DR. ELIZABETH DENISE ELGUERA M.D.
NPI 1356490239
Obstetrics & Gynecology - Gynecology in Fort Pierce, FL

Active since January 09, 2007PECOS Enrolled
1304 N LAWNWOOD CIR, FORT PIERCE, FL 34950(772) 489-6636(772) 489-5749 Get Directions Write a Review

NPPES record last updated: January 9, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Elizabeth Denise Elguera M.d. NPPES

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

DR. ELIZABETH DENISE ELGUERA M.D. (NPI 1356490239) is an individual gynecology provider in Fort Pierce, Florida, licensed in Florida (ME1222826) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1356490239
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NameDR. ELIZABETH DENISE ELGUERACredential: M.D.
Location Address1304 N LAWNWOOD CIRFort Pierce, FL 34950-4884
Mailing Address1304 N Lawnwood CirFort Pierce, FL 34950-4884 · (772) 489-6636 · Fax (772) 489-5749
Fax(772) 489-5749
Sole ProprietorNo
Enumeration DateJanuary 9, 2007
Last NPPES UpdateJanuary 9, 2017
NPI 1356490239 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License Licensed in FL · ME1222826
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
1304 N LAWNWOOD CIR, Fort Pierce, FL 34950

Other Names 1

Professional Name (2)Dr. Elizabeth Elguera M.d.

Other Identifiers 2

Medicare UPIN542005321VA
Medicare UPINIH840ZFL

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 (PECOS)

Dr. Elizabeth Denise Elguera M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34950 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$73.00 typical visit price
range $18.44 – $144.68
Typical copayment $18.25 (range $4.61 – $36.17)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
90%524 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
96%966 patients
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
94%2,126 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
41%239 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%539 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
65%1,615 patients3/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
47%1,544 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 1,047 patients
Patients tobacco: 26% · 89 patients
92%1,047 patients4/55-star benchmark: 98%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
98%1,615 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
61%1,615 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
56%1,615 patients
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 5

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

Obstetrics & Gynecology (Gynecology)
1304 N LAWNWOOD CIR
FORT PIERCE, FL 34950
Obstetrics & Gynecology (Gynecology)
1304 N LAWNWOOD CIR
FORT PIERCE, FL 34950
Obstetrics & Gynecology
1304 N LAWNWOOD CIR
FORT PIERCE, FL 34950
Obstetrics & Gynecology (Gynecology)
1304 N LAWNWOOD CIR
FORT PIERCE, FL 34950
Obstetrics & Gynecology
1304 N LAWNWOOD CIR
FORT PIERCE, FL 34950

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 Elizabeth Elguera's NPI number?

The NPI number for Elizabeth Elguera is 1356490239. It was assigned to this individual provider in the NPPES registry on January 9, 2007. The provider is also known as Dr. Elizabeth Elguera M.D..

Where is Elizabeth Elguera located?

Elizabeth Elguera practices at 1304 N Lawnwood Cir, Fort Pierce, FL 34950. The listed phone number is (772) 489-6636.

What is Elizabeth Elguera's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Elizabeth Elguera enrolled in Medicare?

Yes. Elizabeth Elguera is registered in the Medicare PECOS enrollment system.

What insurance does Elizabeth Elguera accept?

Health plans from AmeriHealth Caritas Next, Molina Healthcare, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Elizabeth Elguera 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 Elizabeth Elguera was last updated on January 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.