JUSTIN ANDREW DE LA GUERRA MD
NPI 1164009585
Family Medicine in Fayetteville, NC
About Justin Andrew De La Guerra Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTIN ANDREW DE LA GUERRA MD (NPI 1164009585) is an individual family medicine provider in Fayetteville, North Carolina, licensed in North Carolina (2023-02662) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Cape Fear Valley Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Justin Andrew De La Guerra 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.
Medicare Billing Reassignments
3Medicare enrollment records show Justin De La Guerra reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fayetteville, NC 28304
- Reassigned Medicare billing, North Carolina enrollment
- 51 clinicians in this Medicare group
Fayetteville, NC 28304
- Reassigned Medicare billing, North Carolina enrollment
- 906 clinicians in this Medicare group
Fayetteville, NC 28301
- Reassigned Medicare billing, North Carolina enrollment
- 37 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Cape Fear Valley Medical Center
Acute Care Hospitals · Fayetteville, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FAYETTEVILLE, NC 28304
FAYETTEVILLE, NC 28304
FAYETTEVILLE, NC 28304
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 Justin De La Guerra's NPI number?
The NPI number for Justin De La Guerra is 1164009585. It was assigned to this individual provider in the NPPES registry on March 24, 2021.
Where is Justin De La Guerra located?
Justin De La Guerra practices at 1601 Owen Dr, Fayetteville, NC 28304. The listed phone number is (910) 678-7259.
What is Justin De La Guerra's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Justin De La Guerra enrolled in Medicare?
Yes. Justin De La 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.
Which organizations bill Medicare for Justin De La Guerra's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justin De La Guerra reassigns Medicare benefits to 3 organizations: Fayetteville Area Health Education Foundation Inc (Fayetteville, NC), Cumberland County Hospital System Inc (Fayetteville, NC) and Cfv Express Care Billing Services LLC (Fayetteville, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Justin De La Guerra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Justin De La Guerra accept?
Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and Cigna Healthcare and 1 other insurer list Justin De La 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 Justin De La Guerra affiliated with any hospitals?
According to CMS data, Justin De La Guerra is affiliated with Cape Fear Valley Medical Center.
When was this NPI record last updated?
The NPPES record for Justin De La Guerra was last updated on November 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Justin Andrew De La Guerra, MD · NPI 1164009585
Family Medicine physician in Fayetteville, North Carolina. Individual provider, active in the CMS NPPES registry since March 24, 2021.
## Identity
- **NPI:** 1164009585 (Entity type: Individual)
- **Enumerated:** March 24, 2021
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 2023-02662 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 1601 OWEN DR, Fayetteville, NC 28304-3425
- **Phone:** (910) 678-7259
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Fayetteville Area Health Education Foundation Inc (NPI 1811072812, Fayetteville, NC); Cumberland County Hospital System Inc (NPI 1104327709, Fayetteville, NC); Cfv Express Care Billing Services LLC (NPI 1396842514, Fayetteville, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Connecticut School Of Medicine, class of 2021
## Record status
- **NPPES last updated:** November 19, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1164009585) · Data from the CMS NPPES public registry.