2026 NPPES data Pain Medicine (Physical Medicine & Rehabilitation) Physician NPI 1861590085 M.D.
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YING GUO, M.D.

Pain Medicine (Physical Medicine & Rehabilitation) Physician in HOUSTON, 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
50
Medicare Part D claims · 14 beneficiaries · Pain Medicine (Physical Medicine & Rehabilitation) Physician avg: 1K
MIPS score
81.3897/100
▼ 2 pts below national avg 83.1 · [object Object]
What the federal data reveals: YING GUO, M.D. is a Pain Medicine (Physical Medicine & Rehabilitation) Physician ([object Object]) practicing in HOUSTON, Texas with a Medicare Part D prescribing footprint of 50 claims across 14 beneficiaries . Their CMS MIPS Final Score of 81.3897/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: YING GUO, M.D. reported a CMS MIPS final score of 81.3897 out of 100, below the 83.1 national average, and filed 50 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

YING GUO, 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).

YING GUO, M.D. at a glance

Near national average

NPI registry status

Active

Issued 09/20/2006

NPI 1861590085

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) Physician

Niche

1,626 US NPIs in this specialty

Medicare Part D claims

50 96% vs specialty avg

2023 prescription claims

Specialty avg: 1,401

MIPS final score

81.3897/100 1.7102999999999895% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Texas

How Pain Medicine (Physical Medicine & Rehabilitation) Physician compares to other specialties among Texas providers

Texas providers

Pain Medicine (Physical Medicine & Rehabilitation) Physician share within Texas

1. Pain Medicine (Physical Medicine & Rehabilitation) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pain Medicine (Physical Medicine & Rehabilitation) Physician share within Texas

Medicare quality performance — MIPS

YING GUO, M.D.'s 2023 MIPS final score plotted against the Pain Medicine (Physical Medicine & Rehabilitation) Physician national average

Near national average
MIPS Final Score
81.3897/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pain Medicine (Physical Medicine & Rehabilitation) Physician) — 81.3897/100 vs national avg 83.1

0%100%National avg83%81.4%
MIPS final score (Pain Medicine (Physical Medicine & Rehabilitation) Physician) — 81.3897/100 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).

YING GUO, M.D. is a Pain Medicine (Physical Medicine & Rehabilitation) Physician provider practicing in HOUSTON, Texas, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1861590085. 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.

YING GUO, M.D. appears in the CMS NPPES registry as a Pain Medicine (Physical Medicine & Rehabilitation) Physician provider holding M.D. credentials at 1515 HOLCOMBE BLVD, HOUSTON, TX, 77030, with a listed phone of (713) 792-6161. NPI 1861590085 was issued on 09/20/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what GUO 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 50 prescription claims written by this provider, covering 14 Medicare beneficiaries and totaling roughly $7K 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 81.3897/100 for the 2023 performance year (Quality 81.2519, Cost 49.9786), compared with the national average of 83.1.

Pain Medicine (Physical Medicine & Rehabilitation) Physician is a narrow specialty nationwide, with 1,626 enrolled providers across 50 states and an average of 1,401 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

1515 HOLCOMBE BLVD
HOUSTON, TX 77030

Provider Details

NPI 1861590085
Specialty Pain Medicine (Physical Medicine & Rehabilitation) Physician
Credentials M.D.
Gender Female
NPI Issued 09/20/2006

CMS Quality Score (MIPS)

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

81.3897
Final Score
Avg: 83.1
81.2519
Quality
49.9786
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where YING GUO, 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.

PHYSICIANS REFERRAL SERVICE
HOUSTON, 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 YING GUO, M.D.. To verify YING GUO, 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.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

50
Total Claims
$7K
Total Drug Cost
14
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
69
Total Day Supply
1,918
Generic Drug Cost
$2K

Patient Demographics

Average Patient Age
65.7 years
Avg HCC Risk Score
2.93

Pain Medicine (Physical Medicine & Rehabilitation) Physician Overview

How YING GUO, M.D. fits within the Pain Medicine (Physical Medicine & Rehabilitation) Physician landscape nationally.

1,626
Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in US
50
States with Pain Medicine (Physical Medicine & Rehabilitation) Physician
1,401
Avg Claims per Provider

YING GUO, M.D.'s 50 claims are below the specialty average of 1,401.

Nearby Pain Medicine (Physical Medicine & Rehabilitation) Physician Providers in Texas

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

Compare Pain Medicine (Physical Medicine & Rehabilitation) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is YING GUO, M.D.'s specialty?
YING GUO, M.D. specializes in Pain Medicine (Physical Medicine & Rehabilitation) Physician and practices in HOUSTON, Texas. Credentials: M.D..
How much does YING GUO, M.D. prescribe under Medicare Part D?
In 2023, YING GUO, M.D. wrote 50 Medicare Part D claims totaling $7K in drug costs for 14 beneficiaries.
What is YING GUO, M.D.'s Medicare quality score?
YING GUO, M.D. has a CMS MIPS Final Score of 81.3897/100 (Quality: 81.2519, Cost: 49.9786). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is YING GUO, M.D. located?
YING GUO, M.D. is located at 1515 HOLCOMBE BLVD, HOUSTON, TX, 77030. Phone: (713) 792-6161.
What is YING GUO, M.D.'s NPI number?
YING GUO, M.D.'s National Provider Identifier (NPI) is 1861590085, issued on 09/20/2006.
How many Pain Medicine (Physical Medicine & Rehabilitation) Physician providers are there in the US?
There are 1,626 Pain Medicine (Physical Medicine & Rehabilitation) Physician providers across 50 states in the US. The average Pain Medicine (Physical Medicine & Rehabilitation) Physician provider writes 1,401 Medicare Part D claims per year.
Does YING GUO, M.D. accept Medicare?
YING GUO, M.D. appears in CMS Medicare data with 50 Part D claims and 14 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify YING GUO, M.D.'s credentials?
YING GUO, M.D.'s NPI is 1861590085 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