Active NPI 1205884822 Individual Practitioner Male Practitioner

Dr. Anthony F Guanciale , MD

Orthopaedic Surgery • Cincinnati, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Anthony Guanciale, MD is a certified Orthopaedic Surgery practicing in Cincinnati, OH. With approximately 37 years of clinical experience since graduating from University Of Toledo College Of Medicine in 1989, Dr. Guanciale delivers high-quality medical care to the local community at 9250 BLUE ASH RD.

Dr. Guanciale is affiliated with University Of Cincinnati Physicians Company Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9250 Blue Ash Rd

Cincinnati, OH 45242

Telephone 5137927445

Fax 5137914042

Associated Practice Facility / Clinic

🏢 Cincinnati Spine Institute Llc Facility NPI 1619910809

Medicare Profile & Education

Medical School

University Of Toledo College Of Medicine

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Cincinnati, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +12.5 yrs vs City Avg

City Avg: 24.5 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

102 Specialists

Practicing in Cincinnati, OH (984 Statewide)

Telehealth Adoption Rate

2.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

61.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Guanciale (37 Years) 37 Yrs

Cincinnati Specialty Average (24.5 Years) 24.5 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
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	66	49	$423.09	$162.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$261.00	$105.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	99	73	$429.00	$171.14
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	13	11	$320.00	$106.93
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	11	11	$527.00	$212.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	51	44	$374.65	$167.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	37	29	$280.27	$121.46
99443 Telephone medical discussion with physician, 21-30 minutes	16	15	$281.63	$124.73
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$398.62	$163.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	205	13	$5.00	$1.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	93	64	$352.00	$170.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	20	$260.00	$127.28
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	23	15	$352.70	$115.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$400.00	$145.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
22614 Fusion of additional segment of spine	71	15	$1209.00	$408.48
99213 Established patient office or other outpatient visit, typically 15 minutes	66	53	$160.61	$67.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	30	$256.56	$104.36
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	22	19	$338.00	$113.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$253.46	$96.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$96.82	$35.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	75	56	$125.00	$50.15
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	58	50	$274.00	$107.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	58	50	$193.00	$74.32
22614 Fusion of additional segment of spine	42	11	$1209.00	$402.03
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	26	19	$351.00	$115.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$225.00	$75.62
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	20	13	$805.00	$265.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	13	$87.00	$25.32
22214 Incision of spine to correct deformity at lower spinal column	15	15	$4479.00	$756.46
22633 Fusion of spine in lower back with partial removal of spine bone and disc	13	13	$5647.00	$1667.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	108	83	$274.00	$106.64
22614 Fusion of additional segment of spine	107	25	$1209.00	$372.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	94	78	$193.00	$75.51
99213 Established patient office or other outpatient visit, typically 15 minutes	72	59	$125.00	$49.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$320.00	$118.09
22216 Incision or removal of spine bone segment, each additional segment	31	13	$1115.00	$367.46
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	28	19	$366.18	$112.06
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	23	13	$805.00	$252.45
22842 Placement of stabilizing device to back, 3-6 spine bone segments	21	20	$2350.00	$773.17
22214 Incision of spine to correct deformity at lower spinal column	20	19	$4479.00	$792.64
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	17	17	$417.00	$165.66
22612 Fusion of spine in lower back	15	14	$4819.00	$1447.74
22633 Fusion of spine in lower back with partial removal of spine bone and disc	14	13	$5647.00	$1790.35

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	135	107	$193.00	$73.57
99213 Established patient office or other outpatient visit, typically 15 minutes	124	92	$125.00	$49.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$320.00	$126.88
22614 Fusion of additional segment of spine	34	13	$1209.00	$346.37
64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level	28	23	$382.29	$113.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	21	$76.00	$24.87
22612 Fusion of spine in lower back	17	17	$4819.00	$1535.93
22214 Incision of spine to correct deformity at lower spinal column	16	16	$4479.00	$755.75
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$417.00	$165.09
22845 Placement of stabilizing device to front, 2-3 spine bone segments	15	15	$2259.00	$739.74
99221 Initial hospital inpatient care per day, typically 30 minutes	14	14	$251.00	$99.15
22315 Closed treatment of broken and/or dislocated spine bones with casting and/or bracing with manipulation	12	12	$2313.00	$726.28
22842 Placement of stabilizing device to back, 3-6 spine bone segments	12	12	$2350.00	$771.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$215.91	$74.98

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License OH 35.062680

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Orthopaedic Surgery

NUCC Taxonomy Code: 207X00000X

State License OH 35062680G

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NUCC Taxonomy Code: 207XS0117X

State License OH 3506280G

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

162201 (OH)

Medicaid State Provider ID

200051170 (IN)

Medicaid State Provider ID

64939127 (KY)

Medicaid State Provider ID

0162201 (OH)

Commercial Insurance / Payer ID Railroad Medicare

200024475 (OH)

Commercial Insurance / Payer ID Medicare

H164280 (OH)

Hospital & Practice Group Affiliations

University Of Cincinnati Physicians Company Llc

222 Piedmont Ave, Cincinnati, OH 452194231

Phone: 5134757855

Practice Associates & Co-Workers

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

20 Associated Practitioners

Lauren Smith , ACNP-BC

Nurse Practitioner - Acute Care

NPI 1003066960

ACNPBC

Connie Seeskin , NP

Nurse Practitioner - Acute Care

NPI 1033145248

Nurse Practitioner

Dr. Michael Kramer , MD

Neurological Surgery

NPI 1053351783

Doctor of Medicine (M.D.)

Dr. Rachel Heberling , MD

Physical Medicine & Rehabilitation

NPI 1083833305

Doctor of Medicine (M.D.)

David Brodbeck , PA-C

Physician Assistant - Surgical

NPI 1114069994

Physician Assistant (Certified)

Nicholas Godby

Physical Medicine & Rehabilitation

NPI 1174775464

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active December 05, 2017

NPI status registered as active in NPPES database

📍

Updated Business Mailing Address December 05, 2017

Registered at PO BOX 636256 PO BOX 636256, CINCINNATI, OH 452636256 (Tel: 5135855506)

📍

Updated Practice Location December 05, 2017

Registered at 9250 BLUE ASH RD, CINCINNATI, OH 45242 (Tel: 5137927445)

👤

Provider Name / Credentials Updated December 05, 2017

Recorded as ANTHONY GUANCIALE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2017

Orthopaedic Surgery (License #35062680G in OH)

✅

NPI Profile Active September 30, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 30, 2015

Registered at 9250 BLUE ASH RD, CINCINNATI, OH 45242 (Tel: 5137927445)

📍

Updated Business Mailing Address September 30, 2015

Registered at 237 WILLIAM HOWARD TAFT, PHYS. DIV., 2ND FL, CBO2-3, ATTN: CREDENTIALING, CINCINNATI, OH 452192906 (Tel: 5132639238)

👤

Provider Name / Credentials Updated September 30, 2015

Recorded as ANTHONY GUANCIALE, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 30, 2015

Orthopaedic Surgery (License #35.062680 in OH)

🟢

Initial NPI Registration & Enumeration May 05, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1205884822

Entity Type:

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

Enumeration Date: May 05, 2006

Last Update: December 05, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 636256 Po Box 636256

Cincinnati, OH 452636256

Phone: 5135855506

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.