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MR. PEDRO GUZMAN MD
NPI 1174858104
Internal Medicine in Hazleton, PA

Active since October 08, 2009PECOS EnrolledAccepts Medicare Assignment
141 N CEDAR ST, HAZLETON, PA 18201(570) 497-4419(570) 497-4420 Get Directions Write a Review

NPPES record last updated: February 14, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Pedro Guzman Md NPPES

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

MR. PEDRO GUZMAN MD (NPI 1174858104) is an individual internal medicine provider in Hazleton, Pennsylvania, licensed in New York (60-255127) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS, is affiliated with Geisinger Medical Center, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1174858104
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMR. PEDRO GUZMANCredential: MD
Location Address141 N CEDAR STHazleton, PA 18201-5580
Mailing Address141 N Cedar StHazleton, PA 18201-5580 · (570) 497-4419 · Fax (570) 497-4420
Phone(570) 497-4419
Fax(570) 497-4420
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateOctober 8, 2009
Last NPPES UpdateFebruary 14, 2020
✔ NPI 1174858104 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 · 60-255127
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.
141 N CEDAR ST, Hazleton, PA 18201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Mr. Pedro 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 ID3274677679
PECOS Enrollment IDI20111006000689
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.

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.
194 services98 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.
116 services69 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
18 services18 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
17 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Geisinger Medical Center

Acute Care Hospitals · Danville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390006
Location100 North Academy AvenueDanville, PA 17822 · Montour County
Emergency services Birthing friendly

St Luke's Miners Memorial Hospital

Acute Care Hospitals · Coaldale, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390183
Location360 W Ruddle StreetCoaldale, PA 18218 · Schuylkill County
Emergency services

Lehigh Valley Hospital - Hazleton

Acute Care Hospitals · Hazleton, PA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number390185
Location700 East Broad StreetHazleton, PA 18201 · Luzerne County
Emergency services Birthing friendly

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390270
Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18201 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers111 claims193 services$5.85 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers14 claims14 services$2.95 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers83 claims102 services$0.96 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
1 supplier20 claims54 services$1.32 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier36 claims39 services$2.93 avg. paid by Medicare
Home blood glucose monitor E0607
DME-Other DME · category DE017N
4 suppliers11 claims11 services$24.98 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

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

HAZLETON MEDICAL PRACTICE LLC
Internal Medicine
141 N CEDAR ST
HAZLETON, PA 18201
Luzerne County (570) 497-4419

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 Pedro Guzman's NPI number?

The NPI number for Pedro Guzman is 1174858104. It was assigned to this individual provider in the NPPES registry on October 8, 2009.

Where is Pedro Guzman located?

Pedro Guzman practices at 141 N Cedar St, Hazleton, PA 18201. The listed phone number is (570) 497-4419.

What is Pedro Guzman's specialty?

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

Is Pedro Guzman enrolled in Medicare?

Yes. Pedro 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 Pedro Guzman accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Pedro 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.

Is Pedro Guzman affiliated with any hospitals?

According to CMS data, Pedro Guzman is affiliated with Geisinger Medical Center, St Luke's Miners Memorial Hospital, Lehigh Valley Hospital - Hazleton and Geisinger Wyoming Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Pedro Guzman was last updated on February 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.