DR. ARTHUR F GUERRERO MD
NPI 1346211604
Internal Medicine - Endocrinology, Diabetes & Metabolism in Schertz, TX

Q: What is Arthur Guerrero's NPI number?

The NPI number for Arthur Guerrero is 1346211604. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Q: What is Arthur Guerrero's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Arthur Guerrero was last updated on June 4, 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.

Active since January 26, 2006PECOS EnrolledAccepts Medicare Assignment

94.62/100

CMS Quality Rating

5000 SCHERTZ PKWY, STE 200, SCHERTZ, TX 78154(210) 650-3360(210) 650-5384 Get Directions Write a Review

NPPES record last updated: June 4, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 4, 2020, May 28, 2020, Dec 13, 2016 (3 updates tracked since 2016).

On this page

About Dr. Arthur F Guerrero Md NPPES

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

DR. ARTHUR F GUERRERO MD (NPI 1346211604) is an individual endocrinology, diabetes & metabolism provider in Schertz, Texas, licensed in Texas (Q7197) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Christus Santa Rosa Hospital-san Marcos, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (2004).

NPPES Registry Identity

NPI1346211604

Entity TypeIndividualMale

Primary Taxonomy207RE0101X

Provider Legal NameDR. ARTHUR F GUERREROCredential: MD

Location Address5000 SCHERTZ PKWY, STE 200Schertz, TX 78154-1399

Mailing Address5000 Schertz Pkwy, Ste 200Schertz, TX 78154-1403 · (210) 650-3360 · Fax (210) 650-5384

Phone(210) 650-3360

Fax(210) 650-5384

Sole ProprietorYes

Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 2004

Enumeration DateJanuary 26, 2006

Last NPPES UpdateJune 4, 20203 updates tracked since enumeration

NPPES CertifiedJune 4, 2020

✔ NPI 1346211604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in TX · Q7197

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

5000 SCHERTZ PKWY, Schertz, TX 78154

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Arthur F Guerrero 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 ID6103000476

PECOS Enrollment IDI20160705001497

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.

Medicare Billing Reassignments

Medicare enrollment records show Arthur Guerrero reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northeast Endocrinolgy Associates

3.3 mi

Endocrinology, Diabetes & Metabolism

7323 N LOOP 1604 E STE 601
San Antonio, TX 78233

Reassigned Medicare billing, Texas enrollment
6 clinicians in this Medicare group

NPI 1518154400 (210) 650-3360

Synergy Healthcare Associates, PLLC

12 mi

Gynecology

14100 SAN PEDRO AVE STE 200
San Antonio, TX 78232

Reassigned Medicare billing, Texas enrollment
67 clinicians in this Medicare group

NPI 1356584544 (210) 653-5501

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 19

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

1,335 services261 patients

Administration and interpretation of patient-focused health risk assessment 96160

This procedure involves a detailed evaluation of your health to identify potential risks. It includes analyzing your medical history, lifestyle habits, and family health history. The results are interpreted to provide a personalized plan to improve your health and prevent future issues.

667 services295 patients

Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487

Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.

586 services207 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

558 services68 patients

Blood glucose (sugar) test performed by hand-held instrument 82962

A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.

532 services203 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.

520 services288 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251

This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.

483 services169 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

381 services181 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.

272 services128 patients

Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489

Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.

272 services126 patients

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458

This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.

253 services62 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

198 services62 patients

Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211

This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.

117 services71 patients

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment 95250

This process involves a tiny sensor placed under your skin that checks your blood sugar levels in tissue fluid regularly. The sensor sends these readings to a device, allowing you to track your levels in real-time. This is provided by your healthcare provider.

105 services60 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.

90 services65 patients

Ultrasound study of arm and leg arteries 93922

An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.

73 services72 patients

Imaging of retina for disease detection, with automated review and report at point of care 92229

This procedure involves capturing images of your retina, the innermost layer of your eye, to detect any diseases. An automated system reviews these images and generates a report immediately. It's a quick and non-invasive way to check eye health.

49 services49 patients

Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment 99453

Remote monitoring of physiologic parameters involves using special equipment to track vital signs like heart rate and blood pressure from a distance. The initial set-up includes installing the device and teaching the patient how to use it correctly for accurate readings.

