EVAN MICHAEL GUERRERO M.D.
NPI 1346635125
Orthopaedic Surgery - Hand Surgery in Mission Viejo, CA

Active since March 30, 2015PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
26401 CROWN VALLEY PKWY STE 101, MISSION VIEJO, CA 92691(949) 348-4020(949) 348-7466 Get Directions Write a Review

NPPES record last updated: October 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 15, 2021, Aug 5, 2021, Aug 24, 2020 (3 updates tracked since 2020).

About Evan Michael Guerrero M.d. NPPES

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

EVAN MICHAEL GUERRERO M.D. (NPI 1346635125) is an individual hand surgery provider in Mission Viejo, California, licensed in California (173015) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS and is a graduate of Tulane University School Of Medicine (2015).

NPPES Registry Identity

NPI1346635125
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameEVAN MICHAEL GUERREROCredential: M.D.
Location Address26401 CROWN VALLEY PKWY STE 101Mission Viejo, CA 92691-6302
Mailing Address26401 Crown Valley Pkwy Ste 101Mission Viejo, CA 92691-6302 · (949) 348-4000 · Fax (949) 348-7466
Fax(949) 348-7466
Sole ProprietorNo
Medical School CMSTulane University School Of MedicineGraduated 2015
Enumeration DateMarch 30, 2015
Last NPPES UpdateOctober 15, 20213 updates tracked since enumeration
NPPES CertifiedOctober 15, 2021
NPI 1346635125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in CA · 173015
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 2020-01251 (NC)
26401 CROWN VALLEY PKWY STE 101, Mission Viejo, CA 92691

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

Evan Michael Guerrero 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 ID7113341942
PECOS Enrollment IDI20210917002917
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 32

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.
823 services377 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
589 services147 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
540 services113 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.
255 services255 patients
X-ray of shoulder blade 73010
An X-ray of the shoulder blade is a quick, painless test that produces images of the bones in your shoulder area. It helps identify fractures, infections, or other abnormalities. You'll need to stay still while a machine sends a small amount of radiation through your shoulder to capture the image.
196 services126 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
195 services125 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92691 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 2

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

Dynamic adjustable wrist extension / flexion device, includes soft interface material E1805
DME-Other DME · category DE000N
1 supplier18 claims18 services$101.56 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier29 claims31 services$60.67 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 10

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

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
26401 CROWN VALLEY PKWY STE 101
MISSION VIEJO, CA 92691
Orthopaedic Surgery
26401 CROWN VALLEY PKWY STE 101
MISSION VIEJO, CA 92691
Physician Assistant
26401 CROWN VALLEY PKWY STE 101
MISSION VIEJO, CA 92691
Physician Assistant
26401 CROWN VALLEY PKWY STE 101
MISSION VIEJO, CA 92691
Orthopaedic Surgery
26401 CROWN VALLEY PKWY STE 101
MISSION VIEJO, CA 92691
Physical Medicine & Rehabilitation (Sports Medicine)
26401 CROWN VALLEY PKWY STE 101
MISSION VIEJO, CA 92691
Orthopaedic Surgery
26401 CROWN VALLEY PKWY STE 101
MISSION VIEJO, CA 92691
Physician Assistant
26401 CROWN VALLEY PKWY STE 101
MISSION VIEJO, CA 92691

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 Evan Guerrero's NPI number?

The NPI number for Evan Guerrero is 1346635125. It was assigned to this individual provider in the NPPES registry on March 30, 2015.

Where is Evan Guerrero located?

Evan Guerrero practices at 26401 Crown Valley Pkwy Ste 101, Mission Viejo, CA 92691. The listed phone number is (949) 348-4020.

What is Evan Guerrero's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Evan Guerrero enrolled in Medicare?

Yes. Evan 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.

When was this NPI record last updated?

The NPPES record for Evan Guerrero was last updated on October 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.