Jerome Matthew Guanciale, DO
NPI 1851355366ActiveIndividual· Surgery· Wahpeton, ND
Surgery (DO) with Sanford Medical Center Fargo, practicing in Wahpeton, North Dakota. In 2024 Medicare paid $25,628 for 119 patients, and Part D covered 66 of their prescriptions, 88% of them generic. Avita Medical Americas, LLC reported $16.82 in payments in 2025, mostly food and beverage. Lists Sanford Medical Center Fargo and 1 other hospital as hospital affiliations.
Overview
| NPI | 1851355366 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DO |
| Sole proprietor | Yes |
| NPI issued | Apr 13, 2006 |
| Last updated in NPPES | Apr 29, 2022 |
| Certified by provider | Apr 29, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 17750 | ND |
| Surgery | 208600000X | 70737 | MN |
| Surgery | 208600000X | 0393 | SC |
| Surgery | 208600000X | DO2175 | NV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (MN); Practitioner - General Surgery (ND) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 119 |
|---|---|
| Services billed | 242 across 34 procedure codes |
| Paid by Medicare | $25,628 |
Part D prescriptions in 2024
| Prescriptions (claims) | 66 · 91 30-day fills |
|---|---|
| Patients | 27 |
| Total drug cost | $1,618 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 1986 |
|---|---|
| Medicare specialty | General Surgery |
Medical group
- Sanford Medical Center FargoWest Fargo, ND · 1,225 clinicians
Hospital affiliations
- Sanford Medical Center FargoFargo, ND
- St Francis Medical CenterBreckenridge, MN
Industry payments (Open Payments)
- 2025$16.82 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Avita Medical Americas, LLC | $16.82 | 1 |
What the 2025 payments were for
- Food and Beverage$16.82 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Surgery providers in Wahpeton
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- 1275561649