JUSTIN ANDREW DE LA GUERRA MD
NPI 1164009585
Family Medicine in Fayetteville, NC

Active since March 24, 2021PECOS EnrolledAccepts Medicare Assignment
1601 OWEN DR, FAYETTEVILLE, NC 28304(910) 678-7259 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 19, 2025, Jun 26, 2024, Mar 24, 2021 (3 updates tracked since 2021).

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

NPI1164009585
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJUSTIN ANDREW DE LA GUERRACredential: MD
Location Address1601 OWEN DRFayetteville, NC 28304-3425
Mailing Address1601 Owen DrFayetteville, NC 28304-3425 · (910) 678-0100
Sole ProprietorNo
Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 2021
Enumeration DateMarch 24, 2021
Last NPPES UpdateNovember 19, 20253 updates tracked since enumeration
NPPES CertifiedNovember 19, 2025
NPI 1164009585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NC · 2023-02662
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.
1601 OWEN DR, Fayetteville, NC 28304

Secondary Practice Locations 2

Location 1150 Robeson StFayetteville, NC 28301-5570 · Phone (910) 615-1059
Location 26387 Ramsey St Unit 100Fayetteville, NC 28311-9442 · Phone (910) 615-3879

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

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.

PECOS PAC ID9133529886
PECOS Enrollment IDI20240820000877
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 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.

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.
91 services55 patients
Blood test, basic group of blood chemicals (calcium, total) 80048
A basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
26 services19 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
19 services17 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.
14 services14 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
11 services11 patients

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, NC
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340028
Location1638 Owen Drive P O Box 2000Fayetteville, NC 28302 · Cumberland County
Emergency services Birthing friendly

Physician 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.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

Student in an Organized Health Care Education/Training Program
1601 OWEN DR
FAYETTEVILLE, NC 28304
Family Medicine
1601 OWEN DR
FAYETTEVILLE, NC 28304
Student in an Organized Health Care Education/Training Program
1601 OWEN DR
FAYETTEVILLE, NC 28304
Nurse Practitioner (Family)
1601 OWEN DR
FAYETTEVILLE, NC 28304
Family Medicine
1601 OWEN DR
FAYETTEVILLE, NC 28304
Internal Medicine (Infectious Disease)
1601 OWEN DR
FAYETTEVILLE, NC 28304
Family Medicine
1601 OWEN DR
FAYETTEVILLE, NC 28304
Student in an Organized Health Care Education/Training Program
1601 OWEN DR
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.

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 UnitedHealthcare 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 with the weekly NPPES data releases published by CMS.