Active NPI 1912230954 Individual Practitioner Male Practitioner

Justin Guzman

Physician Assistant • Appleton, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Justin Guzman is a certified Physician Assistant practicing in Appleton, WI. With approximately 11 years of clinical experience since graduating from Yale University School Of Medicine in 2015, Justin Guzman delivers high-quality medical care to the local community at 2500 E CAPITOL DR STE 2500.

Justin Guzman is affiliated with Thedacare, Incorporated and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, established patient outpatient office visit, aspiration and/or injection of fluid from large joint. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2500 E Capitol Dr Ste 2500

Appleton, WI 549118735

Telephone 9208315050

Fax 9207386400

Associated Practice Facility / Clinic

🏢 Thedacare Regional Medical Center-Neenah, Inc. Facility NPI 1861943409

Medicare Profile & Education

Medical School

Yale University School Of Medicine

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Appleton, WI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs -0.5 yrs vs City Avg

City Avg: 11.5 Yrs

State Avg: 14.1 Yrs

Regional Practice Density

108 Specialists

Practicing in Appleton, WI (3517 Statewide)

Telehealth Adoption Rate

6.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

84.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Guzman (11 Years) 11 Yrs

Appleton Specialty Average (11.5 Years) 11.5 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
J1010 Injection, methylprednisolone acetate, 1 mg	8,120	54	$0.35	$0.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	164	138	$389.80	$100.71
20610 Aspiration and/or injection of fluid from large joint	111	70	$686.74	$59.23
J1040 Injection, methylprednisolone acetate, 80 mg	42	29	$23.40	$9.69
73564 X-ray of knee, 4 or more views	28	28	$336.47	$40.19
99213 Established patient office or other outpatient visit, typically 15 minutes	25	25	$263.00	$72.36
73610 X-ray of ankle, minimum of 3 views	19	16	$247.25	$29.17
73030 X-ray of shoulder, minimum of 2 views	19	19	$242.89	$28.32
73502 X-ray of hip, 2-3 views	13	13	$285.78	$35.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	768	14	$28.60	$9.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	157	134	$379.20	$101.02
J1040 Injection, methylprednisolone acetate, 80 mg	136	78	$22.80	$11.91
20610 Aspiration and/or injection of fluid from large joint	129	77	$601.24	$54.17
99213 Established patient office or other outpatient visit, typically 15 minutes	53	44	$255.80	$72.27
J1030 Injection, methylprednisolone acetate, 40 mg	39	24	$11.80	$7.72
73564 X-ray of knee, 4 or more views	18	18	$332.20	$41.44
73030 X-ray of shoulder, minimum of 2 views	18	16	$207.52	$25.52
73610 X-ray of ankle, minimum of 3 views	16	12	$217.60	$27.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1040 Injection, methylprednisolone acetate, 80 mg	128	55	$21.75	$10.93
20610 Aspiration and/or injection of fluid from large joint	124	65	$615.66	$59.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	110	84	$361.85	$103.17
73564 X-ray of knee, 4 or more views	32	32	$324.19	$42.50
99213 Established patient office or other outpatient visit, typically 15 minutes	31	25	$244.10	$73.19
J1030 Injection, methylprednisolone acetate, 40 mg	26	17	$11.25	$6.40
73030 X-ray of shoulder, minimum of 2 views	19	16	$187.55	$24.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	65	43	$574.42	$55.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	57	$349.42	$104.45
J1040 Injection, methylprednisolone acetate, 80 mg	55	33	$20.96	$10.64
J1030 Injection, methylprednisolone acetate, 40 mg	36	15	$10.89	$5.66
99213 Established patient office or other outpatient visit, typically 15 minutes	19	19	$234.63	$74.36
73564 X-ray of knee, 4 or more views	14	14	$268.92	$33.34
27130 Replacement of thigh bone and hip joint with prosthesis	11	11	$9805.22	$162.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	61	48	$225.72	$60.71
20610 Aspiration and/or injection of fluid from large joint	35	26	$494.15	$57.44
J1040 Injection, methylprednisolone acetate, 80 mg	34	22	$20.22	$11.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	25	$334.58	$88.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	102	74	$208.41	$60.38
20610 Aspiration and/or injection of fluid from large joint	47	34	$353.71	$52.08
J1040 Injection, methylprednisolone acetate, 80 mg	42	29	$18.88	$12.06
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	39	35	$309.42	$88.49
73564 X-ray of knee, 4 or more views	13	13	$165.90	$28.71
73030 X-ray of shoulder, minimum of 2 views	13	11	$139.74	$20.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	51	48	$199.14	$59.50
20610 Aspiration and/or injection of fluid from large joint	14	11	$337.71	$46.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$294.55	$87.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
20610 Aspiration and/or injection of fluid from large joint	37	17	$354.00	$40.68
27130 Replacement of thigh bone and hip joint with prosthesis	24	24	$16689.00	$174.30
99213 Established patient office or other outpatient visit, typically 15 minutes	14	11	$199.50	$59.56
27447 Replacement of knee joint, both sides of knee	13	13	$11772.92	$187.63

