DR. RUTH LORENA GUEVARA M.D.
NPI 1154556199
Family Medicine in East Patchogue, NY

Q: What is Ruth Guevara's NPI number?

The NPI number for Ruth Guevara is 1154556199. It was assigned to this individual provider in the NPPES registry on May 20, 2009.

Q: What is Ruth Guevara's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Ruth Guevara was last updated on May 26, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 20, 2009PECOS EnrolledAccepts Medicare Assignment

91.25/100

CMS Quality Rating

100 HOSPITAL RD, SUITE 203, EAST PATCHOGUE, NY 11772(631) 475-6900 Get Directions Write a Review

NPPES record last updated: May 26, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Ruth Lorena Guevara M.d. NPPES

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

DR. RUTH LORENA GUEVARA M.D. (NPI 1154556199) is an individual family medicine provider in East Patchogue, New York, licensed in Florida (104373) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1154556199

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. RUTH LORENA GUEVARACredential: M.D.

Location Address100 HOSPITAL RD, SUITE 203East Patchogue, NY 11772-8809

Mailing Address100 Hospital Rd, Suite 203East Patchogue, NY 11772-8809 · (631) 475-6900

Phone(631) 475-6900

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateMay 20, 2009

Last NPPES UpdateMay 26, 2010

✔ NPI 1154556199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in FL · 104373✔ Licensed in NY · 253613

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

100 HOSPITAL RD, East Patchogue, NY 11772

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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

Dr. Ruth Lorena Guevara 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 ID8426103193

PECOS Enrollment IDI20090901000472

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 13

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 office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

590 services504 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

105 services93 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

99 services95 patients

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

61 services60 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

60 services60 patients

Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880

A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.

51 services51 patients

X-ray of chest, 2 views 71046

A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.

40 services33 patients

Detection test by immunoassay with direct visual observation for influenza virus 87804

This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.

40 services38 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

21 services21 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

17 services11 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

13 services13 patients

Administration of vaccine 90471

Administering a vaccine involves injecting a small, safe piece of a virus or bacteria into your body. This triggers your immune system to recognize and fight off the disease in the future. It's a vital tool in preventing serious illnesses and maintaining public health.

11 services11 patients

Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older) 90715

The Diphtheria, Tetanus, and Acellular Pertussis vaccine, also known as Tdap, is an immunization given to protect against three serious diseases. It's recommended for those aged 7 or older. The vaccine stimulates your body to build defenses against these infections, promoting overall health.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11772 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

91.25/100

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

Scored through an Alternative Payment Model

Quality

74.92

Promoting Interoperability

91.67

Improvement Activities

Leave this field empty

Other Providers at the Same Location NPPES 20

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

PETER URAZOV DO

Family Medicine

100 HOSPITAL RD, SUITE 203
EAST PATCHOGUE, NY 11772

Suffolk County (631) 475-6900

DR. GOPAL A BHANDARKAR M.D.

Anesthesiology

100 HOSPITAL RD
EAST PATCHOGUE, NY 11772

Suffolk County (631) 654-7100

BROOKHAVEN SURGICAL SERVICES, P.C.

Surgery

100 HOSPITAL RD
EAST PATCHOGUE, NY 11772

Suffolk County (631) 687-4022

EDWARD PIROLLI D.O.

Family Medicine

100 HOSPITAL RD, SUITE 203
EAST PATCHOGUE, NY 11772

Suffolk County (631) 475-6900

BROOKHAVEN PHYSICIAN SERVICES, P. C.

General Practice

100 HOSPITAL RD, SUITE 203
EAST PATCHOGUE, NY 11772

Suffolk County (631) 475-6900

KATHRYN HOFFMANN DPT

Physical Therapist

100 HOSPITAL RD, SUITE 112
EAST PATCHOGUE, NY 11772

Suffolk County (631) 456-5512

ZOILA Z. FLORES D.O.

Family Medicine

100 HOSPITAL RD
EAST PATCHOGUE, NY 11772

Suffolk County (631) 447-3010

BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER

General Acute Care Hospital

100 HOSPITAL RD
PATCHOGUE, NY 11772

Suffolk County (631) 447-3010

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 Ruth Guevara's NPI number?

The NPI number for Ruth Guevara is 1154556199. It was assigned to this individual provider in the NPPES registry on May 20, 2009.

Where is Ruth Guevara located?

Ruth Guevara practices at 100 Hospital Rd Suite 203, East Patchogue, NY 11772. The listed phone number is (631) 475-6900.

What is Ruth Guevara's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ruth Guevara enrolled in Medicare?

Yes. Ruth Guevara 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.

When was this NPI record last updated?

The NPPES record for Ruth Guevara was last updated on May 26, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.