Active NPI 1083683783 Individual Practitioner Male Practitioner

Dr. Brett J. Guinn , MD

Surgery • Lagrange, IN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Brett Guinn, MD is a certified Surgery practicing in Lagrange, IN. With approximately 32 years of clinical experience since graduating from Washington University School Of Medicine in 1994, Dr. Guinn delivers high-quality medical care to the local community at 207 N TOWNLINE RD STE 101.

Dr. Guinn is affiliated with Parkview Health System Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

207 N Townline Rd Ste 101

Lagrange, IN 467611325

Telephone 2604639335

Fax 2604639334

Associated Practice Facility / Clinic

🏢 Midwest Community Health Associates, Inc. Facility NPI 1619915170

Medicare Profile & Education

Medical School

Washington University School Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Lagrange, IN

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +1.2 yrs vs City Avg

City Avg: 30.8 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

5 Specialists

Practicing in Lagrange, IN (657 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Guinn (32 Years) 32 Yrs

Lagrange Specialty Average (30.8 Years) 30.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	106	25	$171.70	$62.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	13	$259.00	$89.60
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$95.00	$33.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$315.00	$153.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	237	36	$170.51	$92.77
99213 Established patient office or other outpatient visit, typically 15 minutes	91	26	$142.15	$63.09
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	11	$160.69	$58.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$315.00	$156.49
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$296.91	$126.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	286	47	$166.73	$93.64
99213 Established patient office or other outpatient visit, typically 15 minutes	73	29	$118.73	$61.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$206.00	$117.00
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	16	12	$141.00	$68.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$174.77	$75.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$267.00	$109.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	241	50	$186.73	$76.80
99213 Established patient office or other outpatient visit, typically 15 minutes	133	47	$133.59	$49.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$195.26	$73.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	23	$210.52	$104.44
97597 Removal of tissue from wound, 20.0 sq cm or less	16	11	$184.69	$36.10
99221 Initial hospital inpatient care per day, typically 30 minutes	15	14	$196.00	$97.87
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	14	11	$141.00	$70.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	249	62	$81.55	$24.04
99213 Established patient office or other outpatient visit, typically 15 minutes	146	63	$137.36	$48.45
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	70	13	$338.46	$79.32
97597 Removal of tissue from wound, 20.0 sq cm or less	27	15	$183.52	$23.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$203.85	$71.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	16	$141.00	$69.03
99221 Initial hospital inpatient care per day, typically 30 minutes	19	18	$196.00	$95.21
99213 Established patient office or other outpatient visit, typically 15 minutes	16	11	$139.00	$68.31
11042 Removal of skin and tissue, 20.0 sq cm or less	12	11	$293.00	$55.82
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$266.00	$129.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$206.00	$100.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	116	40	$81.19	$23.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	26	$141.00	$69.15
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	28	$266.00	$126.85
99213 Established patient office or other outpatient visit, typically 15 minutes	22	17	$133.55	$46.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$206.00	$100.55
99213 Established patient office or other outpatient visit, typically 15 minutes	17	16	$139.00	$64.48
47562 Removal of gallbladder using an endoscope	11	11	$1667.00	$603.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	47	36	$141.00	$68.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	27	$266.00	$130.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$206.00	$101.32

Medical Specialties & State Licenses

CMS Verified: 2024-11-04

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License IN 01051358A

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

200242270 (IN)

Hospital & Practice Group Affiliations

Parkview Health System Inc

207 N Townline Rd, Lagrange, IN 467611325

Phone: 2604639335

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Loren Helmuth , MD

Surgery

NPI 1023070281

Doctor of Medicine (M.D.)

Dr. Ariel Spencer , MD

Surgery

NPI 1144437518

Doctor of Medicine (M.D.)

Dr. Richard Hostetter , MD

Surgery

NPI 1205806361

Doctor of Medicine (M.D.)

Dr. Timothy Jessie , MD

Surgery

NPI 1679573034

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location September 30, 2024

Registered at 207 N TOWNLINE RD STE 101, LAGRANGE, IN 467611325 (Tel: 2604639335)

📍

Updated Business Mailing Address September 30, 2024

Registered at 11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 468451701

📍

Updated Practice Location September 23, 2020

Registered at 2510 E DUPONT RD STE 210, FORT WAYNE, IN 468251602 (Tel: 2604583710)

✅

NPI Profile Active September 08, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location September 08, 2016

Registered at 2510 E DUPONT ROAD, SUITE 236, FORT WAYNE, IN 468251603 (Tel: 2604583710)

📍

Updated Business Mailing Address September 08, 2016

Registered at 6920 POINTE INVERNESS WAY, SUITE 200, FORT WAYNE, IN 468047934 (Tel: 2604793514)

👤

Provider Name / Credentials Updated September 08, 2016

Recorded as BRETT GUINN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 08, 2016

Surgery (License #01051358A in IN)

🟢

Initial NPI Registration & Enumeration March 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1083683783

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 15, 2006

Last Update: November 04, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

11109 Parkview Plaza Dr # 117

Fort Wayne, IN 468451701

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.