Theresa A. Guise, M.D.
Endocrinology, Diabetes & Metabolism Physician · Houston, TX
Theresa A. Guise, M.D. is an endocrinology, diabetes & metabolism physician with a practice address in Houston, Texas, and NPI 1790854321, issued on Nov 7, 2006. Check the license on the Texas Medical Board; the Medicare figures below come from public CMS files.
- Name
- Theresa A. Guise
- Credential
- M.D.
- Primary taxonomy
- Endocrinology, Diabetes & Metabolism Physician 207RE0101X
- License number
- 01067527A IN
Self-reported in NPPES; status is on the state search - Practice location
- 1515 Holcombe Blvd, Houston, TX 77030
- Phone
- (713) 792-6161
- Enumerated
- Nov 7, 2006
- Record last updated
- Sep 3, 2020 (not updated in 6 years: call before relying on the address or phone)
- Medicaid ID
- 200969040 IN
- Medicare enrollment
- Enrolled (PECOS I20200922002828); accepts Medicare assignment
- Medical or professional school
- University Of Pittsburgh School Of Medicine, 1985
- Entity
- Type 1 · individual
8 nearest endocrinology, diabetes & metabolism physician records → All 743 in Texas → Look up another NPI →
Also registered at 1515 Holcombe Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Cynthia Abarado, RN, GNPGerontology Nurse Practitioner1851471049
- Hussein Abbas, MD, PHDInternal Medicine Physician1609220532
- James Abbruzzese, M.D.Medical Oncology Physician1134233224
- Karim Abdeldaem, MDEmergency Medicine Physician1558056200
Verify Theresa A. Guise in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersTexas Medical BoardCheck the board
- 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
99% fewer Medicare Part D claims than the average endocrinology, diabetes & metabolism physician in 2024
26 Medicare Part D claims, against an average of 2,630 among the 8,223 providers of this specialty who prescribed in Part D. Brand-name drugs were 85% of claims.
Most prescribed
- Crysvita11 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 81.4 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through one group practice
- Physicians Referral ServiceHouston, TX
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Theresa A. Guise among 743 endocrinology, diabetes & metabolism physician records in Texas
Theresa A. Guise, M.D. is one of 743 endocrinology, diabetes & metabolism physician records with a practice address in Texas. 87% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 6% of them.
- NPI issued2006 · 6% of these records are older, 61% newer
- In a Medicare fileYes · 87% of these records are
- In the CMS Doctors and Clinicians fileYes · 75% of these records are
- Graduated1985 · median 2004 among the 560 with a school on file
- Record last updated2020 · 50% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RE0101X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Endocrinology, Diabetes & Metabolism Physician providers in Texas
There are 743 endocrinology, diabetes & metabolism physician records in Texas.
All 743 in Texas → Every provider in Houston → Endocrinology, Diabetes & Metabolism Physician nationwide →
The 8 endocrinology, diabetes & metabolism physician records with the nearest ZIP codes
- Mandeep Bajaj, M.D.Houston, TX 770301376559971
- Cristina Boccalandro, M.D.Houston, TX 770301508890427
- Mouhammed Habra, M.D.Houston, TX 770301548219413
- Carlos Hamilton, MDHouston, TX 770301326041567
- Dale Hamilton, MDHouston, TX 770301982669875
- Victor Lavis, M.D.Houston, TX 770301528014206
- Marco Marcelli, MDHouston, TX 770301710994074
- Yomna Monla, M.D.Houston, TX 770301376585851
Common questions
What is Theresa A. Guise, M.D.'s NPI number?
Theresa A. Guise, M.D.'s National Provider Identifier (NPI) is 1790854321, issued on Nov 7, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Theresa A. Guise, M.D. located?
The NPPES record lists a practice address at 1515 Holcombe Blvd, Houston, TX, 77030. Phone: (713) 792-6161. Providers update this record themselves, so call before visiting.
How can I verify Theresa A. Guise, M.D.'s license?
Search the Texas Medical Board at https://profile.tmb.state.tx.us/Search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Theresa A. Guise, M.D. prescribe under Medicare Part D?
In 2024, Theresa A. Guise, M.D. had 26 Medicare Part D claims; the average among endocrinology, diabetes & metabolism physician prescribers was 2,630. Part D covers Medicare prescriptions only.
What is Theresa A. Guise, M.D.'s MIPS final score?
The 2023 MIPS final score is 81.4 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.