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PROVIDER PROFILE · NPI 1578811105

Karen GuignoNP

Nurse PractitionerFramingham, MAI
CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$48
Payment records
2
By payment type
Food and Beverage$48
QUALITY · MIPS · 2024
No data available for this provider in 2024.
PRESCRIBING · PART D · 2024
Total Rx claims
2,186
Beneficiaries
—
Total drug cost
$90K
Distinct drugs
46
Brand share
10.3%
Top prescribed drugs
Atorvastatin Calcium170 claims
Omeprazole164 claims
Lisinopril139 claims
Levothyroxine Sodium139 claims
Amlodipine Besylate120 claims
MEDICARE UTILIZATION · PART B · 2024
Total beneficiaries
114
Unique beneficiaries
—
Total services
127
Distinct HCPCS
4
Medicare payment
$6K
Peer benchmark
Q1
Q2
Q3
Q4
Q5
Total Medicare services vs. 5,906 Nurse Practitioner providers in MA — below median (cohort median 289).
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
PhysicianPatientsVisits
Vinay Kumar
Internal Medicine · Marlborough, MA
100427
MARLBOROUGH HOSPITAL CORP50108
Lauren O'shea
Nurse Practitioner · Milford, MA
50573
MARLBORO HILLS MA SNF LLC49148
Community Ems, Inc.
Ambulance Service Provider · Marlborough, MA
33144
Patriot Ambulance, Inc.
Ambulance Service Provider · Chelmsford, MA
2240
Ronald Garrell
Diagnostic Radiology · Lawrence, MA
1727
SINGH, NIHARIKA1453
Jose Flores Cardillo
Internal Medicine · Marlborough, MA
1422
Jonathan Arnow
Diagnostic Radiology · Marlborough, MA
1223
Miguel Lizardo
Internal Medicine · Temple Terrace, FL
1143
Mohamed Zaki Refaat
Cardiology · Fort Collins, CO
1127
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.