Doctor profile · Federal record

Dr. KAREN GUIGNO, NP

Family Nurse Practitioner (CMS: NURSE PRACTITIONER) · FRAMINGHAM, MA

  • NPI 1578811105
  • Accepts Medicare
  • 14 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
600 WORCESTER RD STE 504
FRAMINGHAM, MA 017025316
(508) 875-0922
fax (508) 875-0142
Mailing address
171 MAIN ST STE 203B
ASHLAND, MA 017211187

Credentials & registration

NPPES · NUCC
NPI registered
August 2012 — 14 yrs on file
Profile last updated
September 9, 2024
Year of graduation
2012 — 14 yrs since
Specialty taxonomy
363LF0000X — NUCC code
State license (1)
Massachusetts #RN255994

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1578811105. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
50
Distinct HCPCS
2
Medicare allowed
$1,638
HCPCS Description Services Patients Avg allowed
36415 Insertion of needle into vein for collection of blood sample 39 38 $8
99214 Established patient office or other outpatient visit, 30-39 minutes 11 11 $119

In context: peer comparison

Among 11 peers in this city , average services per provider: 102. This provider delivers 0.5× the peer median.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$48
Transactions
2
Manufacturers
2
Payer (manufacturer) Industry Txns Amount
ABBVIE INC. 1 $29.30
GlaxoSmithKline, LLC. 1 $18.99

By nature of payment

Food and Beverage
$48

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
1,175
Patients
418
Total drug cost
$53,137
Drug Type Claims Patients Total cost
Lisinopril Generic 135 50 $2,064
Atorvastatin Calcium Generic 132 47 $2,632
Omeprazole Generic 126 43 $2,663
Levothyroxine Sodium Generic 118 43 $1,844
Simvastatin Generic 105 43 $1,849
Amlodipine Besylate Generic 78 30 $953
Losartan Potassium Generic 77 29 $1,291
Metoprolol Succinate Generic 73 31 $1,898
Hydrochlorothiazide Generic 67 25 $521
Gabapentin Generic 50 0 $841

Hospital affiliations

CMS Hospital Compare