Dr. Karl A. Guter, MD

  • Great Falls, MT
  • Hematologist and oncologist
NPI1437150331PAC ID4789724048
Medicare services, 2024
1,838
Medicare patients, 2024
258
Part D claims, 2024
1,194
MIPS score, 2024
91
Hospital affiliations
2
Practice address
3010 15th Avenue South, Great Falls, MT 59405
Practice phone
Call (406) 216-8000
Professional email
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Personal email
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Mobile number
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Social profiles

Primary practice

Great Falls Hospital

Hospital · Great Falls, Montana

See all 5 affiliations

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Dr. Karl A. Guter is a hematologist and oncologist in Great Falls, Montana

Dr. Guter practices at Great Falls Hospital in Great Falls, Montana, part of Surgery Partners.

Dr. Guter's NPI, 1437150331, was assigned on August 2, 2005. Dr. Guter graduated from Saint Louis University School of Medicine in 1968. Dr. Guter holds Montana license 4182.

NPI and contact details
Medicare PAC ID
4789724048
NPI enumeration date
August 2, 2005
NPI status
Active
Accepts Medicare assignment
Yes
Practice phone
(406) 216-8000
Professional email
Get email
Personal email
Get email
Mobile number
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Sex
Male
Estimated age
84
Medical school graduation
1968

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Affiliation Data; and Doctors and Clinicians National Downloadable File (CMS)

Dr. Karl A. Guter practices at Great Falls Hospital in Great Falls, Montana

Dr. Guter's primary practice is Great Falls Hospital, at 3010 15th Avenue South, Great Falls, MT 59405 in Cascade County. The practice phone is (406) 216-8000.

  • Great Falls Hospital
    3010 15th Avenue South, Great Falls, MT 59405 · Cascade CountyPhone(406) 216-8000

Source: Dmand AI Affiliation Data

Dr. Karl A. Guter is affiliated with 4 sites of care and 1 medical group

Dr. Guter's primary practice is Great Falls Hospital in Great Falls, Montana, part of Surgery Partners. Dr. Guter is also affiliated with Benefis East Campus. The medical group on file is Great Falls Clinic. Dmand AI also links Dr. Guter to 1 more group practice or clinic and 1 hospice, each named with a free account.

See all 5 affiliations for Dr. Guter

Sources: Dmand AI Affiliation Data; and Dmand AI Org Hierarchy Data

Dmand AI tracks the EHR system at Dr. Karl A. Guter's practice

Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Guter practices, 4 sites in all. Vendor and product names are available with a free account.

EHR by site
SiteEHR vendor and product
Great Falls HospitalAvailable with a free account
+3 more affiliated sitesAvailable with a free account

Source: Dmand AI Technology Install Data

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Dr. Karl A. Guter is one of 53 hematologists and oncologists in Montana

Hematology and oncology is Dr. Guter's primary specialty in the NPI Registry, under taxonomy code 207RH0003X. Dr. Guter is licensed in Montana.

Specialties and state licenses

  • Hematology and oncology, MontanaPrimaryLicense 4182 · taxonomy 207RH0003X

Hematologists and oncologists near Dr. Guter

Counts of hematologists and oncologists with a Dmand AI profile, by place and practice. Each opens the list.

Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; and Dmand AI Peer Benchmarks

Dr. Karl A. Guter billed Medicare for 1,838 services in 2024

CMS data shows 1,838 Medicare services from Dr. Guter across 9 procedure codes in 2024, for 258 Medicare patients. Medicare paid $89,174 for them.

Medicare services, 20241,838
Medicare patients258
Paid by Medicare$89,174
Procedure codes9

Dr. Guter's Medicare services by type, 2023 to 2024

  • 2023
  • 2024
Office and hospital visits
2023: 1,2312024: 1,05015%
Other services
2023: 222024: 7753423%
Tests and treatments
2023: 172024: 1324%

Where Dr. Guter's Medicare services took place, 2024

  • In an office1,81098%
  • In a facility282%

Dr. Guter compared with the Montana median for hematologists and oncologists, 2024

  • Dr. Guter
  • Montana median
Medicare services
1,838vs 1,05075% above
Medicare patients
258vs 270Close to median
Part D claims
867vs 48878% above

Medians across 49 hematologists and oncologists in Montana with Dmand AI profiles that report each measure.

Dr. Guter's most billed Medicare procedure codes, 2024

CMS publishes codes billed for 11 or more Medicare patients. Each label is the code family; CPT descriptions are licensed by the AMA.

