DR. LUIS A GUZMAN M.D.
NPI 1285601948
Internal Medicine - Cardiovascular Disease in Winston Salem, NC

Q: What is Luis Guzman's NPI number?

The NPI number for Luis Guzman is 1285601948. It was assigned to this individual provider in the NPPES registry on March 2, 2006. The provider is also known as Dr. Luis Alberto Cuneo Guzman MD.

Q: Where is Luis Guzman located?

Luis Guzman practices at Medical Center Blvd, Winston Salem, NC 27157. The listed phone number is (336) 716-2255.

Q: What is Luis Guzman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: Is Luis Guzman enrolled in Medicare?

Yes. Luis 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.

Q: Is Luis Guzman affiliated with any hospitals?

According to CMS data, Luis Guzman is affiliated with Mary Washington Hospital and Stafford Hospital, LLC.

Q: When was this NPI record last updated?

The NPPES record for Luis Guzman was last updated on August 4, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 02, 2006PECOS EnrolledAccepts Medicare Assignment

90.84/100

CMS Quality Rating

MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157(336) 716-2255 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 4, 2025, Aug 13, 2024, Mar 3, 2020 (3 updates tracked since 2020).

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About Dr. Luis A Guzman M.d. NPPES

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

DR. LUIS A GUZMAN M.D. (NPI 1285601948) is an individual cardiovascular disease provider in Winston Salem, North Carolina, licensed in North Carolina (2020-00205) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Mary Washington Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1285601948

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. LUIS A GUZMANCredential: M.D.

Location AddressMEDICAL CENTER BLVDWinston Salem, NC 27157-6511

Mailing AddressPo Box 44008, Ufjp Provider EnrollmentJacksonville, FL 32231-4008 · (904) 244-3660 · Fax (904) 244-3425

Phone(336) 716-2255

Sole ProprietorNo

Medical School CMSOtherGraduated 1982

Enumeration DateMarch 2, 2006

Last NPPES UpdateAugust 4, 20253 updates tracked since enumeration

NPPES CertifiedAugust 4, 2025

✔ NPI 1285601948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

Licenses✔ Licensed in NC · 2020-00205✔ Licensed in FL · ME85888

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 2020-00205 (NC), 0101258670 (VA)

MEDICAL CENTER BLVD, Winston Salem, NC 27157

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Other Names 1

Professional Name (2)Dr. Luis Alberto Cuneo Guzman Md

Secondary Practice Locations 3

Location 1655 W 8th St, UFJP Cardiology DeptJacksonville, FL 32209-6511 · Phone (904) 244-3065 · Fax (904) 244-3102

Location 2500 Martha Jefferson Dr Ste 5Charlottesville, VA 22911-4668 · Phone (434) 654-5260 · Fax (844) 340-9731

Location 31201 Sam Perry Blvd Ste 280BFredericksburg, VA 22401-8400 · Phone (540) 741-5501

Other Identifiers 2

Medicaid2660563-00FL

Medicaid390691266AGA

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. Luis A Guzman M.d. 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 ID1557349123

PECOS Enrollment IDI20151021001300

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 18

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.

199 services183 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

180 services178 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

98 services96 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

71 services45 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

58 services58 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

52 services52 patients

Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist 93458

This procedure involves placing a tube into your left lower heart chamber and coronary artery. It helps doctors diagnose heart conditions by allowing them to view these areas in detail. A radiologist will review the images to ensure accurate diagnosis.

44 services44 patients

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.

29 services29 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

29 services16 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

26 services25 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

25 services23 patients

Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch 92928

This procedure involves placing a small, mesh tube (stent) in your coronary artery to keep it open. A balloon is used to expand the stent and artery, improving blood flow to your heart. It's typically done for a single artery or branch.

23 services18 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

21 services19 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

19 services19 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

18 services18 patients

Ultrasound evaluation of heart blood vessel or graft with review by radiologist, initial vessel 92978

This procedure involves using ultrasound technology to examine the first vessel of your heart or graft. A radiologist will review the images. It's a non-invasive way to check the health of your heart's blood vessels.

16 services14 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

16 services16 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Mary Washington Hospital

Acute Care Hospitals · Fredericksburg, VA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490022

Location1001 Sam Perry BoulevardFredericksburg, VA 22401 · Fredericksburg City County

Emergency services Birthing friendly

Stafford Hospital, LLC

Acute Care Hospitals · Stafford, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490140

Location101 Hospital Center BoulevardStafford, VA 22554 · Stafford County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27157 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

$125.01 typical visit price

range $54.12 – $165.09

Typical copayment $31.25 (range $13.53 – $41.27)

Most-billed visit code 99204

Established Patient

$67.72 typical visit price

range $17.21 – $134.61

Typical copayment $16.93 (range $4.30 – $33.65)

Most-billed visit code 99213

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.

90.84/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

89.23

Improvement Activities

Reported Quality Measures

Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)

93%74 patients4/55-star benchmark: 99%

Documentation of Current Medications in the Medical Record

98%1,896 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

64%1,294 patients3/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

30%868 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 98% · 452 patients

Patients screened: 100% · 452 patients

90%60 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

89%678 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 1% · 761 patients

Patients totalRate: 0% · 761 patients

0%761 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MR. GARY LEE RAY MSN, CRNA

Nurse Anesthetist, Certified Registered