DR. MELANIE LYNNE GUERRERO M.D.
NPI 1376503417
Internal Medicine - Critical Care Medicine in Poughkeepsie, NY

Active since March 24, 2006PECOS EnrolledAccepts Medicare Assignment
94.24/100
CMS Quality Rating
45 READE PL, POUGHKEEPSIE, NY 12601(845) 454-8500 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 19, 2023, Jun 26, 2018 (2 updates tracked since 2018).

About Dr. Melanie Lynne Guerrero M.d. NPPES

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

DR. MELANIE LYNNE GUERRERO M.D. (NPI 1376503417) is an individual critical care medicine provider in Poughkeepsie, New York, licensed in New York (284519) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS, is affiliated with Vassar Brothers Medical Center, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (1995).

NPPES Registry Identity

NPI1376503417
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameDR. MELANIE LYNNE GUERREROCredential: M.D.
Location Address45 READE PLPoughkeepsie, NY 12601
Mailing Address1351 Route 55 Ste 200Lagrangeville, NY 12540-5128 · (845) 347-5096
Sole ProprietorNo
Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 1995
Enumeration DateMarch 24, 2006
Last NPPES UpdateJune 19, 20232 updates tracked since enumeration
NPPES CertifiedJune 19, 2023
NPI 1376503417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License Licensed in NY · 284519
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X · License 284519 (NY)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 284519 (NY)
45 READE PL, Poughkeepsie, NY 12601

Other Identifiers 2

Medicaid200886490IN
Medicaid04657172NY

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. Melanie Lynne 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 ID4082798681
PECOS Enrollment IDI20170718000050
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 5

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
189 services80 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.
27 services18 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.
21 services18 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
18 services18 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Vassar Brothers Medical Center

Acute Care Hospitals · Poughkeepsie, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330023
Location45 Reade PlacePoughkeepsie, NY 12601 · Dutchess County
Emergency services Birthing friendly

Putnam Hospital Center

Acute Care Hospitals · Carmel, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330273
Location670 Stoneleigh AvenueCarmel, NY 10512 · Putnam County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12601 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
$141.77 typical visit price
range $61.88 – $187.05
Typical copayment $35.44 (range $15.47 – $46.76)
Most-billed visit code 99204
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
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.

94.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.26
Promoting Interoperability100
Improvement Activities40

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.

Pediatrics (Neonatal-Perinatal Medicine)
45 READE PL
POUGHKEEPSIE, NY 12601
Nurse Practitioner (Acute Care)
45 READE PL
POUGHKEEPSIE, NY 12601
Student in an Organized Health Care Education/Training Program
45 READE PL
POUGHKEEPSIE, NY 12601
Physician Assistant (Surgical)
45 READE PL, VASSAR BROTHERS MEDICAL CENTER
POUGHKEEPSIE, NY 12601
Pathology (Anatomic Pathology & Clinical Pathology)
45 READE PL
POUGHKEEPSIE, NY 12601
Emergency Medicine
45 READE PL
POUGHKEEPSIE, NY 12601
Emergency Medicine
45 READE PL
POUGHKEEPSIE, NY 12601
Nurse Anesthetist, Certified Registered
45 READE PL
POUGHKEEPSIE, NY 12601

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 Melanie Guerrero's NPI number?

The NPI number for Melanie Guerrero is 1376503417. It was assigned to this individual provider in the NPPES registry on March 24, 2006.

Where is Melanie Guerrero located?

Melanie Guerrero practices at 45 Reade Pl, Poughkeepsie, NY 12601. The listed phone number is (845) 454-8500.

What is Melanie Guerrero's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Melanie Guerrero enrolled in Medicare?

Yes. Melanie 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.

Is Melanie Guerrero affiliated with any hospitals?

According to CMS data, Melanie Guerrero is affiliated with Vassar Brothers Medical Center and Putnam Hospital Center.

When was this NPI record last updated?

The NPPES record for Melanie Guerrero was last updated on June 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.