Active NPI 1851355366 Individual Practitioner Male Practitioner

Dr. Jerome Matthew Guanciale , DO

Surgery • Wahpeton, ND

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jerome Guanciale, DO is a certified Surgery practicing in Wahpeton, ND. With approximately 40 years of clinical experience since completing medical education in 1986, Dr. Guanciale delivers high-quality medical care to the local community at 332 2ND AVE N.

Dr. Guanciale is affiliated with Sanford Medical Center Fargo and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of polyps or growths of large bowel using an endoscope with mechanical snare, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

332 2nd Ave N

Wahpeton, ND 580754528

Telephone 7016427000

Fax 7016427055

Associated Practice Facility / Clinic

🏢 Sanford Clinic North Facility NPI 1548296080

Medicare Profile & Education

Medical School

Other

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Wahpeton, ND

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +0.3 yrs vs City Avg

City Avg: 39.7 Yrs

State Avg: 25.7 Yrs

Regional Practice Density

3 Specialists

Practicing in Wahpeton, ND (148 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

80.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Guanciale (40 Years) 40 Yrs

Wahpeton Specialty Average (39.7 Years) 39.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	62	57	$256.29	$88.05
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	35	35	$1386.00	$222.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$473.38	$155.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$317.58	$107.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$366.20	$118.12
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$1162.86	$110.56
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	11	$1036.92	$162.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	51	44	$246.08	$89.16
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	28	28	$1356.79	$235.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$450.65	$163.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	12	$349.15	$126.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$304.00	$109.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	41	38	$238.27	$90.25
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	34	33	$1301.76	$237.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	30	$144.74	$56.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$291.90	$111.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$443.89	$165.27
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	16	$1088.13	$122.18
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$337.31	$127.82
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	13	13	$1405.08	$95.94

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	193	181	$120.00	$45.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	89	89	$454.00	$159.00
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	66	66	$755.00	$173.48
99213 Established patient office or other outpatient visit, typically 15 minutes	64	58	$199.00	$73.47
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	61	60	$856.00	$256.72
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	38	36	$471.00	$116.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	22	$295.00	$110.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$296.00	$109.85
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	20	20	$604.00	$193.13
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	19	19	$604.00	$192.81
45378 Diagnostic exam of large bowel using a flexible endoscope	16	16	$604.00	$187.44
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	12	$400.00	$118.30

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	187	180	$120.00	$44.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	100	100	$454.00	$165.65
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	84	83	$755.00	$203.78
99213 Established patient office or other outpatient visit, typically 15 minutes	78	68	$199.00	$73.10
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	48	48	$856.00	$264.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$296.00	$109.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	37	$295.00	$108.52
45378 Diagnostic exam of large bowel using a flexible endoscope	33	33	$604.00	$185.11
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	31	31	$471.00	$113.05
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	25	17	$196.00	$73.09
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	24	24	$604.00	$191.67
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	23	17	$282.00	$104.68
45380 Biopsy of large bowel using an endoscope	16	16	$721.00	$149.05
49505 Repair of groin hernia (5 years or older)	14	13	$1446.00	$492.33
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$400.00	$98.33

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	110	104	$120.00	$41.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$454.00	$156.25
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	50	50	$766.34	$155.10
99213 Established patient office or other outpatient visit, typically 15 minutes	43	39	$199.00	$69.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$296.00	$103.19
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	38	37	$856.00	$250.18
45378 Diagnostic exam of large bowel using a flexible endoscope	27	26	$623.00	$173.88
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	25	24	$523.16	$96.04
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	21	$295.00	$102.59
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	18	$557.75	$192.32
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	13	13	$604.00	$179.66
45380 Biopsy of large bowel using an endoscope	13	13	$721.00	$113.40

Medical Specialties & State Licenses

CMS Verified: 2022-04-29

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License ND 17750

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License MN 70737

Surgery

NUCC Taxonomy Code: 208600000X

State License SC 0393

Surgery

NUCC Taxonomy Code: 208600000X

State License NV DO2175

Hospital & Practice Group Affiliations

Sanford Medical Center Fargo

1220 Sheyenne St, West Fargo, ND 580782637

Phone: 7012344445

Sanford Medical Center Fargo

332 2nd Ave N, Wahpeton, ND 580754528

Phone: 7016427000

Sanford Medical Center Fargo

2400 32nd Ave S, Fargo, ND 581035800

Phone: 7012342000

Sanford Medical Center Fargo

1412 Main St, Hawley, MN 56549

Phone: 2184833564

Secondary Practice Locations

1301 Bertha Howe Ave, Ste. 1

Mesquite, NV 890277502

Phone: 7023460800

Practice Associates & Co-Workers

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

31 Associated Practitioners

Megan Frankl

Specialist

NPI 1063064707

Mary Hayes , RN, BSN, CDE

Registered Nurse - Diabetes Educator

NPI 1063420149

Registered Nurse, Bachelor of Science in Nursing, Certified Diabetes Educator

Cheri Berge , NP

Nurse Practitioner - Family

NPI 1073535662

Nurse Practitioner

Dr. Timothy Nyarandi , MD

Family Medicine

NPI 1124222351

Doctor of Medicine (M.D.)

Dr. Patrick Emery , MD

Family Medicine

NPI 1144247008

Doctor of Medicine (M.D.)

Brooke Hills , FNP

Nurse Practitioner - Family

NPI 1144662719

Family Nurse Practitioner

Career & Practice History Timeline

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

15 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2022

Surgery (License #70737 in MN)

📍

Updated Practice Location November 23, 2021

Registered at 332 2ND AVE N, WAHPETON, ND 580754528 (Tel: 7016427000)

📍

Updated Business Mailing Address November 23, 2021

Registered at PO BOX 5074, SIOUX FALLS, SD 571175074 (Tel: 6053286585)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2021

Surgery (License #0393 in SC)

✅

NPI Profile Active March 31, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location March 31, 2017

Registered at 1301 BERTHA HOWE AVE, STE. 1, MESQUITE, NV 890277502 (Tel: 7023460800)

📍

Updated Business Mailing Address March 31, 2017

Registered at 1301 BERTHA HOWE AVE., STE. 1, MESQUITE, NV 89027 (Tel: 7023460800)

👤

Provider Name / Credentials Updated March 31, 2017

Recorded as JEROME GUANCIALE, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 31, 2017

Surgery (License #DO2175 in NV)

✅

NPI Profile Active May 16, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location May 16, 2012

Registered at 1275 21ST AVE N, MYRTLE BEACH, SC 295777429 (Tel: 8439955005)

📍

Updated Business Mailing Address May 16, 2012

Registered at PO BOX 1419, MURRELLS INLET, SC 295761419 (Tel: 8439954500)

👤

Provider Name / Credentials Updated May 16, 2012

Recorded as JEROME GUANCIALE, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 16, 2012

Surgery (License #0393 in SC)

🟢

Initial NPI Registration & Enumeration April 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1851355366

Entity Type:

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

Enumeration Date: April 13, 2006

Last Update: April 29, 2022

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 5074

Sioux Falls, SD 571175074

Phone: 6053286585

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.