2026 NPPES data Hematology & Oncology Physician NPI 1073500328 MD
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TROY GUTHRIE, MD

Hematology & Oncology Physician in JACKSONVILLE, Florida. 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
1K
Medicare Part D claims · 182 beneficiaries · Hematology & Oncology Physician avg: 847
Generic prescribing
76%
generic claims · 24% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
83.267/100
▲ 0 pts above national avg 83.1 · [object Object]
Industry payments
$29.73
2 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

TROY GUTHRIE, MD reported a CMS MIPS final score of 83.267/100 — above the 83.1 national average — and filed 1,430 Medicare Part D claims in 2023.

83.267/100
MIPS score · +0 vs avg
1K
Part D claims, 2023
76%
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.

TROY GUTHRIE, MD's MIPS score vs every scored U.S. clinician

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

83 42nd percentile higher than 42% 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)

TROY GUTHRIE, MD 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 TROY GUTHRIE, MD?

Near national average

NPI registry status

Active

Issued 10/03/2005

NPI 1073500328

Primary specialty

Hematology & Oncology Physician

Mid-sized

11,215 US NPIs in this specialty

Medicare Part D claims

1,430 69% vs specialty avg

2023 prescription claims

Specialty avg: 847

MIPS final score

83.267/100 0.1670000000000016% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Florida

How Hematology & Oncology Physician compares to other specialties among Florida providers

Florida providers

Hematology & Oncology Physician share within Florida

1. Hematology & Oncology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Hematology & Oncology Physician share within Florida

Medicare quality performance — MIPS

TROY GUTHRIE, MD's 2023 MIPS final score plotted against the Hematology & Oncology Physician national average

Near national average
MIPS Final Score
83.267/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Hematology & Oncology Physician) — 83.267/100 vs national avg 83.1

0%100%National avg83%83.3%
MIPS final score (Hematology & Oncology Physician) — 83.267/100 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).

TROY GUTHRIE, MD appears in the CMS NPPES registry as a Hematology & Oncology Physician provider holding MD credentials at 425 N LEE ST STE 204, JACKSONVILLE, FL, 32204, with a listed phone of (904) 427-1200. NPI 1073500328 was issued on 10/03/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GUTHRIE 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 1,430 prescription claims written by this provider, covering 182 Medicare beneficiaries and totaling roughly $3.8 million in drug spend, split 24% brand-name and 76% generic by claim count, with an opioid prescribing rate of 16.7%. 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 83.267/100 for the 2023 performance year (Quality 63.961, Cost 63.5955), compared with the national average of 83.1.

Hematology & Oncology Physician is a mid-sized specialty nationwide, with 11,215 enrolled providers across 54 states and an average of 847 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

425 N LEE ST STE 204
JACKSONVILLE, FL 32204

Provider Details

NPI 1073500328
Specialty Hematology & Oncology Physician
Credentials MD
Gender Male
NPI Issued 10/03/2005

CMS Quality Score (MIPS)

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

83.267
Final Score
Avg: 83.1
63.961
Quality
63.5955
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where TROY GUTHRIE, MD 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.

SHANDS JACKSONVILLE MEDICAL CENTER INC
FERNANDINA BEACH, FL

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 TROY GUTHRIE, MD. Source: openpaymentsdata.cms.gov.

Total received

$30

Largest payer

Exelixis 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.

License & disciplinary context — Florida FLDOH 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 ~75K Florida medical licensees in 2023 — they are NOT specific to TROY GUTHRIE, MD. To verify TROY GUTHRIE, MD's current license status, search the FLDOH public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

480
Total board actions, Florida 2023
Across 467 cases
6.40
Actions per 1,000 licensees
Florida statewide rate
monetary fine
Most common action type
138 cases

FLDOH 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 Florida disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

TROY GUTHRIE, MD — brand share 24.0%
Specialty average (est.)

24% brand-name claims vs 76% generic, on 1,430 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.

1,430
Total Claims
$3.8M
Total Drug Cost
182
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
1,818
Total Day Supply
50,334
Brand vs Generic
24% brand / 76% generic
Brand Drug Cost
$3.4M
Generic Drug Cost
$426K
Opioid Claims
239 (16.7% rate)
Antibiotic Claims
36

Patient Demographics

Average Patient Age
69.6 years
Avg HCC Risk Score
3.36
Gender Split
56% female / 44% male
Age Distribution
<65: 40, 65-74: 83, 75-84: 44, 85+: 15

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What TROY GUTHRIE, MD 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
Oxycodone-Acetaminophen
Oxycodone Hcl/Acetaminophen
148
Eliquis
Apixaban
133
Abiraterone Acetate
72
Prednisone
70
Gabapentin
58
Ondansetron Hcl
56
Letrozole
47
Oxycodone Hcl
42
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
39
Dexamethasone
37

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Hematology & Oncology Physician Overview

How TROY GUTHRIE, MD fits within the Hematology & Oncology Physician landscape nationally.

11,215
Hematology & Oncology Physician Providers in US
54
States with Hematology & Oncology Physician
847
Avg Claims per Provider

TROY GUTHRIE, MD's 1,430 claims are above the specialty average of 847.

Nearby Hematology & Oncology Physician Providers in Florida

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

Compare Hematology & Oncology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is TROY GUTHRIE, MD's specialty?
TROY GUTHRIE, MD specializes in Hematology & Oncology Physician and practices in JACKSONVILLE, Florida. Credentials: MD.
How much does TROY GUTHRIE, MD prescribe under Medicare Part D?
In 2023, TROY GUTHRIE, MD wrote 1,430 Medicare Part D claims totaling $3.8M in drug costs for 182 beneficiaries.
What is TROY GUTHRIE, MD's Medicare quality score?
TROY GUTHRIE, MD has a CMS MIPS Final Score of 83.267/100 (Quality: 63.961, Cost: 63.5955). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TROY GUTHRIE, MD located?
TROY GUTHRIE, MD is located at 425 N LEE ST STE 204, JACKSONVILLE, FL, 32204. Phone: (904) 427-1200.
What is TROY GUTHRIE, MD's NPI number?
TROY GUTHRIE, MD's National Provider Identifier (NPI) is 1073500328, issued on 10/03/2005.
Does TROY GUTHRIE, MD prescribe more brand-name or generic drugs?
TROY GUTHRIE, MD's prescribing is 24% brand-name and 76% generic drugs by claim count, with $3.4M in brand drug costs.
Does TROY GUTHRIE, MD prescribe opioids?
Yes, TROY GUTHRIE, MD had 239 opioid claims in 2023 with an opioid prescribing rate of 16.7%.
How many Hematology & Oncology Physician providers are there in the US?
There are 11,215 Hematology & Oncology Physician providers across 54 states in the US. The average Hematology & Oncology Physician provider writes 847 Medicare Part D claims per year.
What drugs does TROY GUTHRIE, MD prescribe most often?
Based on 2023 Medicare Part D data, TROY GUTHRIE, MD's most frequently prescribed drugs include Oxycodone-Acetaminophen, Eliquis, Abiraterone Acetate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does TROY GUTHRIE, MD accept Medicare?
TROY GUTHRIE, MD appears in CMS Medicare data with 1,430 Part D claims and 182 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TROY GUTHRIE, MD's credentials?
TROY GUTHRIE, MD's NPI is 1073500328 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

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