Esther Lee Guard, D.O.
NPI 1497018246ActiveIndividual· Family Medicine· Tamuning, GU
Family Medicine (D.O.) with Takecare Insurance Company Inc, practicing in Tamuning, Guam. Mostly services rather than prescriptions: Medicare paid $19,519 for 76 patients in 2024, with only 21 Part D claims. Astrazeneca Pharmaceuticals LP reported $28.75 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1497018246 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | D.O. |
| Sole proprietor | No |
| NPI issued | Jun 18, 2012 |
| Last updated in NPPES | Dec 9, 2024 |
| Certified by provider | Dec 6, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | DO-0131 | GU |
| Family Medicine | 207Q00000X | 0102203671 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (HI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 76 |
|---|---|
| Services billed | 522 across 21 procedure codes |
| Paid by Medicare | $19,519 |
Part D prescriptions in 2024
| Prescriptions (claims) | 21 · 27 30-day fills |
|---|---|
| Total drug cost | $497.32 |
| Generic share | 86% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Family Practice |
Medical group
- Takecare Insurance Company IncTamuning, GU · 27 clinicians
Industry payments (Open Payments)
- 2025$28.75 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Astrazeneca Pharmaceuticals LP | $28.75 | 1 |
What the 2025 payments were for
- Food and Beverage$28.75 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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