Dr. Michael Guma, DO
- Medicare services, 2024
- 10,731
- Medicare patients, 2024
- 325
- Part D claims, 2024
- 3,126
- Publications
- 6
- MIPS score, 2024
- 85
- Practice address
- 312 Belleville Turnpike, North Arlington, NJ 07031
- Practice phone
- Call (201) 636-7233
- Professional email
- Get professional email
- Personal email
- Get personal email
- Mobile number
- Get mobile number
Primary practice
Optum Medical Care of New Jersey
North Arlington, New Jersey
Find Dr. Guma's professional email, personal email and mobile number
Dmand AI checks each channel through healthcare-specific waterfall enrichment. See what is on file with a free account, with practice phones, licenses and affiliations.
Dr. Michael Guma is a rheumatologist in North Arlington, New Jersey
Dr. Guma practices at Optum Medical Care of New Jersey in North Arlington, New Jersey.
Dr. Guma's NPI, 1376655407, was assigned on August 31, 2006. Dr. Guma graduated from Kirksville College of Osteopathic Medicine in 1989. Dr. Guma holds New Jersey license MB055634.
- NPI
- 1376655407NPI Registry (opens in a new tab)
- Medicare PAC ID
- 5890759245
- NPI enumeration date
- August 31, 2006
- NPI status
- Active
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
- Practice phone
- (201) 636-7233
- Professional email
- Get email
- Personal email
- Get email
- Mobile number
- Get number
- Sex
- Male
- Estimated age
- 63
- Medical school graduation
- 1989
Sources: NPPES NPI Registry (CMS); Dmand AI Professional Profile Data; Dmand AI Practice Data; and Doctors and Clinicians National Downloadable File (CMS)
Dr. Michael Guma practices at Optum Medical Care of New Jersey in North Arlington, New Jersey
Dr. Guma's primary practice is Optum Medical Care of New Jersey, at 312 Belleville Turnpike, North Arlington, NJ 07031 in Bergen County. The practice phone is (201) 636-7233.
- Optum Medical Care of New Jersey312 Belleville Turnpike, North Arlington, NJ 07031 · Bergen CountyPhone(201) 636-7233
Sources: NPPES NPI Registry (CMS); and Dmand AI Practice Data
Dr. Michael Guma is affiliated with 6 sites of care and 2 medical groups
Dr. Guma's primary practice is Optum Medical Care of New Jersey in North Arlington, New Jersey. Dr. Guma is also affiliated with Hackensack University Medical Center. The medical group on file is Optum Medical Care New Jersey. Dmand AI also links Dr. Guma to 2 more hospitals, 1 physician office, 1 group practice or clinic and 1 medical group, each named with a free account.
Sources: NPPES NPI Registry (CMS); Dmand AI Practice Data; and Dmand AI Affiliation Data
Dmand AI tracks the EHR system at Dr. Michael Guma's practice
Dmand AI tracks the electronic health record (EHR) system at each site where Dr. Guma practices, 5 sites in all. Vendor and product names are available with a free account.
| Site | EHR vendor and product |
|---|---|
| Optum Medical Care of New Jersey | Available with a free account |
| +5 more sites and 1 medical group | Available with a free account |
Source: Dmand AI Technology Install Data
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Dr. Michael Guma is one of 234 rheumatologists in New Jersey
Rheumatology is Dr. Guma's primary specialty in the NPI Registry, under taxonomy code 207RR0500X. Dr. Guma is board certified in internal medicine by the American Board of Internal Medicine. Dr. Guma is licensed in New Jersey.
Specialties and state licenses
- Rheumatology, New JerseyPrimary
Clinical focus
Dmand AI lists arteritis, arthritis, fibromyalgia and chronic pain, fluid in a joint, gout, joint arthropathy, joint pain and lupus among the conditions Dr. Guma treats.
Rheumatologists near Dr. Guma
Counts of rheumatologists 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. Michael Guma billed Medicare for 10,731 services in 2024
CMS data shows 10,731 Medicare services from Dr. Guma across 14 procedure codes in 2024, for 325 Medicare patients. Medicare paid $330,355 for them. Every service was in an office.
