NPI registry status
Active
2026 NPPES data Pediatric Nephrology Physician NPI 1912054719 MD
Verify on CMS → Susan Guelich, MD
Pediatric Nephrology Physician in Roanoke, Virginia.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 724 in Pediatric Nephrology Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
279
Medicare Part D claims · 69 beneficiaries · Pediatric Nephrology Physician avg: 97
Generic prescribing
84%
generic claims · 16% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
82.3/100
▼ 1 pts below national avg 83.1 · Above neutral
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Susan Guelich, MD reported a CMS MIPS final score of 82.3/100 - below the 83.1 national average - and filed 279 Medicare Part D claims in 2023.
- 82.3/100
- MIPS score · -1 vs avg
- 279
- Part D claims, 2023
- 84%
- 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.
Susan Guelich, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
82 39th percentile higher than 39% of 477,587 scored providers
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
Where Susan Guelich, MD sits
This provider among pediatric nephrology physician peers
Across the 80 pediatric nephrology physician providers who report both Medicare Part D prescribing and a MIPS quality score, Susan Guelich, MD writes more Part D claims than 93% of them and scores higher on MIPS quality than 49% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one pediatric nephrology physician peer from a representative sample of 60; the gold marker is Susan Guelich, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Susan Guelich, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting - 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 Susan Guelich, MD?
Near national averagePrimary specialty
Pediatric Nephrology Physician
Medicare Part D claims
279 188% vs specialty avg
MIPS final score
82.3/100 0.8 pts vs avg
Specialty distribution in Virginia
How Pediatric Nephrology Physician compares to other specialties among Virginia providers
Medicare quality performance, MIPS
Susan Guelich, MD's 2023 MIPS final score plotted against the Pediatric Nephrology Physician national average
- MIPS Final Score
- 82.3/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Pediatric Nephrology Physician) - 82.3/100 vs national avg 83.1
How MIPS and board certification work
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).
Susan Guelich, MD appears in the CMS NPPES registry as a Pediatric Nephrology Physician provider holding MD credentials at 4348 ELECTRIC RD, Roanoke, VA, 24018, with a listed phone of (540) 769-0976. NPI 1912054719 was issued on 01/04/2007.
Medicare Part D records for calendar year 2023 show 279 prescription claims written by this provider, covering 69 Medicare beneficiaries and totaling roughly $105K in drug spend, split 16% brand-name and 84% generic by claim count. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 82.3/100 for the 2023 performance year (Quality 74.3, Cost 77.5), compared with the national average of 83.1.
Pediatric Nephrology Physician is a narrow specialty nationwide, with 724 enrolled providers across 50 states and an average of 97 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 | 1912054719 |
|---|---|
| Specialty | Pediatric Nephrology Physician |
| Credentials | MD |
| Gender | Female |
| NPI Issued | 01/04/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
82.2833
Final Score
Avg: 83.1
74.3066
Quality
77.4709
Cost
67
Promoting Interoperability
Reporting: Group practice
Brand vs generic prescribing mix · Typical
Susan Guelich, MD - brand share 16.0%
Pediatric Nephrology Physician average
16% brand-name claims vs 84% generic, on 279 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.
279
Total Claims
$105K
Total Drug Cost
69
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 665
- Total Day Supply
- 19,621
- Brand vs Generic
- 16% brand / 84% generic
- Brand Drug Cost
- $98K
- Generic Drug Cost
- $7K
Patient Demographics
- Average Patient Age
- 68.3 years
- Avg HCC Risk Score
- 5.41
- Gender Split
- 46% female / 54% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
What Susan Guelich, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Furosemide
Furosemide
59 claims
- Allopurinol 23
Allopurinol
23 claims
- Auryxia 17
Auryxia
17 claims
- Farxiga 15
Farxiga
15 claims
- Amlodipine Besylate 14
Amlodipine Besylate
14 claims
- Carvedilol 14
Carvedilol
14 claims
| Drug | Claims |
|---|---|
| Furosemide | 59 |
| Allopurinol | 23 |
| Auryxia Ferric Citrate | 17 |
| Farxiga Dapagliflozin Propanediol | 15 |
| Amlodipine Besylate | 14 |
| Carvedilol | 14 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Pediatric Nephrology Physician Overview
How Susan Guelich, MD fits within the Pediatric Nephrology Physician landscape nationally.
724
Pediatric Nephrology Physician Providers in US
50
States with Pediatric Nephrology Physician
97
Avg Claims per Provider
Susan Guelich, MD's 279 claims are above the specialty average of 97.
Nearby Pediatric Nephrology Physician Providers in Virginia
Other clinicians with the same primary specialty enrolled in Virginia, drawn from the same CMS NPPES roster as Guelich.
Dr. Jennifer Charlton
M.D.
Charlottesville, VA
Dr. Ayah Elmaghrabi
MD
Charlottesville, VA
Dr. Rosanna Fulchiero
D.O.
Fairfax, VA
Dr. Roberto Gomez
M.D.
Charlottesville, VA
Dr. Pedro Jose
MD
Lorton, VA
Compare Pediatric Nephrology Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Virginia medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Pediatric Nephrology Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Susan Guelich, MD's specialty? ▼
Susan Guelich, MD specializes in Pediatric Nephrology Physician and practices in Roanoke, Virginia. Credentials: MD.
How much does Susan Guelich, MD prescribe under Medicare Part D? ▼
In 2023, Susan Guelich, MD wrote 279 Medicare Part D claims totaling $105K in drug costs for 69 beneficiaries.
What is Susan Guelich, MD's Medicare quality score? ▼
Susan Guelich, MD has a CMS MIPS Final Score of 82.3/100 (Quality: 74.3, Cost: 77.5). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Susan Guelich, MD located? ▼
Susan Guelich, MD is located at 4348 ELECTRIC RD, Roanoke, VA, 24018. Phone: (540) 769-0976.
What is Susan Guelich, MD's NPI number? ▼
Susan Guelich, MD's National Provider Identifier (NPI) is 1912054719, issued on 01/04/2007.
Does Susan Guelich, MD prescribe more brand-name or generic drugs? ▼
Susan Guelich, MD's prescribing is 16% brand-name and 84% generic drugs by claim count, with $98K in brand drug costs.
How many Pediatric Nephrology Physician providers are there in the US? ▼
There are 724 Pediatric Nephrology Physician providers across 50 states in the US. The average Pediatric Nephrology Physician provider writes 97 Medicare Part D claims per year.
What drugs does Susan Guelich, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Susan Guelich, MD's most frequently prescribed drugs include Furosemide, Allopurinol, Auryxia. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Susan Guelich, MD accept Medicare? ▼
Susan Guelich, MD appears in CMS Medicare data with 279 Part D claims and 69 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Susan Guelich, MD's credentials? ▼
Susan Guelich, MD's NPI is 1912054719 with credentials MD. 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
View source datasets and methodology notes
- 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
Compiled from official public sources by the PlainDoctor editorial team.
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.