Medicare Enrolled
Dr. Philip Guilford, D.O.
Family Medicine · New Bern, NC
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
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. Guilford 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. Guilford
Dr. Philip Guilford is a family medicine specialist in New Bern, NC, with 9 years of NPI registration. Based on federal Medicare data, Dr. Guilford performed 10,453 Medicare services across 6,208 unique beneficiaries.
Between the years covered by Open Payments, Dr. Guilford received a total of $3,330 from 37 pharmaceutical and/or device companies across 205 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. 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. Guilford is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 9 years in practice
▲ Top 1% volume in NC
$3,330 industry payments
Medicare Practice Summary
Medicare Utilization ↗10,453
Medicare services
Top 1% in NC for family medicine
6,208
Unique beneficiaries
$27
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~1,161 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 |
|---|---|---|---|
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
1,173 | $8 | $12 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
916 | $10 | $32 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
914 | $8 | $24 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
910 | $77 | $245 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
877 | $13 | $40 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
811 | $16 | $62 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
648 | $2 | $10 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
462 | $44 | $110 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
352 | $9 | $30 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
297 | $122 | $150 |
| Annual depression screening | 283 | $17 | $26 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
210 | $29 | $100 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
157 | $29 | $40 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
147 | $72 | $84 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
133 | $19 | $65 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
119 | $13 | $42 |
| Iron level test | 116 | $6 | $20 |
| Iron binding capacity test A blood test that measures the amount of iron in the blood and the blood's ability to bind and transport iron. |
116 | $9 | $28 |
| Urine microalbumin test (kidney screening) A laboratory test that measures the amount of microalbumin, a small protein, in a urine sample. This test is used to detect early signs of kidney damage. |
107 | $6 | $18 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
107 | $5 | $16 |
| Chronic care management, additional 20 min/month This service covers an extra 20 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions each calendar month. |
107 | $35 | $90 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
105 | $115 | $341 |
| PSA test (prostate cancer screening) | 85 | $18 | $65 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
81 | $15 | $46 |
| Urine culture, bacterial colony count A laboratory test that measures the number of bacteria growing in a urine sample to help identify infections. |
69 | $8 | $32 |
| COVID-19 vaccine administration Administration of a single dose of the coronavirus vaccine. |
66 | $39 | $65 |
| Complex chronic care management, first 60 minutes This service involves clinical staff time directed by a healthcare professional to manage two or more chronic conditions over a calendar month. It covers the first 60 minutes of this coordinated care effort. |
65 | $100 | $230 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
63 | $55 | $173 |
| Hepatitis C antibody test A blood test that checks for antibodies to the hepatitis C virus. This test helps determine if a person has been exposed to the virus. |
58 | $14 | $43 |
| Basic metabolic blood panel A blood test that measures a group of basic chemicals, including total calcium levels. |
57 | $8 | $25 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
56 | $3 | $10 |
| Annual wellness visit, initial visit A yearly appointment to review your health and create a personalized prevention plan. This initial visit focuses on preventive care and health assessment. |
56 | $154 | $225 |
| COVID-19 vaccine (Pfizer bivalent) Administration of a 30 mcg dose of the SARS-CoV-2 vaccine via intramuscular injection. |
50 | $128 | $230 |
| Free thyroxine (T4) test A blood test that measures the level of free thyroxine, a thyroid hormone, in the bloodstream. |
49 | $9 | $28 |
| Magnesium level test A blood test to measure the amount of magnesium in your body. This helps check for magnesium deficiency or excess. |
47 | $7 | $21 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
41 | $10 | $40 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
39 | $29 | $38 |
| Antibiotic sensitivity test A laboratory test that determines which antibiotics, antifungals, or antivirals are effective against a specific microorganism using microdilution or agar dilution methods. |
36 | $8 | $25 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
36 | $16 | $44 |
| Bacterial culture, aerobic A laboratory test that grows and identifies bacteria capable of surviving in oxygen. The results help determine the presence of specific aerobic microorganisms. |
35 | $8 | $16 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
34 | $282 | $425 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
32 | $66 | $309 |
| Additional chronic care management time, 60 minutes This service covers an additional 60 minutes of clinical staff time directed by a healthcare professional for managing two or more chronic conditions, billed per calendar month. |
31 | $53 | $120 |
| Sed rate test (inflammation marker) This automated test measures how quickly red blood cells settle in a tube to detect inflammation in the body. |
26 | $3 | $10 |
| C-reactive protein test (inflammation marker) A blood test that measures the level of C-reactive protein to detect the presence of infection or inflammation in the body. |
26 | $5 | $16 |
| Blood creatinine level test A blood test that measures the amount of creatinine, a waste product from muscle wear and tear, to help assess kidney function. |
24 | $5 | $16 |
| Blood urea nitrogen test A blood test that measures the amount of urea nitrogen to assess kidney function. |
24 | $4 | $12 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
23 | $8 | $60 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
22 | $4 | $15 |
| SARS-CoV-2 immunoassay test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus. |
22 | $35 | $100 |
| Red blood cell concentration measurement A laboratory test that measures the concentration of red blood cells in the blood. |
19 | $2 | $8 |
| Hemoglobin blood test A blood test that measures the amount of hemoglobin, the protein in red blood cells that carries oxygen. |
19 | $2 | $8 |
| Total T3 thyroid hormone test A blood test that measures the total amount of triiodothyronine (T3) hormone in your body. T3 is a thyroid hormone that helps regulate metabolism and energy levels. |
17 | $14 | $45 |
| COVID-19 vaccine (Moderna bivalent) An intramuscular injection of the SARS-CoV-2 vaccine containing 50 micrograms in a 0.5 mL dose. |
16 | $143 | $256 |
| Kidney function blood test panel | 14 | $9 | $26 |
| Folic acid level test A blood test that measures the amount of folic acid in the serum. |
13 | $14 | $45 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
13 | $39 | $105 |
| Stool test for blood to screen for colon tumors A test that analyzes a stool sample to detect hidden blood, which is used to screen for colon tumors. |
11 | $4 | $12 |
| Glutamyltransferase (GGT) level test A blood test that measures the level of the liver enzyme glutamyltransferase (GGT) to help evaluate liver health. |
11 | $7 | $20 |
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 ↗$3,330
Total received (2018-2024)
Avg $476/year across 7 years
Top 14% in NC for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
37
Companies
205
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
$3,330 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$767
2023
$731
2022
$536
2021
$827
2020
$223
2019
$165
2018
$80
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$142
Lilly USA, LLC
$141
Novo Nordisk Inc
$98
GlaxoSmithKline, LLC.