Dr. Guma's Medicare services by type, 2023 to 2024
- 2023
- 2024
- Drugs given in the office
- 2023: 2,0252024: 8,992344%
- Office and hospital visits
- 2023: 8442024: 9047%
- Other services
- 2023: 02024: 550
- Tests and treatments
- 2023: 3182024: 22230%
- Surgery
- 2023: 1052024: 6340%
Dr. Guma compared with the New Jersey median for rheumatologists, 2024
- Dr. Guma
- New Jersey median
- Medicare services
- 10,731vs 3,9952.7 times
- Medicare patients
- 325vs 26622% above
- Part D claims
- 2,925vs 1,0642.7 times
Medians across 237 rheumatologists in New Jersey with Dmand AI profiles that report each measure.
Dr. Guma'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.
Need commercial claims for Dr. Guma?
Medicare shows one payer. Book a meeting to get commercial claims data for Dr. Guma and other rheumatologists in New Jersey.
Sources: Medicare Physician & Other Practitioners - by Provider and Service (CMS), 2024 data; and Dmand AI Peer Benchmarks
Dr. Michael Guma treated 325 Medicare patients in 2024, average age 73
CMS counts 325 Medicare patients who saw Dr. Guma in 2024. The largest group is 65 to 74, with 149 patients. 75% of them have arthritis, and 75% have high blood pressure. 13% are also on Medicaid. Their average risk score is 1.49, where 1.00 is the Medicare average.
Across all payers, Dmand AI patient panel data puts Dr. Guma's median patient age at 65, with 72% women.
Dr. Guma's Medicare patients by age, 2024
Dr. Guma's Medicare patients by sex, 2024
- Women24174%
- Men8426%
Chronic conditions among Dr. Guma's Medicare patients, 2024
- Arthritis75%
- High blood pressure75%
- High cholesterol75%
- Diabetes38%
- Ischemic heart disease33%
- Anxiety29%
- Osteoporosis27%
- COPD22%
Share of Medicare patients with each condition. A patient can have several.
Dr. Guma's patients across all payers
Dmand AI patient panel data covers Medicare, Medicaid and commercial patients.
Patient panel by age, all payers
Median age 65
Patient panel by sex, all payers
- Women72%
- Men23%
Sources: Dmand AI Patient Panel Data; and Medicare Physician & Other Practitioners - by Provider (CMS), 2024 data
Dr. Michael Guma wrote 3,126 Medicare Part D claims in 2024
In 2024, Dr. Guma wrote 3,126 Medicare Part D claims for 535 patients. 84% of them were for generic drugs. CMS names the drug for 2,925 of them, across 33 drugs with 11 or more claims each, at $3,358,038 in total drug cost. In 2023, CMS named 2,865 claims across 35 drugs.
Dr. Guma's Part D claims by kind of drug, 2024
- Generic2,630 claims84%
- Brand-name and other496 claims16%
Dr. Guma'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. Guma's Part D claims, 2024
- Opioids4%135 of 3,126 claims
- Antibiotics0%11 of 3,126 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: 2,8652024: 2,9252%
Drugs named by CMS: 33 in 2024, 35 in 2023.
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. Michael Guma scored 85 out of 100 in Medicare's MIPS program for 2024
CMS publishes a Merit-based Incentive Payment System (MIPS) score of 85 out of 100 for Dr. Guma for performance year 2024, reported as part of a group. Dr. Guma accepts Medicare assignment, so Medicare's approved amount is taken as full payment. CMS lists Dr. Guma as offering telehealth.
- Accepts Medicare assignment
- Yes
- Offers telehealth
- Yes
Dr. Guma's MIPS scores, performance year 2024
- 85of 100Final score
- 71.6of 100Quality
- 100of 100Promoting Interoperability
- 40of 100Improvement Activities
- 77of 100Cost
Each score is out of 100. The final score weighs the categories CMS scored for this clinician.
Sources: Doctors and Clinicians National Downloadable File (CMS); and Clinician Public Reporting: Overall MIPS Performance (CMS), 2024 data, released September 10, 2026
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Dr. Michael Guma has 6 publications on record
Dmand AI links 6 papers to Dr. Guma, published from 2021 to 2025. 2023 was the busiest year, with 2. Dr. Guma has published most often in Cureus. Dr. Guma's most frequent co-authors are Gunwant K. Guron, MD, Amer Yacoub Salem Hawatmeh, MD and Ashraf Jmeian, MD.
