VICTORIA EUGENIA GUERRERO GORMAN MD
NPI 1073976445
Obstetrics & Gynecology in Miami, FL

Q: What is Victoria Guerrero Gorman's NPI number?

The NPI number for Victoria Guerrero Gorman is 1073976445. It was assigned to this individual provider in the NPPES registry on April 1, 2016.

Q: What is Victoria Guerrero Gorman's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since April 01, 2016PECOS EnrolledAccepts Medicare Assignment

81.31/100

CMS Quality Rating

1611 NW 12TH AVE # 4070, MIAMI, FL 33136(305) 243-4960(305) 243-3634 Get Directions Write a Review

NPPES record last updated: August 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 31, 2022, Aug 19, 2022, Sep 15, 2020 and 1 more (4 updates tracked since 2016).

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About Victoria Eugenia Guerrero Gorman Md NPPES

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

VICTORIA EUGENIA GUERRERO GORMAN MD (NPI 1073976445) is an individual obstetrics & gynecology provider in Miami, Florida, licensed in Florida (ME157642) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1073976445

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameVICTORIA EUGENIA GUERRERO GORMANCredential: MD

Location Address1611 NW 12TH AVE # 4070Miami, FL 33136-1005

Mailing Address1611 Nw 12th Ave # 4070Miami, FL 33136-1005 · (305) 243-4960 · Fax (305) 243-3634

Phone(305) 243-4960

Fax(305) 243-3634

Sole ProprietorYes

Medical School CMSOtherGraduated 2018

Enumeration DateApril 1, 2016

Last NPPES UpdateAugust 31, 20224 updates tracked since enumeration

NPPES CertifiedAugust 31, 2022

✔ NPI 1073976445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in FL · ME157642

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

1611 NW 12TH AVE # 4070, Miami, FL 33136

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.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

Victoria Eugenia Guerrero Gorman Md 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 ID749575298

PECOS Enrollment IDI20220826000060

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.

Hospital Affiliations CMS Care Compare

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

Jackson Health System

Acute Care Hospitals · Miami, FL

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100022

Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33136 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

$141.56 typical visit price

range $60.92 – $187.05

Typical copayment $35.39 (range $15.23 – $46.76)

Most-billed visit code 99204

Established Patient

$75.86 typical visit price

range $18.99 – $150.24

Typical copayment $18.96 (range $4.74 – $37.56)

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.

81.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.45

Promoting Interoperability

100

Improvement Activities

Cost

50.59

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture

Lower rates are better for this measure.

4%53 patients

Breast Cancer Screening

51%163 patients3/55-star benchmark: 93%

Cervical Cancer Screening

85%366 patients4/55-star benchmark: 98%

Chlamydia Screening for Women

67%63 patients

Colorectal Cancer Screening

50%220 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

75%69 patients4/55-star benchmark: 91%

Diabetes: Eye Exam

29%28 patients2/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

43%28 patients3/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

91%591 patients4/55-star benchmark: 100%

e-Prescribing

100%136 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

80%54 patients4/55-star benchmark: 100%

HIV Screening

48%461 patients4/55-star benchmark: 60%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

50%449 patients3/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

53%421 patients3/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

46%516 patients4/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 99% · 362 patients

98%362 patients

Provide Patients Electronic Access to Their Health Information

100%217 patients5/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 2% · 60 patients

Patients totalRate: 13% · 60 patients

15%60 patients3/55-star benchmark: 100%

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.

Other Providers at the Same Location NPPES 3

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

ANA LUCIA ROSARIO SANTOS MD

Obstetrics & Gynecology

1611 NW 12TH AVE # 4070
MIAMI, FL 33136

Miami-Dade County (787) 758-2525

DR. JILL NICOLE TERRY ROBERTS MD

Obstetrics & Gynecology

1611 NW 12TH AVE # 4070
MIAMI, FL 33136

Miami-Dade County (970) 818-6098

POUYA ABHARI M.D

Obstetrics & Gynecology (Maternal & Fetal Medicine)

1611 NW 12TH AVE # 4070
MIAMI, FL 33136

Miami-Dade County (305) 585-5437

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 Victoria Guerrero Gorman's NPI number?

The NPI number for Victoria Guerrero Gorman is 1073976445. It was assigned to this individual provider in the NPPES registry on April 1, 2016.

Where is Victoria Guerrero Gorman located?

Victoria Guerrero Gorman practices at 1611 NW 12th Ave # 4070, Miami, FL 33136. The listed phone number is (305) 243-4960.

What is Victoria Guerrero Gorman's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Victoria Guerrero Gorman enrolled in Medicare?

Yes. Victoria Guerrero Gorman 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 Victoria Guerrero Gorman accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida and 1 other insurer list Victoria Guerrero Gorman 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 Victoria Guerrero Gorman affiliated with any hospitals?

According to CMS data, Victoria Guerrero Gorman is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Victoria Guerrero Gorman was last updated on August 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.