DR. GERARDO GUADARRAMA JR. OD
NPI 1215771043
Optometrist in Raleigh, NC
About Dr. Gerardo Guadarrama Jr. Od NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. GERARDO GUADARRAMA JR. OD (NPI 1215771043) is an individual optometrist in Raleigh, North Carolina, licensed in North Carolina (0000000000) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2024).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Gerardo Guadarrama Jr. Od 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 27612 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 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Gerardo Guadarrama's NPI number?
The NPI number for Gerardo Guadarrama is 1215771043. It was assigned to this individual provider in the NPPES registry on June 25, 2024.
Where is Gerardo Guadarrama located?
Gerardo Guadarrama practices at 4325 Glenwood Ave, Raleigh, NC 27612. The listed phone number is (919) 782-4100.
What is Gerardo Guadarrama's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Gerardo Guadarrama enrolled in Medicare?
Yes. Gerardo Guadarrama 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 Gerardo Guadarrama accept?
Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of NC and Blue Cross and Blue Shield of Oklahoma and 4 other insurers list Gerardo Guadarrama 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 Gerardo Guadarrama was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Gerardo Guadarrama Jr., OD · NPI 1215771043
Optometrist provider in Raleigh, North Carolina. Individual provider, active in the CMS NPPES registry since June 25, 2024.
## Identity
- **NPI:** 1215771043 (Entity type: Individual)
- **Enumerated:** June 25, 2024
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **State license:** 0000000000 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 4325 GLENWOOD AVE, Raleigh, NC 27612-4532
- **Phone:** (919) 782-4100
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Medical school:** Pennsylvania College Of Optometry, class of 2024
## Record status
- **NPPES last updated:** June 25, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1215771043) · Data from the CMS NPPES public registry.