Dr. Guma's papers by year, 2021 to 2025
Dr. Guma's most frequent co-authors
- Gunwant K. Guron, MD1 shared paper
- Amer Yacoub Salem Hawatmeh, MD1 shared paper
- Ashraf Jmeian, MD1 shared paper
Recent publications by Dr. Guma
See who Dr. Guma researches with
Physician Network Discovery turns co-authorship, shared hospitals and shared groups into a map of who Dr. Guma works with, so you can find a warm path to the right rheumatologists.
Sources: PubMed (National Library of Medicine); and Dmand AI Research Linkage
Dr. Michael Guma received $32,810 in industry payments from 2016 to 2025
CMS Open Payments shows 926 general payments to Dr. Guma from 41 drug and device companies from 2016 to 2025. Food and beverage make up the largest share, 57% of the total. Aurinia Pharma U.S., Inc. paid the most, $6,924.
General payments to Dr. Guma by program year, 2016 to 2025
General payments to Dr. Guma by kind, 2016 to 2025
- Food and beverage$18,62857%
- Speaker and faculty fees$13,73442%
- Education$2481%
- Consulting fees$2001%
Companies that paid Dr. Guma the most, 2016 to 2025
Share is of all general payments to this clinician.
Source: Open Payments (CMS), 2025 data, released July 7, 2026
Dr. Michael Guma has 8 awards and honors on record
Dmand AI lists 8 awards for Dr. Guma, most recently Top Doctors: New York Metro Area in 2018.
Awards and honors for Dr. Guma
- 2018
- Top Doctors: New York Metro Area
- 2011
- ACR Fellow
- 2010
- Recipient of the Archbishop John J. Myers Outstanding Educator Award
- Undated
- CMS Stage 1 2012
- Fellow American College of Osteopathic Internists
- Fellow American College of Physicians
Source: Dmand AI Professional Profile Data
Dr. Michael Guma graduated from Kirksville College of Osteopathic Medicine
Dr. Guma graduated from Kirksville College of Osteopathic Medicine in 1989. Dr. Guma is a member of ACOI, ACP, ACR and AOA.
- Medical school
- Board certified in internal medicine
- Board certified in rheumatology
- Board certified in 1990 - 2025
Source: Dmand AI Professional Profile Data
Dr. Michael Guma accepts plans from 17 insurance carriers
Dr. Guma is in network with 17 carriers, including Aetna, Elevance and United Healthcare. PPO plans come from the most carriers, 12. Check the plan with the practice before a visit.
- Aetna
- Elevance
- United Healthcare
- Blue Cross Blue Shield of Michigan
- Horizon Blue Cross Blue Shield of New Jersey
- Cigna
- HCSC
- Aspirus Health Plan
- +9 more carriersWith a free account
Plan types Dr. Guma accepts, by number of carriers
- PPO12
- Medicare11
- HMO9
- POS6
- EPO4
- Medicaid1
Source: Dmand AI Insurance Network Data
Sources for Dr. Michael Guma's profile data
| Data on this page | Source |
|---|---|
| NPI, name, sex, specialty and licenses | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Professional Profile Data |
| Practice locations and phone | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice Data |
| Primary practice, affiliations and health system | NPPES NPI Registry (CMS) (opens in a new tab)Dmand AI Practice DataDmand AI Affiliation Data |
| Medicare services and procedure codes | Medicare Physician & Other Practitioners - by Provider and Service (CMS) (opens in a new tab) |
| State medians for the same specialty | Dmand AI Peer Benchmarks |
| Medicare patients and the all-payer patient panel | Dmand AI Patient Panel DataMedicare Physician & Other Practitioners - by Provider (CMS) (opens in a new tab) |
| Part D prescribing | Medicare 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 percentiles | Doctors and Clinicians National Downloadable File (CMS) (opens in a new tab)Clinician Public Reporting: Overall MIPS Performance (CMS) (opens in a new tab) |
| Publications, topics and co-authors | PubMed (National Library of Medicine) (opens in a new tab)Dmand AI Research Linkage |
| Industry payments | Open Payments (CMS) (opens in a new tab) |
| Awards and committee roles | Dmand AI Professional Profile Data |
| Training, board certification and memberships | Dmand AI Professional Profile Data |
| Insurance carriers and plan types | Dmand AI Insurance Network Data |
| EHR at each practice site | Dmand AI Technology Install Data |
| Similar physicians | Dmand AI Affiliation Data |
Data last refreshed October 2026Report an inaccuracyRemove my information
FAQ
Frequently asked questions about Dr. Michael Guma
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. Michael Guma's NPI number?
