James Carmen Guarino, MD
NPI 1679572713ActiveIndividual· Internal Medicine, Cardiovascular Disease· Doylestown, PA
Internal Medicine, Cardiovascular Disease (MD) with Via Affiliates and 1 other group, practicing in Doylestown, Pennsylvania. Their prescriptions cost Medicare Part D more than their services did: $1,460,804 for 5,061 claims, against $181,686 paid for services in 2024. Boston Scientific Corporation was the largest of 7 companies reporting payments in 2025, $191.85 in all, mostly food and beverage. Lists Doylestown Hospital and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1679572713 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jul 20, 2005 |
| Last updated in NPPES | May 16, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Cardiovascular Disease Primary | 207RC0000X | MD051017L | PA |
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 - Cardiovascular Disease (Cardiology) (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 1,643 |
|---|---|
| Services billed | 4,026 across 53 procedure codes |
| Paid by Medicare | $181,686 |
Part D prescriptions in 2024
| Prescriptions (claims) | 5,061 · 13,546 30-day fills |
|---|---|
| Patients | 636 |
| Total drug cost | $1,460,804 |
| Generic share | 77% of claims |
Education and affiliations
| Graduation year | 1991 |
|---|---|
| Medicare specialty | Cardiovascular Disease (Cardiology) |
| Secondary specialties | Internal Medicine |
Medical groups
- Via AffiliatesDoylestown, PA · 180 clinicians
- Clinical Specialty AssociatesDoylestown, PA · 171 clinicians
Hospital affiliations
- Doylestown HospitalDoylestown, PA
- Hospital of Univ of PennsylvaniaPhiladelphia, PA
- St Luke's Hospital - Grand View CampusSellersville, PA
Industry payments (Open Payments)
- 2025$191.85 · 10 payments from 7 companies
- 2024$1,010 · 56 payments from 15 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Boston Scientific Corporation | $47.57 | 2 |
| E.R. Squibb & Sons, L.L.C. | $37.62 | 2 |
| Agepha Pharma Fz LLC | $30.89 | 2 |
| Astrazeneca Pharmaceuticals LP | $23.47 | 1 |
| Actelion Pharmaceuticals US, Inc. | $20.91 | 1 |
What the 2025 payments were for
- Food and Beverage$191.85 · 10 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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