Medicare Enrolled
Dr. Stacey Gugino, MD
Family Medicine · Williamsville, NY
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. Gugino 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. Gugino
Dr. Stacey Gugino is a family medicine specialist in Williamsville, NY, with 18 years of NPI registration. Based on federal Medicare data, Dr. Gugino performed 599 Medicare services across 502 unique beneficiaries.
Between the years covered by Open Payments, Dr. Gugino received a total of $12,413 from 67 pharmaceutical and/or device companies across 659 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. Gugino 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.
✓ 18 years in practice
▲ Top 41% volume in NY
$12,413 industry payments
Medicare Practice Summary
Medicare Utilization ↗599
Medicare services
Top 41% in NY for family medicine
502
Unique beneficiaries
$82
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~33 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 |
|---|---|---|---|
| Nursing facility visit, low complexity A daily follow-up visit for an existing patient in a nursing facility involving straightforward medical decision making. The visit requires at least 15 minutes of time if time is used to determine the level of care. |
104 | $54 | $104 |
| 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. |
89 | $87 | $170 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
89 | $125 | $400 |
| Nursing facility visit, moderate complexity A follow-up visit by a healthcare provider at a nursing facility for an established patient. The visit involves moderate medical decision making and takes at least 30 minutes. |
80 | $79 | $137 |
| Annual depression screening | 52 | $18 | $25 |
| 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. |
40 | $57 | $120 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
34 | $28 | $39 |
| 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. |
28 | $72 | $85 |
| 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. |
28 | $282 | $320 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
28 | $29 | $34 |
| Initial nursing facility care, high complexity An initial visit by a healthcare provider to a patient in a nursing facility involving a high level of medical decision making, lasting at least 45 minutes. |
27 | $137 | $254 |
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 ↗$12,413
Total received (2018-2024)
Avg $1,773/year across 7 years
Top 4% in NY for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
67
Companies
659
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
$12,413 (100.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$1,160
2023
$1,863
2022
$1,918
2021
$2,157
2020
$1,007
2019
$2,204
2018
$2,104
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Astellas Pharma US Inc
$240
Novo Nordisk Inc
$134
Lilly USA, LLC
$130
Otsuka America Pharmaceutical, Inc.
$77
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$65
Exact Sciences Corporation
$56
GlaxoSmithKline, LLC.
$52
Boehringer Ingelheim Pharmaceuticals, Inc.
$43
Amgen Inc.
$37
ABBVIE INC.
$36
Ferring Pharmaceuticals Inc.
$35
Edwards Lifesciences Corporation
$29
Abbott Laboratories
$26
ALK-Abello, Inc
$25
Sumitomo Pharma America, Inc.
$24
Neurocrine Biosciences, Inc.
$24
SANOFI-AVENTIS U.S. LLC
$23
Daiichi Sankyo Inc.
$21
E.R. Squibb & Sons, L.L.C.
$20
Merck Sharp & Dohme LLC
$18
PFIZER INC.
$16
Dexcom, Inc.
$16
Bayer Healthcare Pharmaceuticals Inc.
$15
Top 3 companies account for 43.5% of 2024 payments
All-time payments by company (2018-2024) ›
Novo Nordisk Inc
$1,693
Lilly USA, LLC
$1,140
Boehringer Ingelheim Pharmaceuticals, Inc.
$1,104
Astellas Pharma US Inc
$932
AstraZeneca Pharmaceuticals LP
$870
ABBVIE INC.
$657
Allergan Inc.
$513
PFIZER INC.
$399
GlaxoSmithKline, LLC.
$362
Janssen Pharmaceuticals, Inc
$306
Amarin Pharma Inc.
$260
Novartis Pharmaceuticals Corporation
$238
Nestle HealthCare Nutrition Inc.
$208
Neurocrine Biosciences, Inc.
$199
Edwards Lifesciences Corporation
$198
Abbott Laboratories
$189
Amgen Inc.
$186
AbbVie Inc.
$170
Exact Sciences Corporation
$164
SANOFI-AVENTIS U.S. LLC
$158
Ironwood Pharmaceuticals, Inc
$142
Silk Road Medical, Inc.
$135
Ferring Pharmaceuticals Inc.
$127
Daiichi Sankyo Inc.
$126
Paratek Pharmaceuticals, Inc.
$125
Mylan Specialty L.P.
$125
Otsuka America Pharmaceutical, Inc.
$124
Teva Pharmaceuticals USA, Inc.
$120
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$115
Sunovion Pharmaceuticals Inc.
$98
Merck Sharp & Dohme LLC
$80
Shire North American Group Inc
$68
Bayer HealthCare Pharmaceuticals Inc.
$65
Sumitomo Pharma America, Inc.
$65
Dexcom, Inc.
$60
E.R. Squibb & Sons, L.L.C.
