Karen Guigno, NP
NPI 1578811105ActiveIndividual· Nurse Practitioner, Family· Framingham, MA
Nurse Practitioner, Family (NP) with Charles River Medical Associates, PC, practicing in Framingham, Massachusetts. Their prescriptions cost Medicare Part D more than their services did: $171,586 for 2,863 claims, against $6,487 paid for services in 2024. Abbvie Inc. was the largest of 2 companies reporting payments in 2024, $48.29 in all, mostly food and beverage. Lists Metrowest Medical Center as a hospital affiliation.
Overview
| NPI | 1578811105 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP |
| Sole proprietor | No |
| NPI issued | Aug 29, 2012 |
| Last updated in NPPES | Sep 9, 2024 |
| Certified by provider | Sep 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | RN255994 | MA |
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 - Nurse Practitioner (MA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 88 |
|---|---|
| Services billed | 159 across 17 procedure codes |
| Paid by Medicare | $6,487 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,863 · 6,657 30-day fills |
|---|---|
| Patients | 390 |
| Total drug cost | $171,586 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Charles River Medical Associates, PCHudson, MA · 119 clinicians
Hospital affiliation
- Metrowest Medical CenterFramingham, MA
Other facilities
- Metrowest Homecare and Hospice, An Amedisys CompanyHome health agency · Marlborough, MA
- Spaulding Rehabilitation HospitalInpatient rehabilitation facility · Charlestown, MA
Industry payments (Open Payments)
- 2024$48.29 · 2 payments from 2 companies
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $29.30 | 1 |
| Glaxosmithkline, LLC. | $18.99 | 1 |
What the 2024 payments were for
- Food and Beverage$48.29 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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