Doctor profile · Federal record

Dr. Monica Guma, M.D., PH.D.

Rheumatology Physician (CMS: Rheumatology) · La Jolla, CA

  • NPI 1346522141
  • Accepts Medicare
  • 30 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
9500 Gilman Drive
La Jolla, CA 92093
(858) 642-3247
fax (858) 552-7425
Mailing address
Po Box 232410
San Diego, CA 921932410

Credentials & registration

NPPES · NUCC
NPI registered
September 2011 — 15 yrs on file
Profile last updated
May 7, 2018
Year of graduation
1996 — 30 yrs since
Specialty taxonomy
207RR0500X — NUCC code
State license (1)
California #A126993

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1346522141. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
45
Distinct HCPCS
1
Medicare allowed
$4,554
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 45 23 $101

In context: peer comparison

Among 5 peers in La Jolla Rheumatology Physician, average services per provider: 145. This provider delivers 0.3× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$8,693
Transactions
4
Manufacturers
3
Payer (manufacturer) Industry Txns Amount
Abbvie INC. 1 $8,400.00
Janssen Scientific Affairs, LLC 2 $162.30
Ucb, INC. 1 $130.95

By nature of payment

Consulting Fee
$8,400
Food and Beverage
$293

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
342
Patients
14
Total drug cost
$700,325
Drug Type Claims Patients Total cost
Hydroxychloroquine Sulfate Generic 61 14 $3,313
Methotrexate (Methotrexate Sodium) Brand 49 0 $1,805
Leflunomide Generic 44 0 $2,654
Prednisone Generic 43 0 $410
Enbrel Sureclick (Etanercept) Brand 28 0 $199,692
Sulfasalazine Generic 23 0 $582
Humira(Cf) Pen (Adalimumab) Brand 19 0 $213,861
Ibuprofen Generic 14 0 $190
Enbrel (Etanercept) Brand 13 0 $92,426
Humira (Adalimumab) Brand 13 0 $90,714

Hospital affiliations

CMS Hospital Compare

Frequently asked questions

Auto-generated from federal data
What is Dr. Monica Guma's medical specialty?
Dr. Monica Guma practices Rheumatology Physician in La Jolla, CA.
Where does Dr. Monica Guma practice?
Dr. Monica Guma practices at 9500 Gilman Drive, La Jolla, CA 92093. Office phone: 8586423247.
What is Dr. Monica Guma's NPI?
Dr. Monica Guma's National Provider Identifier (NPI) is 1346522141, issued by NPPES.
Does Dr. Monica Guma accept Medicare assignment?
Yes. Dr. Monica Guma accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Monica Guma commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.