ROBERT MCGUFFEY, M.D.
Hepatology Physician in AUSTIN, Texas. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.
What the federal data shows
ROBERT MCGUFFEY, M.D. filed 464 Medicare Part D claims in 2023 as a Hepatology Physician in AUSTIN, Texas, prescribing 91% generic.
- 464
- Part D claims, 2023
- 91%
- generic prescribing
- 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.
ROBERT MCGUFFEY, M.D.'s Medicare Part D volume vs every U.S. prescriber
Total Medicare Part D claims, 2023 — across all CMS prescribers nationally
464 Top 38% higher than 62% 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
ROBERT MCGUFFEY, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — 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 ROBERT MCGUFFEY, M.D.?
Quality data not reportedPrimary specialty
Medicare Part D claims
Specialty distribution in Texas
How Hepatology Physician compares to other specialties among Texas providers
Hepatology Physician share within Texas
Hepatology Physician is one of the more visible NUCC categories in Texas
Each bar reflects the share of in-state providers whose primary NUCC taxonomy matches the specialty. Long tail of ~690 NUCC codes folded into "Other" to keep the comparison legible.
Specialty board-certification context
Estimated specialty board-certified rate — Hepatology Physician (ABMS / AOA reference)
- Est. board-certified rate
- 78%
- Hepatology Physician ABMS/AOA estimate
Est. board-certified rate (Hepatology Physician) — ABMS / AOA estimate
Verify credentials
- Verify via ABMS free public lookup
- Verify via AOA osteopathic boards
- Specialty volume Hepatology Physician US NPIs
Specialty board-certified rate — Hepatology Physician estimate
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus Maintenance of Certification cycles. CMS does not publish a per-provider board-certification field; the figure shown is the specialty-level estimated rate from ABMS / AOA reference data.
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).
ROBERT MCGUFFEY, M.D. appears in the CMS NPPES registry as a Hepatology Physician provider holding M.D. credentials at 3708 JEFFERSON ST, AUSTIN, TX, 78731, with a listed phone of (512) 459-6503. NPI 1366731754 was issued on 04/06/2011. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MCGUFFEY 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 464 prescription claims written by this provider, covering 202 Medicare beneficiaries and totaling roughly $30K in drug spend, split 9% brand-name and 91% generic by claim count, with an opioid prescribing rate of 11.4%. 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.
Hepatology Physician is a narrow specialty nationwide, with 281 enrolled providers across 36 states and an average of 803 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 | 1366731754 |
|---|---|
| Specialty | Hepatology Physician |
| Credentials | M.D. |
| Gender | Male |
| NPI Issued | 04/06/2011 |
Verify this provider's license
PlainDoctor pulls this profile from the CMS NPPES public registry. Confirm ROBERT MCGUFFEY, M.D.'s current license status, disciplinary history, and board certifications with the Texas Medical Board in Texas before relying on this page for a clinical or care decision.
How we sourced this profile
Hospital and facility affiliations
Facilities where ROBERT MCGUFFEY, 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.
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
License & disciplinary context — Texas TMB 2023 annual report
Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 — they are NOT specific to ROBERT MCGUFFEY, M.D.. To verify ROBERT MCGUFFEY, M.D.'s current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Brand vs generic prescribing mix · Generic-heavy
9% brand-name claims vs 91% generic, on 464 2023 Medicare Part D claims.
The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
Prescribing Breakdown
- 30-Day Fills
- 547
- Total Day Supply
- 12,482
- Brand vs Generic
- 9% brand / 91% generic
- Brand Drug Cost
- $24K
- Generic Drug Cost
- $6K
- Opioid Claims
- 53 (11.4% rate)
- Antibiotic Claims
- 57
Patient Demographics
- Average Patient Age
- 70.5 years
- Avg HCC Risk Score
- 3.67
- Gender Split
- 60% female / 40% male
- Age Distribution
- <65: 50, 65-74: 74, 75-84: 54, 85+: 24
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What ROBERT MCGUFFEY, M.D. prescribes most
Top Medicare Part D drugs by claim count, 2023
- Pantoprazole Sodium
Pantoprazole Sodium
30 claims
- Tramadol Hcl
Tramadol Hcl
21 claims
- Eliquis
Eliquis
20 claims
- Potassium Chloride
Potassium Chloride
19 claims
- Atorvastatin Calcium
Atorvastatin Calcium
17 claims
- Amlodipine Besylate
Amlodipine Besylate
16 claims
- Amoxicillin-Clavul…
Amoxicillin-Clavulanate Potass
16 claims
- Furosemide
Furosemide
15 claims
| Drug | Claims |
|---|---|
| Pantoprazole Sodium | 30 |
| Tramadol Hcl | 21 |
| Eliquis Apixaban | 20 |
| Potassium Chloride | 19 |
| Atorvastatin Calcium | 17 |
| Amlodipine Besylate | 16 |
| Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav | 16 |
| Furosemide | 15 |
| Oxycodone Hcl | 15 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 14 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Hepatology Physician Overview
How ROBERT MCGUFFEY, M.D. fits within the Hepatology Physician landscape nationally.
ROBERT MCGUFFEY, M.D.'s 464 claims are below the specialty average of 803.
Nearby Hepatology Physician Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as MCGUFFEY.
Compare Hepatology Physician nationally: see state-by-state distribution →
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Frequently Asked Questions
What is ROBERT MCGUFFEY, M.D.'s specialty? ▼
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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