of 1,309 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

2414 KOHLER MEMORIAL DR
SHEBOYGAN, WI 53081

Provider Details

NPI 1720519804
Specialty Neurology Physician
Gender Male
NPI Issued 03/21/2017

Hospital and facility affiliations

Facilities where PAUL GUIDOS 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.

AURORA MEDICAL GROUP, INC.
SHEBOYGAN, WI
MERITAS HEALTH CORPORATION
NORTH KANSAS CITY, MO

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 PAUL GUIDOS. Source: openpaymentsdata.cms.gov.

Total received

$1.4K

Largest payer

ABBVIE 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.

1,647
Total Claims
$315K
Total Drug Cost
345
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
2,822
Total Day Supply
82,658
Generic Drug Cost
$57K
Antibiotic Claims
11

Patient Demographics

Average Patient Age
73.4 years
Avg HCC Risk Score
1.45
Gender Split
54% female / 46% male
Age Distribution
<65: 44, 65-74: 115, 75-84: 147, 85+: 39

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Gabapentin
253
Memantine Hcl
165
Donepezil Hcl
153
Carbidopa-Levodopa
Carbidopa/Levodopa
140
Levetiracetam
85
Baclofen
69
Nurtec Odt
Rimegepant Sulfate
57
Qulipta
Atogepant
45
Pregabalin
44
Duloxetine Hcl
38

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

Neurology Physician Overview

How PAUL GUIDOS fits within the Neurology Physician landscape nationally.

19,866
Neurology Physician Providers in US
54
States with Neurology Physician
1,309
Avg Claims per Provider

PAUL GUIDOS's 1,647 claims are above the specialty average of 1,309.

Nearby Neurology Physician Providers in Wisconsin

Other clinicians with the same primary specialty enrolled in Wisconsin, drawn from the same CMS NPPES roster as GUIDOS.

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

Frequently Asked Questions

What is PAUL GUIDOS's specialty?
PAUL GUIDOS specializes in Neurology Physician and practices in SHEBOYGAN, Wisconsin.
How much does PAUL GUIDOS prescribe under Medicare Part D?
In 2023, PAUL GUIDOS wrote 1,647 Medicare Part D claims totaling $315K in drug costs for 345 beneficiaries.
Where is PAUL GUIDOS located?
PAUL GUIDOS is located at 2414 KOHLER MEMORIAL DR, SHEBOYGAN, WI, 53081. Phone: (920) 457-4461.
What is PAUL GUIDOS's NPI number?
PAUL GUIDOS's National Provider Identifier (NPI) is 1720519804, issued on 03/21/2017.
How many Neurology Physician providers are there in the US?
There are 19,866 Neurology Physician providers across 54 states in the US. The average Neurology Physician provider writes 1,309 Medicare Part D claims per year.
What drugs does PAUL GUIDOS prescribe most often?
Based on 2023 Medicare Part D data, PAUL GUIDOS's most frequently prescribed drugs include Gabapentin, Memantine Hcl, Donepezil Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does PAUL GUIDOS accept Medicare?
PAUL GUIDOS appears in CMS Medicare data with 1,647 Part D claims and 345 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify PAUL GUIDOS's credentials?
PAUL GUIDOS's NPI is 1720519804. 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