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 3725 - 23

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Thedacare, Incorporated

2400 E Capitol Dr, Appleton, WI 549118728

Phone: 9207202300

Thedacare, Incorporated

100 Theda Clark Medical Plz, Neenah, WI 549562763

Phone: 9207295833

Thedacare, Incorporated

600 N Westhaven Dr, Oshkosh, WI 549046926

Phone: 9207250077

Thedacare, Incorporated

3 Neenah Ctr, Neenah, WI 549563070

Thedacare, Incorporated

4480 W Spencer St, Appleton, WI 54915

Phone: 9207384800

Thedacare, Incorporated

2500 E Capital Dr, Appleton, WI 549118735

Secondary Practice Locations

2105 E Enterprise Ave

Appleton, WI 549137862

Phone: 9207313111

Practice Associates & Co-Workers

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

40 Associated Practitioners

Mara Veltus

Nurse Practitioner

NPI 1013356526

Ingrid Simpson , FNP-BC

Nurse Practitioner

NPI 1013740539

Family Nurse Practitioner (Board Certified)

Katherine Krause , PA

Physician Assistant

NPI 1023490315

Physician Assistant

Dr. Kyle Fellinger , DPT

Physical Therapist

NPI 1033093109

Doctor of Physical Therapy

Dr. Carlye Reichert , DO

Physical Medicine & Rehabilitation

NPI 1063945236

Doctor of Osteopathic Medicine (D.O.)

Dr. Jennifer Anderson , DNP, FNP-C

Nurse Practitioner

NPI 1073279816

Doctor of Nursing Practice, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

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

12 Historical Events

📍

Updated Practice Location March 29, 2018

Registered at 2500 E CAPITOL DR STE 2500, APPLETON, WI 549118735 (Tel: 9208315050)

✅

NPI Profile Active May 05, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location May 05, 2017

Registered at 2105 E ENTERPRISE AVE, APPLETON, WI 549137862 (Tel: 9207313111)

📍

Updated Business Mailing Address May 05, 2017

Registered at 2105 E ENTERPRISE AVE, APPLETON, WI 549137862 (Tel: 9207313111)

👤

Provider Name / Credentials Updated May 05, 2017

Recorded as JUSTIN GUZMAN

🎓

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

Physician Assistant (License #3725 - 23 in WI)

✅

NPI Profile Active February 25, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location February 25, 2016

Registered at 130 2ND ST, NEENAH, WI 549562883 (Tel: 9207293100)

📍

Updated Business Mailing Address February 25, 2016

Registered at 714 S PIERCE AVE, APPLETON, WI 549145419

👤

Provider Name / Credentials Updated February 25, 2016

Recorded as JUSTIN GUZMAN

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 25, 2016

Physician Assistant (License #3725 - 23 in WI)

🟢

Initial NPI Registration & Enumeration September 09, 2009

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: 1912230954

Entity Type:

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

Enumeration Date: September 09, 2009

Last Update: March 29, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2105 E Enterprise Ave

Appleton, WI 549137862

Phone: 9207313111

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.