DR. MATEO GUARDIOLA MD
NPI 1417452640
Family Medicine in Lubbock, TX

Active since March 28, 2018PECOS EnrolledAccepts Medicare Assignment
611 N FRANKFORD AVE, LUBBOCK, TX 79416(806) 725-5480 Get Directions Write a Review

NPPES record last updated: October 14, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 14, 2021, Mar 29, 2018 (2 updates tracked since 2018).

About Dr. Mateo Guardiola Md NPPES

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

DR. MATEO GUARDIOLA MD (NPI 1417452640) is an individual family medicine provider in Lubbock, Texas, licensed in Texas (S8562) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Covenant Medical Center, and is a graduate of San Juan Bautista School Of Medicine (2017).

NPPES Registry Identity

NPI1417452640
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MATEO GUARDIOLACredential: MD
Location Address611 N FRANKFORD AVELubbock, TX 79416-1545
Mailing Address701 W 5th StOdessa, TX 79763-4206 · (432) 703-5238
Sole ProprietorNo
Medical School CMSSan Juan Bautista School Of MedicineGraduated 2017
Enumeration DateMarch 28, 2018
Last NPPES UpdateOctober 14, 20212 updates tracked since enumeration
NPPES CertifiedOctober 14, 2021
NPI 1417452640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · S8562
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
611 N FRANKFORD AVE, Lubbock, TX 79416

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 and accepts Medicare assignment

Dr. Mateo Guardiola 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 ID446509400
PECOS Enrollment IDI20210812003836
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 24

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 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.
159 services105 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
110 services76 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.
95 services62 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
67 services59 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
59 services52 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
56 services36 patients

Hospital Affiliations CMS Care Compare 3

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

Covenant Medical Center

Acute Care Hospitals · Lubbock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450040
Location3615 19th StreetLubbock, TX 79410 · Lubbock County
Emergency services

Grace Surgical Hospital

Acute Care Hospitals · Lubbock, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450162
Location2412 50th StLubbock, TX 79412 · Lubbock County
Emergency services

Covenant Childrens Hospital

Childrens · Lubbock, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number453306
Location4015 22nd PlaceLubbock, TX 79410 · Lubbock County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79416 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

Referred Medical Equipment & Supplies CMS DME claims

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

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier23 claims23 services$6.30 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 9

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

Pediatrics
611 N FRANKFORD AVE
LUBBOCK, TX 79416
Nurse Practitioner (Family)
611 N FRANKFORD AVE
LUBBOCK, TX 79416
Nurse Practitioner (Family)
611 N FRANKFORD AVE
LUBBOCK, TX 79416
Pediatrics
611 N FRANKFORD AVE
LUBBOCK, TX 79416
Pediatrics
611 N FRANKFORD AVE
LUBBOCK, TX 79416
Family Medicine
611 N FRANKFORD AVE
LUBBOCK, TX 79416
Family Medicine
611 N FRANKFORD AVE
LUBBOCK, TX 79416
Family Medicine
611 N FRANKFORD AVE
LUBBOCK, TX 79416

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 Mateo Guardiola's NPI number?

The NPI number for Mateo Guardiola is 1417452640. It was assigned to this individual provider in the NPPES registry on March 28, 2018.

Where is Mateo Guardiola located?

Mateo Guardiola practices at 611 N Frankford Ave, Lubbock, TX 79416. The listed phone number is (806) 725-5480.

What is Mateo Guardiola's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mateo Guardiola enrolled in Medicare?

Yes. Mateo Guardiola 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.

What insurance does Mateo Guardiola accept?

Health plans from Baylor Scott and White Health Plan and UnitedHealthcare list Mateo Guardiola 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 Mateo Guardiola affiliated with any hospitals?

According to CMS data, Mateo Guardiola is affiliated with Covenant Medical Center, Grace Surgical Hospital and Covenant Childrens Hospital.

When was this NPI record last updated?

The NPPES record for Mateo Guardiola was last updated on October 14, 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.