Dr. Michael Guma's NPI number is 1376655407. It was assigned on August 31, 2006, and it is active in the NPI Registry.
What kind of doctor is Dr. Michael Guma?
Dr. Michael Guma is a rheumatologist in North Arlington, New Jersey. The primary specialty in the NPI Registry is Rheumatology Physician (taxonomy code 207RR0500X).
Where does Dr. Michael Guma practice?
Dr. Guma practices at 312 Belleville Turnpike, North Arlington, NJ 07031. Dr. Guma's primary practice is Optum Medical Care of New Jersey in North Arlington, New Jersey. Dmand AI also links Dr. Guma to 2 hospitals, 1 physician office, 1 group practice or clinic and 1 medical group.
What is Dr. Michael Guma's office phone number?
The practice phone on file for Dr. Guma is (201) 636-7233.
What is Dr. Michael Guma's medical license number?
Dr. Guma holds New Jersey license MB055634.
Which hospitals is Dr. Michael Guma affiliated with?
Dr. Guma is affiliated with Hackensack University Medical Center. Dmand AI links Dr. Guma to 2 more hospitals.
What medical group is Dr. Michael Guma part of?
Dr. Guma is linked to Optum Medical Care New Jersey. Dmand AI links Dr. Guma to 1 more medical group.
Does Dr. Michael Guma accept Medicare?
Yes. CMS data shows Dr. Guma billed Medicare for 10,731 services in 2024, and Dr. Guma accepts Medicare assignment.
Does Dr. Michael Guma offer telehealth?
Yes. The CMS Doctors and Clinicians file lists Dr. Guma as offering telehealth services.
What is Dr. Michael Guma's MIPS score?
Dr. Guma's MIPS final score for performance year 2024 is 85 out of 100, reported as part of a group.
Show 10 more questionsShow fewer questions
How many Medicare patients does Dr. Michael Guma see?
CMS counts 325 Medicare patients who saw Dr. Guma in 2024, with an average age of 73.
Is Dr. Michael Guma board certified?
Yes. Dr. Guma is board certified in internal medicine by the American Board of Internal Medicine.
What services does Dr. Michael Guma bill to Medicare?
In 2024, Dr. Guma's most billed Medicare services were injected or infused drug (J0129), injected or infused drug (J0897) and injected or infused drug (J1010).
Where did Dr. Michael Guma go to medical school?
Dr. Guma graduated from Kirksville College of Osteopathic Medicine in 1989.
What drugs does Dr. Michael Guma prescribe most?
In 2024 Medicare Part D data, Dr. Guma's most prescribed drugs by claims were Methotrexate, Hydroxychloroquine Sulfate and Meloxicam.
Has Dr. Michael Guma received payments from drug or device companies?
CMS Open Payments shows $32,810 in general payments to Dr. Guma from 41 companies from 2016 to 2025. The largest total came from Aurinia Pharma U.S., Inc.
How long has Dr. Michael Guma been practicing?
Dr. Guma graduated from medical school in 1989, 37 years ago.
Does Dr. Michael Guma do research?
Dmand AI links 6 publications to Dr. Guma, published from 2021 to 2025.
Who does Dr. Michael Guma publish with?
Dr. Guma's most frequent co-authors are Gunwant K. Guron, MD (1 shared paper), Amer Yacoub Salem Hawatmeh, MD (1 shared paper) and Ashraf Jmeian, MD (1 shared paper).
What insurance does Dr. Michael Guma accept?
Dr. Guma is in network with 17 carriers, including Aetna, Elevance and United Healthcare. PPO plans come from the most carriers, 12. Check the plan with the practice before a visit.
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