Richard Don Guyer, M.D.
NPI 1174567721ActiveIndividual· Orthopaedic Surgery, Orthopaedic Surgery of the Spine· Plano, TX
Orthopaedic Surgery, Orthopaedic Surgery of the Spine (M.D.) in Plano, Texas, trained at Perelman School of Med at the University of Pennsylvania (class of 1975). Mostly services rather than prescriptions: Medicare paid $11,225 for 56 patients in 2024, with only 12 Part D claims. Centinel Spine, LLC was the largest of 9 companies reporting payments in 2025, $53,395 in all, mostly consulting fees.
Overview
| NPI | 1174567721 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 15, 2006 |
| Last updated in NPPES | May 20, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery, Orthopaedic Surgery of the Spine Primary | 207XS0117X | F7477 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Orthopedic Surgery (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 56 |
|---|---|
| Services billed | 147 across 15 procedure codes |
| Paid by Medicare | $11,225 |
Part D prescriptions in 2024
| Prescriptions (claims) | 12 · 12 30-day fills |
|---|---|
| Total drug cost | $29.58 |
| Generic share | 100% of claims |
Education and affiliations
| Medical school | Perelman School of Med at the University of Pennsylvania |
|---|---|
| Graduation year | 1975 |
| Medicare specialty | Orthopedic Surgery |
| Telehealth | Offers telehealth |
Medical group
- Arlington Neurosurgeons, PLLCPlano, TX · 46 clinicians
Hospital affiliation
Industry payments (Open Payments)
- 2025$53,395 · 38 payments from 9 companies
- 2024$66,184 · 56 payments from 12 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Centinel Spine, LLC | $40,287 | 23 |
| Highridge Medical LLC | $5,382 | 5 |
| Carlsmed, Inc. | $5,260 | 2 |
| Globus Medical, Inc. | $1,833 | 3 |
| Degen Medical, Inc. | $209.55 | 1 |
What the 2025 payments were for
- Consulting Fee$50,938 · 11 payments
- Food and Beverage$1,925 · 23 payments
- Travel and Lodging$507.56 · 3 payments
- Royalty or License$23.51 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 26 Orthopaedic Surgery, Orthopaedic Surgery of the Spine providers in Plano · All Orthopaedic Surgery, Orthopaedic Surgery of the Spine providers in Texas