DR. JUAN GUZMAN JR. M.D.
NPI 1154715142
Family Medicine - Sports Medicine in Austin, TX

Q: What is Juan Guzman's NPI number?

The NPI number for Juan Guzman is 1154715142. It was assigned to this individual provider in the NPPES registry on March 27, 2015.

Q: What is Juan Guzman's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for Juan Guzman was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.

Active since March 27, 2015PECOS EnrolledAccepts Medicare Assignment

71.53/100

CMS Quality Rating

1601 TRINITY ST, AUSTIN, TX 78712(833) 882-2737 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2024, Jun 4, 2020, Nov 19, 2018 (3 updates tracked since 2018).

On this page

About Dr. Juan Guzman Jr. M.d. NPPES

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

DR. JUAN GUZMAN JR. M.D. (NPI 1154715142) is an individual sports medicine provider in Austin, Texas, licensed in Texas (S3986) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1154715142

Entity TypeIndividualMale

Primary Taxonomy207QS0010X

Provider Legal NameDR. JUAN GUZMAN JR.Credential: M.D.

Location Address1601 TRINITY STAustin, TX 78712-1765

Mailing Address1601 Trinity St Stop Z0200Austin, TX 78712-1850

Phone(833) 882-2737

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateMarch 27, 2015

Last NPPES UpdateDecember 5, 20243 updates tracked since enumeration

NPPES CertifiedDecember 5, 2024

✔ NPI 1154715142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

License✔ Licensed in TX · S3986

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

1601 TRINITY ST, Austin, TX 78712

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Dr. Juan Guzman Jr. 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 ID2567766397

PECOS Enrollment IDI20191127000893

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 4

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

76 services15 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

29 services29 patients

Aspiration and/or injection of fluid large joint using ultrasound guidance 20611

This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.

15 services15 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.

14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78712 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

$89.03 typical visit price

range $57.88 – $174.00

Typical copayment $22.25 (range $14.47 – $43.50)

Most-billed visit code 99203

Established Patient

$101.65 typical visit price

range $18.88 – $142.23

Typical copayment $25.41 (range $4.72 – $35.55)

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.

71.53/100

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

Scored as part of a group practice

Quality

64.85

Improvement Activities

Cost

69.55

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.

BENJAMIN JAMES EHRENFELD LCSW

Social Worker (Clinical)

1601 TRINITY ST
AUSTIN, TX 78712

Travis County (512) 495-5300

ROBERT FEINSTEIN MD

Psychiatry & Neurology (Psychiatry)

1601 TRINITY ST
AUSTIN, TX 78712

Travis County (833) 882-2737

DR. VEENA A PATEL M.D.

Internal Medicine (Rheumatology)

1601 TRINITY ST
AUSTIN, TX 78712

Travis County (833) 882-2737

FAHEEM MAHOMED M.D.

Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)

1601 TRINITY ST
AUSTIN, TX 78712

Travis County (512) 913-5011

SUE GAIL ECKHARDT MD

Internal Medicine (Medical Oncology)

1601 TRINITY ST
AUSTIN, TX 78712

Travis County (512) 495-5512

MS. ERIN ELIZABETH LOPEZ PA-C

Physician Assistant (Medical)

1601 TRINITY ST, SUITE 704
AUSTIN, TX 78712

Travis County (512) 324-8320

AARON BRAVERMAN LCSW

Social Worker (Clinical)

1601 TRINITY ST
AUSTIN, TX 78712

Travis County (833) 882-2737

ANNA CAPASSO MD

Internal Medicine (Medical Oncology)

1601 TRINITY ST
AUSTIN, TX 78712

Travis County (833) 882-2737

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 Juan Guzman's NPI number?

The NPI number for Juan Guzman is 1154715142. It was assigned to this individual provider in the NPPES registry on March 27, 2015.

Where is Juan Guzman located?

Juan Guzman practices at 1601 Trinity St, Austin, TX 78712. The listed phone number is (833) 882-2737.

What is Juan Guzman's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Juan Guzman enrolled in Medicare?

Yes. Juan Guzman 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 Juan Guzman 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 2 other insurers list Juan Guzman 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.

When was this NPI record last updated?

The NPPES record for Juan Guzman was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.