Dr. Philip Guilford, DO
730 Newman Rd., New Bern, NC 28562 • +1-795-555-5504
Medical Education: Accredited U.S. Medical School (Class of 1998)
What This Doctor Actually Performs: CMS Medicare Utilization & New Bern Percentiles
NPI #1396265237 • CBSA Regional • Family Practice
Statistical peer benchmarking across NC Family Practice providers positions Dr. Philip Guilford, DO in New Bern at +0.76σ (60th city percentile / 96.51th state percentile, 540 Medicare beneficiaries), with clinical focus spanning 102 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1396265237 highlights 4499 annual claims for 99214 (60th New Bern percentile; $46–$64 self-pay corridor) plus 3321 encounters under 99213 and 1285 under G0439.
Direct cash-pay transparency modeling sets Dr. Guilford's baseline new-consult rate near $209.00 in New Bern, NC (cash-pay accepted, in-person clinic visits only, 22-minute average reception wait).
Patients evaluating Dr. Philip Guilford in ZIP 28562 note 28 years of post-doctoral tenure (null, 1998) alongside 21.6 annual CMS procedures per patient.
Compared against New Bern, NC Family Practice peers
11,680 annual services across 540 beneficiaries
Standard deviations from NC Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 4,499 | 60th | $46 – $64 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 3,321 | 65th | $35 – $50 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 1,285 | 63th | $53 – $73 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 964 | 63th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 643 | 59th | $64 – $87 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (102 HCPCS billing breadth) | 968 | 60th | $45 – $65 |
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Dr. Philip Guilford, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Guilford National Provider Identifier | NPI #1396265237 (DO) | CMS NPPES Registry (28562) |
| Dr. Guilford New Bern CMS Volume Rank | 60.00th Pct (11,680 CMS svcs; Z +0.761σ) | CMS Medicare Part B (NC Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (New Bern, NC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 22 min lobby wait | 6 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.58/5 Listening • 4.70/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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