What is Scott Guess's specialty?

Scott Guess (NPI 1861543712) is a Medicare-billing provider whose primary specialty is Ophthalmology in Missoula, MT.

Where does Scott Guess practice?

Scott Guess practices in Missoula, MT, based on the location reported in the CMS Medicare provider datasets for NPI 1861543712.

How much does Medicare pay Scott Guess?

Scott Guess (NPI 1861543712) received approximately $3.8M in total Medicare Part B payments, serving 1,159 beneficiaries, per the CMS Medicare Physician & Other Practitioners dataset.

PROVIDER PROFILE · NPI 1861543712

Scott GuessM.D.

PRACTICEMIKE MONDLOCH, CRNA, INCSee all providers at this practice →

OphthalmologyMissoula, MTI

MEDICARE UTILIZATION · PART B · 2024

Total beneficiaries

4,074

Unique beneficiaries

—

Total services

50,355

Distinct HCPCS

Medicare payment

$3.7M

Peer benchmark

Total Medicare services vs. 43 Ophthalmology providers in MT — top quintile (cohort median 3,911).

PRESCRIBING · PART D · 2024

Total Rx claims

463

Beneficiaries

—

Total drug cost

$10K

Distinct drugs

Brand share

6.3%

Top prescribed drugs

Latanoprost110 claims

Prednisolone Acetate108 claims

Brimonidine Tartrate70 claims

Ciprofloxacin Hcl62 claims

Timolol Maleate58 claims

QUALITY · MIPS · 2024

Final MIPS score

87.5

Quality

86.5

Cost

76.0

Improvement activities

40.0

Promoting interop.

95.0

Payment adjustment

0.53%

Group

INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024

Total received

$162

Payment records

By payment type

Food and Beverage$122

Education$41

Top paying entities

Food and Beverage$122

Education$41

REFERRAL NETWORK

Where Scott Guess'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). 27 inbound referrers · 0 outbound destinations.

Receives referrals from

Inbound — who sends patients here

Physician	Patients	Visits
Rocky Mountain Eye Surgery Center Inc Ambulatory Surgical Center · Missoula, MT	154	413
PROVIDENCE HEALTH & SERVICES MT	147	376
MONDLOCH, EDWARD	98	274
COMMUNITY MEDICAL CENTER INC	78	178
RCHP BILLINGS - MISSOULA LLC	31	56
Roger Furlong Ophthalmology · Missoula, MT	26	38
Bradley Berry Cardiology · Missoula, MT	22	36
YAHN, DIANE	17	66
HOLLE, ROLF	16	44
DAVIS, WAYNE	16	27
DOUGHERTY, SARSFIELD	16	25
Simone Musco Clinical Cardiac Electrophysiology · Missoula, MT	15	24

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