2026 NPPES data Hospitalist Physician NPI 1801037866 M.D.
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SHANE GUILLORY, M.D.

Hospitalist Physician in METAIRIE, Louisiana. 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
31
Medicare Part D claims · 11 beneficiaries · Hospitalist Physician avg: 888
MIPS score
88.051/100
▲ 5 pts above national avg 83.1 · [object Object]
Industry payments
$106.81
6 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

SHANE GUILLORY, M.D. reported a CMS MIPS final score of 88.051/100 — above the 83.1 national average — and filed 31 Medicare Part D claims in 2023.

88.051/100
MIPS score · +5 vs avg
31
Part D claims, 2023
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.

SHANE GUILLORY, M.D.'s MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

88 Top 44% higher than 56% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. 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 Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

SHANE GUILLORY, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 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 SHANE GUILLORY, M.D.?

High performer (top quartile)

NPI registry status

Active

Issued 03/20/2009

NPI 1801037866

Primary specialty

Hospitalist Physician

Mid-sized

16,825 US NPIs in this specialty

Medicare Part D claims

31 97% vs specialty avg

2023 prescription claims

Specialty avg: 888

MIPS final score

88.051/100 4.951000000000008% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Louisiana

How Hospitalist Physician compares to other specialties among Louisiana providers

Louisiana providers

Hospitalist Physician share within Louisiana

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

Medicare quality performance — MIPS

SHANE GUILLORY, M.D.'s 2023 MIPS final score plotted against the Hospitalist Physician national average

High performer (top quartile)
MIPS Final Score
88.051/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hospitalist Physician) — 88.051/100 vs national avg 83.1

0%100%National avg83%88.1%
MIPS final score (Hospitalist Physician) — 88.051/100 vs national avg 83.1

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).

SHANE GUILLORY, M.D. is a Hospitalist Physician provider practicing in METAIRIE, Louisiana, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1801037866. 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.

SHANE GUILLORY, M.D. appears in the CMS NPPES registry as a Hospitalist Physician provider holding M.D. credentials at 252 METAIRIE HEIGHTS AVE, METAIRIE, LA, 70001, with a listed phone of (337) 526-5329. NPI 1801037866 was issued on 03/20/2009. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GUILLORY 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 31 prescription claims written by this provider, covering 11 Medicare beneficiaries and totaling roughly $2K 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 88.051/100 for the 2023 performance year (Quality 74.6094, Cost 58.2356), compared with the national average of 83.1.

Hospitalist Physician is a mid-sized specialty nationwide, with 16,825 enrolled providers across 54 states and an average of 888 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

252 METAIRIE HEIGHTS AVE
METAIRIE, LA 70001

Provider Details

NPI 1801037866
Specialty Hospitalist Physician
Credentials M.D.
Gender Male
NPI Issued 03/20/2009

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

88.051
Final Score
Avg: 83.1
74.6094
Quality
58.2356
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where SHANE GUILLORY, 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.

LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS FACULTY G
NEW ORLEANS, LA

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 SHANE GUILLORY, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$107

Largest payer

Janssen Pharmaceuticals, 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.

31
Total Claims
$2K
Total Drug Cost
11
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
59
Total Day Supply
1,621
Generic Drug Cost
$362

Patient Demographics

Average Patient Age
64.8 years
Avg HCC Risk Score
2.52

Hospitalist Physician Overview

How SHANE GUILLORY, M.D. fits within the Hospitalist Physician landscape nationally.

16,825
Hospitalist Physician Providers in US
54
States with Hospitalist Physician
888
Avg Claims per Provider

SHANE GUILLORY, M.D.'s 31 claims are below the specialty average of 888.

Nearby Hospitalist Physician Providers in Louisiana

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

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

Frequently Asked Questions

What is SHANE GUILLORY, M.D.'s specialty?
SHANE GUILLORY, M.D. specializes in Hospitalist Physician and practices in METAIRIE, Louisiana. Credentials: M.D..
How much does SHANE GUILLORY, M.D. prescribe under Medicare Part D?
In 2023, SHANE GUILLORY, M.D. wrote 31 Medicare Part D claims totaling $2K in drug costs for 11 beneficiaries.
What is SHANE GUILLORY, M.D.'s Medicare quality score?
SHANE GUILLORY, M.D. has a CMS MIPS Final Score of 88.051/100 (Quality: 74.6094, Cost: 58.2356). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is SHANE GUILLORY, M.D. located?
SHANE GUILLORY, M.D. is located at 252 METAIRIE HEIGHTS AVE, METAIRIE, LA, 70001. Phone: (337) 526-5329.
What is SHANE GUILLORY, M.D.'s NPI number?
SHANE GUILLORY, M.D.'s National Provider Identifier (NPI) is 1801037866, issued on 03/20/2009.
How many Hospitalist Physician providers are there in the US?
There are 16,825 Hospitalist Physician providers across 54 states in the US. The average Hospitalist Physician provider writes 888 Medicare Part D claims per year.
Does SHANE GUILLORY, M.D. accept Medicare?
SHANE GUILLORY, M.D. appears in CMS Medicare data with 31 Part D claims and 11 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify SHANE GUILLORY, M.D.'s credentials?
SHANE GUILLORY, M.D.'s NPI is 1801037866 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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
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