MICHAEL EDWARD GUERRA M.D.
NPI 1023066552
Ophthalmology in Kerrville, TX

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment
69.48/100
CMS Quality Rating
244 WESLEY DR, KERRVILLE, TX 78028(830) 792-4900(830) 792-4448 Get Directions Write a Review

NPPES record last updated: June 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Michael Edward Guerra M.d. NPPES

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

MICHAEL EDWARD GUERRA M.D. (NPI 1023066552) is an individual ophthalmology provider in Kerrville, Texas, licensed in Texas (H0410) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Peterson Regional Medical Center, and is a graduate of Texas A & M University System, Hsc, College Of Medicine (1985).

NPPES Registry Identity

NPI1023066552
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMICHAEL EDWARD GUERRACredential: M.D.
Location Address244 WESLEY DRKerrville, TX 78028-5809
Mailing Address244 Wesley DrKerrville, TX 78028-5809 · (830) 792-4900 · Fax (830) 792-4448
Fax(830) 792-4448
Sole ProprietorYes
Medical School CMSTexas A & M University System, Hsc, College Of MedicineGraduated 1985
Enumeration DateMay 5, 2006
Last NPPES UpdateJune 18, 2021
NPPES CertifiedJune 18, 2021
NPI 1023066552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License Licensed in TX · H0410
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
244 WESLEY DR, Kerrville, TX 78028

Other Identifiers 1

Medicaid089638301TX

Accepted 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

Michael Edward Guerra 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 ID6406862994
PECOS Enrollment IDI20060221000394
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 11

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.

Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
1,573 services985 patients
Extended exam of the back part of the eye with retinal drawing 92201
This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
270 services245 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
187 services187 patients
Ultrasound scan to determine eye length and lens power 76519
An ultrasound scan for the eye is a safe, non-invasive procedure. It uses sound waves to create images of your eye's structure. This helps determine the length of your eye and the power of your lens, which is crucial for diagnosing eye conditions and planning surgeries.
136 services80 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
111 services66 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
87 services83 patients

Hospital Affiliations CMS Care Compare

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

Peterson Regional Medical Center

Acute Care Hospitals · Kerrville, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450007
Location551 Hill Country DriveKerrville, TX 78028 · Kerr County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78028 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
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.

69.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality70.9
Improvement Activities40
Cost37.06

Reported Quality Measures

Cataract Surgery: Difference Between Planned and Final Refraction
94%129 patients3/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
98%62 patients4/55-star benchmark: 100%
Complications After Cataract Surgery
Lower rates are better for this measure.
15%124 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Michael Guerra's NPI number?

The NPI number for Michael Guerra is 1023066552. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Michael Guerra located?

Michael Guerra practices at 244 Wesley Dr, Kerrville, TX 78028. The listed phone number is (830) 792-4900.

What is Michael Guerra's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Michael Guerra enrolled in Medicare?

Yes. Michael Guerra 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 Michael Guerra accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Michael Guerra 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 Michael Guerra affiliated with any hospitals?

According to CMS data, Michael Guerra is affiliated with Peterson Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Guerra was last updated on June 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.