1. Home
  2. Directory
  3. Ohio
  4. Cleveland
  5. Internal Medicine
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DEBRA S GUERINI M.D.
NPI 1013985605
Internal Medicine in Cleveland, OH

Active since March 09, 2006PECOS Enrolled
79.48/100
CMS Quality Rating
30680 BAINBRIDGE RD, COMMUNITY HOSPITALISTS, CLEVELAND, OH 44139(440) 542-5023 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Debra S Guerini M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEBRA S GUERINI M.D. (NPI 1013985605) is an individual internal medicine provider in Cleveland, Ohio, licensed in Ohio (35-06-5842-G) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Uh Regional Hospitals, and is a graduate of Northeastern Ohio University College Of Medicine (1991).

NPPES Registry Identity

NPI1013985605
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDEBRA S GUERINICredential: M.D.
Location Address30680 BAINBRIDGE RD, COMMUNITY HOSPITALISTSCleveland, OH 44139-2282
Mailing Address2420 Lake AveAshtabula, OH 44004-4954 · (440) 997-2262
Phone(440) 542-5023
Sole ProprietorNo
Medical School CMSNortheastern Ohio University College Of MedicineGraduated 1991
Enumeration DateMarch 9, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1013985605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35-06-5842-G
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
30680 BAINBRIDGE RD, Cleveland, OH 44139
Open in Google Maps ↗

Other Identifiers 1

Medicaid0975360OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Debra S Guerini M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7810880564
PECOS Enrollment IDI20040205000799
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
249 services136 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
129 services80 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
96 services94 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
63 services63 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
16 services15 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Uh Regional Hospitals

Acute Care Hospitals · Chardon, OH
3/5 CMS rating
OwnershipProprietary
CMS Certification Number360075
Location13207 Ravenna RoadChardon, OH 44024 · Geauga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44139 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.51
Promoting Interoperability100
Improvement Activities40
Cost63.09

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$67.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SANATH ALLAMPATI M.D.
Internal Medicine
30680 BAINBRIDGE RD
SOLON, OH 44139
Cuyahoga County (440) 542-5023
DR. LAUREN MARIE SPALDING WALTER D.O.
Internal Medicine
30680 BAINBRIDGE RD
SOLON, OH 44139
Cuyahoga County (440) 542-5025
COMMUNITY HOSPITALISTS OF PENNSYLVANIA, INC
Internal Medicine
30680 BAINBRIDGE RD
SOLON, OH 44139
Cuyahoga County (440) 542-5023
FAMILY CARE CENTERS OF OHIO
Family Medicine
30680 BAINBRIDGE RD
SOLON, OH 44139
Cuyahoga County (440) 542-5000
DR. APARNA REDDY M.D.
Internal Medicine
30680 BAINBRIDGE RD, COMMUNITY HOSPITALISTS LLC
CLEVELAND, OH 44139
Cuyahoga County (440) 542-5000
DR. BILAL MOUSA ATAYA M.D.
Hospitalist
30680 BAINBRIDGE RD
CLEVELAND, OH 44139
Cuyahoga County (440) 542-5000
MRS. LISA ANN LORENZ APRN-BC
Nurse Practitioner (Acute Care)
30680 BAINBRIDGE RD
CLEVELAND, OH 44139
Cuyahoga County (440) 542-5000
PAT SERVICES, LLC
Internal Medicine
30680 BAINBRIDGE RD
SOLON, OH 44139
Cuyahoga County (440) 542-5023

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Debra Guerini's NPI number?

The NPI number for Debra Guerini is 1013985605. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is Debra Guerini located?

Debra Guerini practices at 30680 Bainbridge Rd Community Hospitalists, Cleveland, OH 44139. The listed phone number is (440) 542-5023.

What is Debra Guerini's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Debra Guerini enrolled in Medicare?

Yes. Debra Guerini is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Debra Guerini accept?

Health plans from Antidote Health Plan of Ohio, Inc. and CareSource list Debra Guerini as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Debra Guerini affiliated with any hospitals?

According to CMS data, Debra Guerini is affiliated with Uh Regional Hospitals.

When was this NPI record last updated?

The NPPES record for Debra Guerini was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.