2026 NPPES data Hepatology Physician NPI 1366731754 M.D.
Verify on CMS →

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.

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
464
Medicare Part D claims · 202 beneficiaries · Hepatology Physician avg: 803
Generic prescribing
91%
generic claims · 9% brand-name · higher generic rates reduce patient out-of-pocket costs

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

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). This entry sits in this band. 600–800: 56,224 prescribers (4%). Above this entry. 800–1,000: 40,919 prescribers (3%). Above this entry. 1,000–1,200: 31,827 prescribers (2%). Above this entry. 1,200–1,400: 26,224 prescribers (2%). Above this entry. 1,400–1,600: 21,710 prescribers (2%). Above this entry. 1,600–1,800: 19,072 prescribers (1%). Above this entry. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

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)

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 reported

NPI registry status

Active

Issued 04/06/2011

NPI 1366731754

Primary specialty

Hepatology Physician

Rare

281 US NPIs in this specialty

Medicare Part D claims

464 42% vs specialty avg

2023 prescription claims

Specialty avg: 803

Specialty distribution in Texas

How Hepatology Physician compares to other specialties among Texas providers

Texas providers

Hepatology Physician share within Texas

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

Specialty board-certification context

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

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

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

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

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

3708 JEFFERSON ST
AUSTIN, TX 78731

Provider Details

NPI 1366731754
Specialty Hepatology Physician
Credentials M.D.
Gender Male
NPI Issued 04/06/2011

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.

WELLMED NETWORKS, INC.
SAN ANTONIO, TX

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.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

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

ROBERT MCGUFFEY, M.D. — brand share 9.0%
Specialty average (est.)

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.

464
Total Claims
$30K
Total Drug Cost
202
Medicare Beneficiaries

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

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
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.

281
Hepatology Physician Providers in US
36
States with Hepatology Physician
803
Avg Claims per Provider

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 →

Frequently Asked Questions

What is ROBERT MCGUFFEY, M.D.'s specialty?
ROBERT MCGUFFEY, M.D. specializes in Hepatology Physician and practices in AUSTIN, Texas. Credentials: M.D..
How much does ROBERT MCGUFFEY, M.D. prescribe under Medicare Part D?
In 2023, ROBERT MCGUFFEY, M.D. wrote 464 Medicare Part D claims totaling $30K in drug costs for 202 beneficiaries.
Where is ROBERT MCGUFFEY, M.D. located?
ROBERT MCGUFFEY, M.D. is located at 3708 JEFFERSON ST, AUSTIN, TX, 78731. Phone: (512) 459-6503.
What is ROBERT MCGUFFEY, M.D.'s NPI number?
ROBERT MCGUFFEY, M.D.'s National Provider Identifier (NPI) is 1366731754, issued on 04/06/2011.
Does ROBERT MCGUFFEY, M.D. prescribe more brand-name or generic drugs?
ROBERT MCGUFFEY, M.D.'s prescribing is 9% brand-name and 91% generic drugs by claim count, with $24K in brand drug costs.
Does ROBERT MCGUFFEY, M.D. prescribe opioids?
Yes, ROBERT MCGUFFEY, M.D. had 53 opioid claims in 2023 with an opioid prescribing rate of 11.4%.
How many Hepatology Physician providers are there in the US?
There are 281 Hepatology Physician providers across 36 states in the US. The average Hepatology Physician provider writes 803 Medicare Part D claims per year.
What drugs does ROBERT MCGUFFEY, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ROBERT MCGUFFEY, M.D.'s most frequently prescribed drugs include Pantoprazole Sodium, Tramadol Hcl, Eliquis. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ROBERT MCGUFFEY, M.D. accept Medicare?
ROBERT MCGUFFEY, M.D. appears in CMS Medicare data with 464 Part D claims and 202 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ROBERT MCGUFFEY, M.D.'s credentials?
ROBERT MCGUFFEY, M.D.'s NPI is 1366731754 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