$85
Amgen Inc.
$58
ABBVIE INC.
$48
PFIZER INC.
$31
Merck Sharp & Dohme LLC
$30
Boehringer Ingelheim Pharmaceuticals, Inc.
$28
Radius Health, Inc.
$19
Sumitomo Pharma America, Inc.
$17
Currax Pharmaceuticals LLC
$15
Phathom Pharmaceuticals, Inc.
$15
Exact Sciences Corporation
$14
Dexcom, Inc.
$14
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$13
Top 3 companies account for 49.7% of 2024 payments
All-time payments by company (2018-2024) ›
Amgen Inc.
$509
Lilly USA, LLC
$393
Novo Nordisk Inc
$383
AstraZeneca Pharmaceuticals LP
$296
Boehringer Ingelheim Pharmaceuticals, Inc.
$265
GlaxoSmithKline, LLC.
$215
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$146
PFIZER INC.
$118
E.R. Squibb & Sons, L.L.C.
$115
Daiichi Sankyo Inc.
$81
ABBVIE INC.
$76
Acclarent, Inc
$73
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)
$70
Radius Health, Inc.
$52
Sumitomo Pharma America, Inc.
$49
Dexcom, Inc.
$46
Merck Sharp & Dohme LLC
$44
Merck Sharp & Dohme Corporation
$42
Mylan Specialty L.P.
$37
Bioventus LLC
$34
DEXCOM, INC.
$30
Abbott Laboratories
$22
Shield Therapeutics Inc
$21
ASSERTIO THERAPEUTICS, Inc.
$20
Philips Electronics North America Corporation
$19
Ironwood Pharmaceuticals, Inc
$18
EKOS Corporation
$16
UPSHER-SMITH LABORATORIES LLC
$15
Janssen Pharmaceuticals, Inc
$15
Kowa Pharmaceuticals America, Inc.
$15
Insulet Corporation
$15
Currax Pharmaceuticals LLC
$15
Phathom Pharmaceuticals, Inc.
$15
AbbVie Inc.
$14
Exact Sciences Corporation
$14
Phadia US Inc.
$13
Bayer HealthCare Pharmaceuticals Inc.
$12
Top 3 companies account for 38.6% of all-time payments
Associated products mentioned in payments ›
(5044) MCOT · ACCLARENT NAVWIRE Sinus Navigation Guidewire · ACCRUFER · AIRSUPRA · AREXVY · Aimovig · BREZTRI · CONTRAVE · Cologuard Collection Kit · DEXCOM G6 TRANSMITTER · Dexcom G6 Transmitter · Durolane · EKOSONIC · ELIQUIS · EMGALITY · EVENITY · FARXIGA · FREESTYLE LIBRE 2 · GARDASIL · GEMTESA · Gralise · INJECTAFER · ImmunoCAP · JANUVIA · JARDIANCE · Kerendia · LINZESS · LifeVest · Linzess · Livalo · MOUNJARO · NEXPLANON · NURTEC ODT · Omnipod · Otezla · Ozempic · PNEUMOVAX 23 · PREMARIN · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · QULIPTA · RYBELSUS · Rybelsus · SHINGRIX · STIOLTO RESPIMAT · SYMBICORT · SYNTHROID · Saxenda · TOSYMRA · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · Tymlos · UBRELVY · VOQUEZNA · Wegovy · XARELTO · XIFAXAN · Yupelri · ZERBAXA
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.
Geographic Context
Family medicine physicians within 10 mi
83
Per 100K population
82.1
County median income
$64,635
Nearest hospital
CAROLINA EAST MEDICAL CENTER
8.9 mi
8.9 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 reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Guilford is a clinical cardiology specialist, with above-average Medicare volume (top 1% in NC), with low-engagement industry engagement in the top 14% of NC peers.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Guilford experienced with blood draw (venipuncture)?
Based on Medicare claims data, Dr. Guilford performed 1,173 blood draw (venipuncture) 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. Guilford receive payments from pharmaceutical companies?
Yes. Dr. Guilford received a total of $3,330 from 37 companies across 205 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. Guilford's costs compare to other family medicine physicians in New Bern?
Dr. Guilford's average Medicare payment per service is $27. 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. Guilford) 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 →
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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. Data Coverage reflects 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.
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