See all procedures by Dr. Guter

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Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks

Dr. Karl A. Guter treated 258 Medicare patients in 2024, average age 76

CMS counts 258 Medicare patients who saw Dr. Guter in 2024. The largest group is 75 to 84, with 110 patients. 68% of them have high blood pressure, and 64% have high cholesterol. 6% are also on Medicaid. Their average risk score is 1.52, where 1.00 is the Medicare average, so they are sicker than most Medicare patients.

Across all payers, Dmand AI patient panel data puts Dr. Guter's median patient age at 73, with 59% women.

Medicare patients, 2024258
Average age76
Average risk score1.52
Also on Medicaid6%

Dr. Guter's Medicare patients by age, 2024

CMS leaves out age groups with fewer than 11 patients.

Dr. Guter's Medicare patients by sex, 2024

  • Women15560%
  • Men10340%

Chronic conditions among Dr. Guter's Medicare patients, 2024

  1. High blood pressure68%
  2. High cholesterol64%
  3. Cancer57%
  4. Arthritis36%
  5. Diabetes26%
  6. Ischemic heart disease25%
  7. Anxiety21%
  8. COPD18%

Share of Medicare patients with each condition. A patient can have several.

Dr. Guter's patients across all payers

Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.

Patient panel by age, all payers

Median age 73

Patient panel by sex, all payers

  • Women59%
  • Men41%

Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data

Dr. Karl A. Guter wrote 1,194 Medicare Part D claims in 2024

In 2024, Dr. Guter wrote 1,194 Medicare Part D claims for 145 patients. 86% of them were for generic drugs. CMS names the drug for 867 of them, across 37 drugs with 11 or more claims each, at $495,382 in total drug cost. In 2023, CMS named 1,084 claims across 41 drugs.

Part D claims, 20241,194
Drugs named by CMS37
Total drug cost$495,382
Part D patients145

Dr. Guter's Part D claims by kind of drug, 2024

  • Generic1,030 claims86%
  • Brand-name and other164 claims14%

Dr. Guter's most prescribed drugs by claims, 2024

CMS names a drug when it has 11 or more claims. Share is of the claims for drugs CMS names.

Drug classes CMS tracks in Dr. Guter's Part D claims, 2024

  • Opioids4%52 of 1,194 claims
  • Antibiotics2%23 of 1,194 claims

Share of all Part D claims for each drug class CMS reports on. Classes with no claims are left out.

Part D claims for drugs CMS names, 2023 to 2024

  • 2023
  • 2024
Claims for drugs CMS names
2023: 1,0842024: 86720%

Drugs named by CMS: 37 in 2024, 41 in 2023.

See all prescribing by Dr. Guter

Sources: Medicare Part D Prescribers - by Provider and Drug (CMS), 2024 data, released May 6, 2026; and Medicare Part D Prescribers - by Provider (CMS), 2024 data

Dr. Karl A. Guter scored 91 out of 100 in Medicare's MIPS program for 2024

CMS publishes a Merit-based Incentive Payment System (MIPS) score of 91 out of 100 for Dr. Guter for performance year 2024, reported through an alternative payment model (APM). Dr. Guter accepts Medicare assignment, so Medicare's approved amount is taken as full payment.

Accepts Medicare assignment
Yes

Dr. Guter's MIPS scores, performance year 2024

  • 91of 100Final score
  • 80.4of 100Quality
  • 100of 100Promoting Interoperability
  • 40of 100Improvement Activities

Each score is out of 100. The final score weighs the categories CMS scored for this clinician.

Skin biopsy: 1 to 10 procedures (CMS shows small counts as a range)

Sources: Doctors and Clinicians National Downloadable File (CMS); Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026; and Doctors and Clinicians Utilization Data (CMS)

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Dr. Karl A. Guter received $12,729 in industry payments from 2016 to 2025

CMS Open Payments shows 784 general payments to Dr. Guter from 68 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 94% of the total. Bristol-Myers Squibb Company paid the most, $1,535.

General payments to Dr. Guter by program year, 2016 to 2025

General payments to Dr. Guter by kind, 2016 to 2025

$12.7Kin total
  • Food and beverage$11,92294%
  • Education$6325%
  • Consulting fees$1751%

Companies that paid Dr. Guter the most, 2016 to 2025

Share is of all general payments to this clinician.

