RONALD GUZMAN MD
NPI 1164563110
Internal Medicine in Fairport, NY

Active since February 11, 2007PECOS EnrolledAccepts Medicare Assignment
76.84/100
CMS Quality Rating
800 AYRAULT RD STE 200, FAIRPORT, NY 14450(585) 602-2300(585) 425-2750 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 5, 2023, Apr 23, 2019 (2 updates tracked since 2019).

About Ronald Guzman Md NPPES

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

RONALD GUZMAN MD (NPI 1164563110) is an individual internal medicine provider in Fairport, New York, licensed in New York (192796) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Strong Memorial Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1164563110
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRONALD GUZMANCredential: MD
Location Address800 AYRAULT RD STE 200Fairport, NY 14450-8941
Mailing Address800 Ayrault Rd Ste 200Fairport, NY 14450-8941 · (585) 602-2300 · Fax (585) 425-2750
Fax(585) 425-2750
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateFebruary 11, 2007
Last NPPES UpdateJuly 5, 20232 updates tracked since enumeration
NPI 1164563110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 192796
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
800 AYRAULT RD STE 200, Fairport, NY 14450

Other Identifiers 1

Medicaid01656766NY

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

Ronald Guzman 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 ID1557543576
PECOS Enrollment IDI20110314000167
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 2

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.
28 services28 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.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14450 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

76.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.2
Promoting Interoperability100
Improvement Activities40
Cost42.68

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tracheostomy, inner cannula A4623
DME-Orthotic Devices · category DF000N
1 supplier13 claims670 services$6.33 avg. paid by Medicare
Tracheostomy care kit for established tracheostomy A4629
DME-Orthotic Devices · category DF000N
1 supplier11 claims338 services$4.15 avg. paid by Medicare
Large volume nebulizer, disposable, unfilled, used with aerosol compressor A7007
DME-Other DME · category DE000N
1 supplier12 claims24 services$3.37 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$19.33 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$23.37 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers36 claims36 services$80.32 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

Internal Medicine
800 AYRAULT RD STE 200
FAIRPORT, NY 14450
Internal Medicine
800 AYRAULT RD STE 200
FAIRPORT, NY 14450
Nurse Practitioner (Adult Health)
800 AYRAULT RD STE 200
FAIRPORT, NY 14450
Internal Medicine
800 AYRAULT RD STE 200
FAIRPORT, NY 14450
Internal Medicine
800 AYRAULT RD STE 200
FAIRPORT, NY 14450
Nurse Practitioner (Family)
800 AYRAULT RD STE 200
FAIRPORT, NY 14450
Internal Medicine
800 AYRAULT RD STE 200
FAIRPORT, NY 14450

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 Ronald Guzman's NPI number?

The NPI number for Ronald Guzman is 1164563110. It was assigned to this individual provider in the NPPES registry on February 11, 2007.

Where is Ronald Guzman located?

Ronald Guzman practices at 800 Ayrault Rd Ste 200, Fairport, NY 14450. The listed phone number is (585) 602-2300.

What is Ronald Guzman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ronald Guzman enrolled in Medicare?

Yes. Ronald 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.

Is Ronald Guzman affiliated with any hospitals?

According to CMS data, Ronald Guzman is affiliated with Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Ronald Guzman was last updated on July 5, 2023. 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.