What is Karen Guigno's specialty?

Karen Guigno (NPI 1578811105) is a Medicare-billing provider whose primary specialty is Nurse Practitioner in Framingham, MA.

Where does Karen Guigno practice?

Karen Guigno practices in Framingham, MA, based on the location reported in the CMS Medicare provider datasets for NPI 1578811105.

How much does Medicare pay Karen Guigno?

Karen Guigno (NPI 1578811105) received approximately $6K in total Medicare Part B payments, serving 88 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1578811105

Karen GuignoNP

Nurse PractitionerFramingham, MAI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

114

Unique beneficiaries

—

Total services

127

Distinct HCPCS

Medicare payment

$6K

Peer benchmark

Total Medicare services vs. 5,906 Nurse Practitioner providers in MA — below median (cohort median 289).

PRESCRIBING · PART D · 2024

Total Rx claims

2,186

Beneficiaries

—

Total drug cost

$90K

Distinct drugs

Brand share

10.3%

Top prescribed drugs

Atorvastatin Calcium170 claims

Omeprazole164 claims

Lisinopril139 claims

Levothyroxine Sodium139 claims

Amlodipine Besylate120 claims

QUALITY · MIPS · 2024

No data available for this provider in 2024.

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$48

Payment records

By payment type

Food and Beverage$48

Top paying entities

Food and Beverage$48

REFERRAL NETWORK

Where Karen Guigno's patients come from & go

Directional shared-patient flow from Medicare claims — who sends patients to this provider (inbound) and where this provider's patients go next (outbound). 12 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Vinay Kumar Internal Medicine · Marlborough, MA	100	427
MARLBOROUGH HOSPITAL CORP	50	108
Lauren O'shea Nurse Practitioner · Milford, MA	50	573
MARLBORO HILLS MA SNF LLC	49	148
Community Ems, Inc. Ambulance Service Provider · Marlborough, MA	33	144
Patriot Ambulance, Inc. Ambulance Service Provider · Chelmsford, MA	22	40
Ronald Garrell Diagnostic Radiology · Lawrence, MA	17	27
SINGH, NIHARIKA	14	53
Jose Flores Cardillo Internal Medicine · Marlborough, MA	14	22
Jonathan Arnow Diagnostic Radiology · Marlborough, MA	12	23
Miguel Lizardo Internal Medicine · Temple Terrace, FL	11	43
Mohamed Zaki Refaat Cardiology · Fort Collins, CO	11	27

Refers patients to

Outbound — where patients go next

No outbound pairs above the suppression threshold.

Source: CMS Physician Shared Patient Patterns (30-day window, Medicare FFS). Direction = a beneficiary seen by the first provider, then the second, within 30 days; a proxy for referral, not a documented referral. Pairs with fewer than 11 shared beneficiaries are suppressed.

CROSS-REFERENCE

Related data on other Healthparse brands

ProviderScore

OIG/SAM exclusion screening, sanctions history

Healthparse Signals

Monitor this provider for changes — dated NPI change events