21 services15 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

15 services15 patients

Hospital Affiliations CMS Care Compare

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

Christus Santa Rosa Hospital-San Marcos

Acute Care Hospitals · San Marcos, TX

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450272

Location1301 Wonder World DriveSan Marcos, TX 78666 · Hays County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78154 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 $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

94.62/100

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

Individually scored

Quality

87.5

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Advance Care Plan

100%513 patients5/55-star benchmark: 100%

Controlling High Blood Pressure

88%474 patients4/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

24%517 patients4/55-star benchmark: 98%

Documentation of Current Medications in the Medical Record

98%3,330 patients4/55-star benchmark: 100%

e-Prescribing

97%1,344 patients4/55-star benchmark: 100%

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

99%1,067 patients4/55-star benchmark: 100%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

100%915 patients5/55-star benchmark: 97%

Provide Patients Electronic Access to Their Health Information

100%597 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.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Supplies for maintenance of insulin infusion catheter, per week A4224

DME-Other DME · category DE017N

11 suppliers112 claims1,417 services$18.04 avg. paid by Medicare

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225

DME-Other DME · category DE017N

11 suppliers113 claims3,684 services$2.32 avg. paid by Medicare

Supply allowance for adjunctive continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service A4238

DME-Medical/Surgical Supplies · category DA000N

3 suppliers16 claims16 services$168.54 avg. paid by Medicare

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

16 suppliers45 claims177 services$6.31 avg. paid by Medicare

External ambulatory infusion pump, insulin E0784

DME-Other DME · category DE017N

8 suppliers95 claims95 services$307.68 avg. paid by Medicare

Insulin for administration through dme (i.e., insulin pump) per 50 units J1817

Treatment-Injections and Infusions (nononcologic) · category RI000N

17 suppliers58 claims7,310 services$6.56 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 8

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

DOSS AUDIOLOGY & HEARING CENTER, PLLC

Audiologist

5000 SCHERTZ PKWY, SUITE 300
SCHERTZ, TX 78154

Guadalupe County (210) 819-5002

MRS. LAURA BETH GARCIA PA-C

Physician Assistant (Medical)

5000 SCHERTZ PKWY, STE 400
SCHERTZ, TX 78154

Guadalupe County (210) 495-7246

EMILY MARIE SUAREZ RBT

Behavior Technician

5000 SCHERTZ PKWY
SCHERTZ, TX 78154

Guadalupe County (214) 773-4003

JESSIE VANITHA JEEVARAJAN D.O.

Pediatrics

5000 SCHERTZ PKWY
SCHERTZ, TX 78154

Guadalupe County (210) 775-0909

DR. BRUCE DONALD AKRIGHT M.D.

Obstetrics & Gynecology (Gynecology)

5000 SCHERTZ PKWY, SUITE 100
SCHERTZ, TX 78154

Guadalupe County (210) 650-9978

JORDAN BOLDT WALDRIP PT, DPT

Physical Therapist

5000 SCHERTZ PKWY, SUITE 600
SCHERTZ, TX 78154

Guadalupe County (210) 804-5672

DR. SARAH ALICE STAFFORD M.D.

Pediatrics

5000 SCHERTZ PKWY, BUILDING 200, SUITE 202
SCHERTZ, TX 78154

Guadalupe County (210) 651-1055

DR. JEAN-ANTHONY P DO MD

Obstetrics & Gynecology

5000 SCHERTZ PKWY, SUITE 100
SCHERTZ, TX 78154

Guadalupe County (210) 650-9978

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 Arthur Guerrero's NPI number?

The NPI number for Arthur Guerrero is 1346211604. It was assigned to this individual provider in the NPPES registry on January 26, 2006.

Where is Arthur Guerrero located?

Arthur Guerrero practices at 5000 Schertz Pkwy Ste 200, Schertz, TX 78154. The listed phone number is (210) 650-3360.

What is Arthur Guerrero's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Arthur Guerrero enrolled in Medicare?

Yes. Arthur Guerrero 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.

Which organizations bill Medicare for Arthur Guerrero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Arthur Guerrero reassigns Medicare benefits to 2 organizations: Northeast Endocrinolgy Associates (San Antonio, TX) and Synergy Healthcare Associates, PLLC (San Antonio, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Arthur Guerrero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Arthur Guerrero accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Arthur Guerrero 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 Arthur Guerrero affiliated with any hospitals?

According to CMS data, Arthur Guerrero is affiliated with Christus Santa Rosa Hospital-San Marcos.

When was this NPI record last updated?

The NPPES record for Arthur Guerrero was last updated on June 4, 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.