See all payments to Dr. Guter

Source: Open Payments (CMS), 2025 data, released July 7, 2026

Dr. Karl A. Guter graduated from Saint Louis University School of Medicine

Dr. Guter graduated from Saint Louis University School of Medicine in 1968.

  1. Medical schoolSaint Louis University School of Medicine

Source: Dmand AI Professional Profile Data

Sources for Dr. Karl A. Guter's profile data

Sources for the data on this page
Data on this pageSource
NPI, name, sex, specialty and licensesNPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data
Practice locations and phoneDmand AI Affiliation Data
Primary practice, affiliations and health systemDmand AI Affiliation DataDmand AI Org Hierarchy Data
Medicare services and procedure codesMedicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab)
State medians for the same specialtyDmand AI Peer Benchmarks
Medicare patients and the all-payer patient panelDmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab)
Part D prescribingMedicare Part D Prescribers - by Provider and Drug (CMS) (opens in a new tab)Medicare Part D Prescribers - by Provider (CMS) (opens in a new tab)
MIPS scores, telehealth, assignment and procedure percentilesDoctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab)Doctors and Clinicians Utilization Data (CMS) (opens in a new tab)
Industry paymentsOpen Payments (CMS) (opens in a new tab)
Training, board certification and membershipsDmand AI Professional Profile Data
EHR at each practice siteDmand AI Technology Install Data
Similar physiciansDmand AI Affiliation Data

Data last refreshed October 2026Report an inaccuracyRemove my information

FAQ

Frequently asked questions about Dr. Karl A. Guter

Spotted something out of date? Email hello@dmand.ai and we will check the record. Contact details live in the free trial.

What is Dr. Karl A. Guter's NPI number?

Dr. Karl A. Guter's NPI number is 1437150331. It was assigned on August 2, 2005, and it is active in the NPI Registry.

What kind of doctor is Dr. Karl A. Guter?

Dr. Karl A. Guter is a hematologist and oncologist in Great Falls, Montana. The primary specialty in the NPI Registry is Hematology & Oncology Physician (taxonomy code 207RH0003X).

Where does Dr. Karl A. Guter practice?

Dr. Guter practices at 3010 15th Avenue South, Great Falls, MT 59405. Dr. Guter's primary practice is Great Falls Hospital in Great Falls, Montana, part of Surgery Partners. Dmand AI also links Dr. Guter to 1 group practice or clinic and 1 hospice.

What is Dr. Karl A. Guter's office phone number?

The practice phone on file for Dr. Guter is (406) 216-8000.

What is Dr. Karl A. Guter's medical license number?

Dr. Guter holds Montana license 4182.

Which hospitals is Dr. Karl A. Guter affiliated with?

Dr. Guter practices at Great Falls Hospital in Great Falls, Montana. Dr. Guter is also affiliated with Benefis East Campus.

What medical group is Dr. Karl A. Guter part of?

Dr. Guter is linked to Great Falls Clinic.

Does Dr. Karl A. Guter accept Medicare?

Yes. CMS data shows Dr. Guter billed Medicare for 1,838 services in 2024, and Dr. Guter accepts Medicare assignment.

What is Dr. Karl A. Guter's MIPS score?

Dr. Guter's MIPS final score for performance year 2024 is 91 out of 100, reported through an alternative payment model (APM).

How many Medicare patients does Dr. Karl A. Guter see?

CMS counts 258 Medicare patients who saw Dr. Guter in 2024, with an average age of 76.

Show 5 more questionsShow fewer questions

What services does Dr. Karl A. Guter bill to Medicare?

In 2024, Dr. Guter's most billed Medicare services were medicare service (G2211), office visit, established patient (99214) and office visit, established patient (99213).

Where did Dr. Karl A. Guter go to medical school?

Dr. Guter graduated from Saint Louis University School of Medicine in 1968.

What drugs does Dr. Karl A. Guter prescribe most?

In 2024 Medicare Part D data, Dr. Guter's most prescribed drugs by claims were Letrozole, Zolpidem Tartrate and Losartan Potassium.

Has Dr. Karl A. Guter received payments from drug or device companies?

CMS Open Payments shows $12,729 in general payments to Dr. Guter from 68 companies from 2016 to 2025. The largest total came from Bristol-Myers Squibb Company.

How long has Dr. Karl A. Guter been practicing?

Dr. Guter graduated from medical school in 1968, 58 years ago.

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