$60
Gilead Sciences, Inc.
$59
IDORSIA PHARMACEUTICALS US INC
$56
Merck Sharp & Dohme Corporation
$51
Radius Health, Inc.
$47
Biohaven Pharmaceutical Holding Company Ltd.
$47
SUN PHARMACEUTICAL INDUSTRIES INC.
$44
Endo Pharmaceuticals Inc.
$42
Melinta Therapeutics, Inc.
$42
Eisai Inc.
$39
SANOFI PASTEUR INC.
$39
ACADIA Pharmaceuticals Inc
$34
DEXCOM, INC.
$31
Esperion Therapeutics, Inc.
$26
ALK-Abello, Inc
$25
Medtronic Vascular, Inc.
$21
Sanofi Pasteur Inc.
$20
Genentech USA, Inc.
$19
Celgene Corporation
$19
Lundbeck LLC
$16
Allergan, Inc.
$15
Vanda Pharmaceuticals Inc.
$15
Bayer Healthcare Pharmaceuticals Inc.
$15
NESTLE HEALTHCARE NUTRITION INC.
$15
Medtronic MiniMed, Inc.
$14
VBI Vaccine (Delaware) Inc.
$14
Corcept Therapeutics
$13
Kowa Pharmaceuticals America, Inc.
$13
Takeda Pharmaceuticals U.S.A., Inc.
$12
Biohaven Pharmaceuticals, Inc.
$12
Boston Scientific Corporation
$12
Inogen, Inc.
$5
Top 3 companies account for 31.7% of all-time payments
Associated products mentioned in payments ›
ADACEL · AJOVY · APTIOM · AVYCAZ · Aimovig · BAQSIMI · BASAGLAR · BREZTRI · BREZTRI AEROSPHERE · BYSTOLIC · Baxdela · CHANTIX · CIMZIA · CUVITRU · Cologuard Collection Kit · DALVANCE · DEXCOM G6 TRANSMITTER · DUZALLO · Dayvigo · Dexcom G6 Transmitter · ELIQUIS · EMGALITY · ENROUTE Transcarotid Neuroprotection System · ENTRESTO · EVENITY · Edwards SAPIEN 3 Ultra Transcatheter Heart Valve · FARXIGA · FLUBLOK QUADRIVALENT · FLUZONE HIGH-DOSE · FLUZONE QUADRIVALENT · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre 2 · GARDASIL · GARDASIL 9 · GEMTESA · GENERAL PAIN MANAGEMENT · HETLIOZ · HUMALOG · HawkOne · INGREZZA · INJECTAFER · INVOKANA · InogenOne · JANUVIA · JARDIANCE · KAPSPARGO · Kerendia · Korlym · LEQVIO · LINZESS · LOKELMA · LONHALA MAGNAIR · LYRICA · Livalo · MAVYRET · MOUNJARO · MOVANTIK · MYRBETRIQ · Minimed 630G · Myrbetriq · NASCOBAL · NEXLETOL · NUCALA · NUPLAZID · NURTEC ODT · NUZYRA · Odactra · Otezla · Ozempic · PAXLOVID · PNEUMOVAX 23 · PREMARIN · PREVNAR 20 · PreHevbrio · Prolia · QULIPTA · QUVIVIQ · REBYOTA · REXULTI · RYBELSUS · Rybelsus · SAPIEN 3 Ultra RESILIA · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SPIRIVA · SPIRIVA RESPIMAT · STEGLATRO · STIOLTO RESPIMAT · SYMBICORT · Saxenda · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRINTELLIX · TRULICITY · TZIELD · Tresiba · Tymlos · UBRELVY · UTIBRON · VESICARE · VIAGRA · VIBERZI · VRAYLAR · VYVANSE · Vascepa · Veozah · Victoza · Wegovy · XARELTO · XIFAXAN · XIFAXANIBSD · Xofluza · Yupelri · ZENPEP
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. Total industry engagement is in the top 4% for family medicine in NY.
Geographic Context
Family medicine physicians within 10 mi
406
Per 100K population
42.7
County median income
$71,175
Nearest hospital
UPSTATE NEW YORK VA HEALTHCARE SYSTEM (WESTERN NY VA HEALTHCARE SYSTEM)
5.6 mi
5.6 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. Gugino is a clinical cardiology specialist, with moderate Medicare volume, with low-engagement industry engagement in the top 4% of NY peers, with 18 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Gugino experienced with nursing facility visit, low complexity?
Based on Medicare claims data, Dr. Gugino performed 104 nursing facility visit, low complexity 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. Gugino receive payments from pharmaceutical companies?
Yes. Dr. Gugino received a total of $12,413 from 67 companies across 659 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. Gugino's costs compare to other family medicine physicians in Williamsville?
Dr. Gugino's average Medicare payment per service is $82. 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. Gugino) 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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