NPPES file of Aug 9, 2026

Guam Medicare prescriber rankings

178 Guam prescribers billed $9.5 million in Medicare Part D drugs in 2024, the 54th largest of 56 states and territories. Opioids were 1.39 of every 100 of those claims (CMS), below the national 3.52.

CMS Medicare Part D Prescribers, 2024; CMS NPPES · method · Verify with CMS →

  • Prescribers178
  • Part D drug cost$9.5 million
  • Average per prescriber$53,169
  • Wrote an opioid (CMS)80 (47.9%)
  • Opioid claims per 100 claims (CMS)1.39

Reading the Guam tables

Guam's 178 prescribers wrote 105,248 Part D claims in 2024, about $53,169 in drug cost per prescriber. A high total usually reflects specialty practice, such as cancer, rheumatology or HIV care, or vaccines: 2 of the 50 largest totals are mostly vaccines, which pharmacies often bill under a standing order naming one clinician. These are billing tables, not quality ratings. PlainDoctor does not rank named prescribers by opioid share; the state's opioid figures above come from CMS's own totals.

The 50 highest Part D drug-cost totals

Prescriber (NPPES taxonomy)Drug costClaims
1Dennis BeckworthMedical Oncology Physician$1.0 million194
2Beatrice PretiHematology & Oncology Physician$874,708525
3James NozakiFamily Medicine Physician$713,73810,784
4Samir AmbraleHematology & Oncology Physician$573,26796
5Erika AlfordEndocrinology, Diabetes & Metabolism Physician$432,5572,704
6George MacrisInternal Medicine Physician$405,2397,578
7Danny McClurePsychiatry Physician$292,652896
8Faraz OuhadiSpecialist$287,0275,002
9Yoichi InabaInterventional Cardiology Physician$236,539800
10Joel Marc RubioEndocrinology, Diabetes & Metabolism Physician$233,8741,016
11Samuel FriedmanHematology & Oncology Physician$223,9741,009
12Karlene DrummerFamily Medicine Physician$222,9715,758
13Johnny LimInternal Medicine Physician$210,1114,147
14John TaitanoInternal Medicine Physician$201,4973,722
15Amylie RojasFamily Medicine Physician$190,6402,244
16Jonathon ThorpInternal Medicine Physicianmostly vaccines, often billed by pharmacies under a standing order naming this clinician$186,3892,649
17Doris LimInternal Medicine Physician$178,3122,812
18Edwin SupitInternal Medicine Physician$160,4752,490
19Ramsey ChichakliUrology Physician$156,1101,369
20Peter Kh GoSurgery Physician$151,6083,382
21Hoa NguyenFamily Medicine Physician$133,1733,163
22Emiliza CornejoNurse Practitioner$117,6971,696
23Dennise SalazarPhysician Assistant$116,783870
24Hieu CampusFamily Medicine Physician$115,2732,479
25Leopoldo ArcillaInternal Medicine Physician$107,3652,856
26Young ChangInternal Medicine Physician$87,7502,666
27Alix ChenetInternal Medicine Physician$84,5902,212
28Florencio LizamaInternal Medicine Physician$78,099982
29Michael AgustinPulmonary Disease Physician$68,155222
30Marvin NogoyFamily Nurse Practitioner$67,329186
31Ugochukwu AkomaFamily Medicine Physician$63,895433
32Vincent DuenasInternal Medicine Physician$61,9271,628
33Lisa FloresSports Medicine (Neuromusculoskeletal Medicine) Physician$60,5171,589
34Daniel DebardelebenFamily Medicine Physician$56,800935
35Edmund SchroederGeriatric Medicine (Family Medicine) Physician$52,5951,162
36Carla HaddockFamily Nurse Practitioner$50,527457
37Rhodora CruzFamily Nurse Practitioner$50,280311
38Ricardo TerlajeFamily Medicine Physician$42,049845
39Ramel CarlosNeurology Physician$41,0051,135
40Delores LeeFamily Medicine Physician$40,344668
41Ashley ArteroFamily Nurse Practitioner$39,29156
42Gregory WarnerPharmacistmostly vaccines, often billed by pharmacies under a standing order naming this clinician$38,661177
43Vincent AkimotoFamily Medicine Physician$38,430763
44Jeremy RaabFamily Medicine Physician$37,526492
45Elizabeth SantosAdult Health Nurse Practitioner$36,189318
46Brian CreghanMedical Physician Assistant$34,439888
47Arania AdolphsonFamily Medicine Physician$29,792396
48Denise Taitano-RitterFamily Medicine Physician$29,362443
49Sarita StovallGerontology Nurse Practitioner$28,701530
50Bethany HelmPhysician Assistant$27,476256

Source: CMS Medicare Part D Prescribers by Provider, 2024 (data.cms.gov), matched to CMS NPPES by NPI; vaccine share from the prescriber's top drugs in the CMS by-provider-and-drug file. Specialty is the taxonomy the clinician reported to NPPES.

Common questions

How many Medicare prescribers are in Guam?

Guam has 178 Medicare Part D prescribers who filed 105,248 claims totaling $9.5 million in drug costs.

What is the opioid prescribing rate in Guam?

Opioids were 1.39 of every 100 Medicare Part D claims written by Guam prescribers in 2024, against 3.52 nationally (CMS). 80 of the state's 167 Part D prescribers in CMS's geography file (47.9%) wrote at least one opioid.

Checking a prescriber

Open the prescriber's record for the full NPI entry and prescribing detail, then confirm the license on the state board search. The Part D file covers Medicare Part D only; commercial, Medicaid, VA and cash prescriptions are not in it.

Prescriber rankings in other states

  1. Alabama
  2. Alaska
  3. American Samoa
  4. Arizona
  5. Arkansas
  6. California
  7. Colorado
  8. Connecticut
  9. Delaware
  10. District of Columbia
  11. Florida
  12. Georgia
  13. Guam
  14. Hawaii
  15. Idaho
  16. Illinois
  17. Indiana
  18. Iowa
  19. Kansas
  20. Kentucky
  21. Louisiana
  22. Maine
  23. Maryland
  24. Massachusetts
  25. Michigan
  26. Minnesota
  27. Mississippi
  28. Missouri
  29. Montana
  30. Nebraska
  31. Nevada
  32. New Hampshire
  33. New Jersey
  34. New Mexico
  35. New York
  36. North Carolina
  37. North Dakota
  38. Northern Mariana Islands
  39. Ohio
  40. Oklahoma
  41. Oregon
  42. Pennsylvania
  43. Puerto Rico
  44. Rhode Island
  45. South Carolina
  46. South Dakota
  47. Tennessee
  48. Texas
  49. Utah
  50. Vermont
  51. Virgin Islands
  52. Virginia
  53. Washington
  54. West Virginia
  55. Wisconsin
  56. Wyoming

National prescriber rankings · All rankings

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 Medicare Part D data year 2024 (CMS).