Medicare Enrolled

Dr. John Guarino, M.D.

Surgery · Port Charlotte, FL
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
4245 KINGS HIGHWAY, Port Charlotte, FL 33980
9413915102
In practice since 2006 (19 years)
NPI: 1417989328 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Guarino from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Guarino

Dr. John Guarino is a surgery specialist in Port Charlotte, FL, with 19 years of NPI registration. Based on federal Medicare data, Dr. Guarino performed 1,570 Medicare services across 1,483 unique beneficiaries.

Between the years covered by Open Payments, Dr. Guarino received a total of $1,912 from 19 pharmaceutical and/or device companies across 46 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in surgery. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Guarino is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 19 years in practice ▲ Top 7% volume in FL $1,912 industry payments

Florida License Status

FL DOH · MQA
1
Active license
None
Board action on record
0
Recent admin complaints
Profession License # Status Expires Board Action
Medical Doctor 68371 Clear January 31, 2027
Data from Florida Department of Health Medical Quality Assurance. License records are public under Chapter 119, Florida Statutes. Verify directly on FL DOH →

Medicare Practice Summary

Medicare Utilization ↗
1,570
Medicare services
Top 7% in FL for surgery
1,483
Unique beneficiaries
$105
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~83 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (10-19 min) 297 $41 $57
New patient office visit (45-59 min) 233 $115 $168
Office visit, established patient (30-39 min) 142 $96 $129
Upper GI endoscopy with biopsy 113 $82 $145
Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery 90 $163 $232
Telephone medical discussion with physician, 11-20 minutes 75 $63 $92
Colorectal cancer screening; colonoscopy on individual at high risk 69 $185 $187
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 65 $14 $51
Diagnostic exam of large bowel using a flexible endoscope 63 $138 $228
New patient office visit (30-44 min) 49 $84 $113
New patient office or other outpatient visit, 15-29 minutes 47 $41 $74
Office visit, established patient (20-29 min) 43 $63 $91
Colonoscopy with biopsy 41 $124 $202
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk 36 $184 $187
Repair of groin hernia using an endoscope 34 $394 $573
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 31 $212 $256
Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous 28 $18 $27
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 20 $64 $123
New patient office visit, complex (60-74 min) 16 $165 $223
Removal of external hemorrhoids by rubber banding 14 $133 $195
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and 14 $41 $55
Insertion of central venous tube with port (5 years or older) 13 $265 $332
Initial repair of sliding hernia of abdomen, less than 3 cm in length 13 $278 $362
Fluoroscopic guidance for insertion or removal of central vein access device 13 $15 $102
Removal of gallbladder with x-ray study of bile ducts using an endoscope 11 $605 $758
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$1,912
Total received (2018-2024)
Avg $273/year across 7 years
Bottom 44% in FL for surgery
19
Companies
46
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$1,912 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$311
2023
$305
2022
$463
2021
$247
2020
$250
2019
$262
2018
$73

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
KARL STORZ Endoscopy-America
$772
Abbott Laboratories
$247
Ethicon US, LLC
$162
Medtronic, Inc.
$99
Integra LifeSciences Corporation
$76
DePuy Synthes Sales Inc.
$75
ACELL, INC.
$64
CONMED Corporation
$48
Bard Peripheral Vascular, Inc.
$45
Becton, Dickinson and Company
$43
Kerecis Limited
$40
Braintree Laboratories, Inc.
$40
Ferring Pharmaceuticals Inc.
$39
Covidien LP
$37
TELA Bio, Inc.
$31
Allergan, Inc.
$30
Allergan Inc.
$25
Checkpoint Surgical, Inc
$23
Phathom Pharmaceuticals, Inc.
$16
Top 3 companies account for 61.8% of total payments
Associated products mentioned in payments ›
AIRSEAL · AVEIR · AirSeal · CCU · CLENPIQ · CONFIRM RX · Checkpoint Stimulators · ECHELON ENDOPATH · Echelon Circular · Echelon; Endopath · GALLANT · IMAGE1 CONNECT · IMAGE1 S CONNECT · IMAGE1 X-LINK · INTELLIS ADAPTIVESTIM · JOT DX · Kerecis Omega3 SurgiClose · MODULAR · NA · OMNIGRAFT · ORTHOVISC · OviTex Reinforced Bioscaffold With Permanent Polymer (OviTex) · Phasix Mesh · Radiance · SECURESTRAP · STRATTICE · SUFLAVE · SUTAB · US · VOQUEZNA
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians.

Equivalent to $122 per 100 Medicare services performed
Looking for a surgery specialist in Port Charlotte?
Compare surgerists in the Port Charlotte area by procedure volume, costs, and industry payment transparency.
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Geographic Context

Surgerists within 10 mi
29
Per 100K population
14.9
County median income
$66,154
Nearest hospital
Adventhealth Port Charlotte
2.9 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →

Summary

Dr. Guarino is a clinical cardiology specialist, with above-average Medicare volume (top 7% in FL), with low-engagement industry engagement, with 19 years of NPI registration.

This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →

Frequently Asked Questions

Is Dr. Guarino experienced with office visit, established patient (10-19 min)?
Based on Medicare claims data, Dr. Guarino performed 297 office visit, established patient (10-19 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Guarino receive payments from pharmaceutical companies?
Yes. Dr. Guarino received a total of $1,912 from 19 companies across 46 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Guarino's costs compare to other surgerists in Port Charlotte?
Dr. Guarino's average Medicare payment per service is $105. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Guarino) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →