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DEREK WENTWORTH GUARINO OD
NPI 1427137710
Optometrist in Dover, NH

Active since November 06, 2006PECOS EnrolledAccepts Medicare Assignment
113 NEW ROCHESTER RD, SUITE ONE, DOVER, NH 03820(603) 742-0045 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Derek Wentworth Guarino Od NPPES

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

DEREK WENTWORTH GUARINO OD (NPI 1427137710) is an individual optometrist in Dover, New Hampshire, licensed in New Hampshire (0706) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of New England College Of Optometry (1995).

NPPES Registry Identity

NPI1427137710
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDEREK WENTWORTH GUARINOCredential: OD
Location Address113 NEW ROCHESTER RD, SUITE ONEDover, NH 03820-8800
Mailing AddressPo Box 912Dover, NH 03821-0912 · (603) 742-0045 · Fax (603) 742-0047
Phone(603) 742-0045
Sole ProprietorYes
Medical School CMSNew England College Of OptometryGraduated 1995
Enumeration DateNovember 6, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1427137710 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in NH · 0706
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
113 NEW ROCHESTER RD, Dover, NH 03820
Open in Google Maps ↗

Other Identifiers 3

Other09Y008473NH01NH · Anthem
OtherNH0706NH · Eyemed
Other9264211NH · Cigna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana and more.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

Derek Wentworth Guarino Od 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 ID1355581257
PECOS Enrollment IDI20130716000745
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 2

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.
96 services88 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
63 services60 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03820 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
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
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.

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.

ELIZABETH H CAVALIERI CCC-A
Hearing Instrument Specialist
113 NEW ROCHESTER RD, SUITE 2
DOVER, NH 03820
Strafford County (603) 742-6555
COASTAL NEUROLOGY SERVICES
Psychiatry & Neurology (Neurology)
113 NEW ROCHESTER RD, SUITE 5
DOVER, NH 03820
Strafford County (603) 749-0913
SEACOAST ENDODONTIC ASSOCIATES, P.A.
Dentist (Endodontics)
113 NEW ROCHESTER RD, SUITE 3
DOVER, NH 03820
Strafford County (603) 742-2200
RONEL M HOLTZHAUSEN OTR
Occupational Therapist
113 NEW ROCHESTER RD, SUITE 4
DOVER, NH 03820
Strafford County (603) 742-7921
DR. PHILIP C SHIERE D.M.D.
Dentist (Endodontics)
113 NEW ROCHESTER RD, SUITE 3
DOVER, NH 03820
Strafford County (603) 742-2200
JANICE A CONBOY PA-C
Physician Assistant
113 NEW ROCHESTER RD, SUITE 2
DOVER, NH 03820
Strafford County (603) 742-6555
JOSEPH D. WHITE D.M.D., M.D.
Otolaryngology
113 NEW ROCHESTER RD, SUITE 2
DOVER, NH 03820
Strafford County (603) 742-6555
DR. JOHN WAYNE TUCKER D.D.S.
Dentist (Endodontics)
113 NEW ROCHESTER RD, SUITE 3
DOVER, NH 03820
Strafford County (603) 742-2200

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 Derek Guarino's NPI number?

The NPI number for Derek Guarino is 1427137710. It was assigned to this individual provider in the NPPES registry on November 6, 2006.

Where is Derek Guarino located?

Derek Guarino practices at 113 New Rochester Rd Suite One, Dover, NH 03820. The listed phone number is (603) 742-0045.

What is Derek Guarino's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Derek Guarino enrolled in Medicare?

Yes. Derek Guarino 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 Derek Guarino accept?

Health plans from Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and Harvard Pilgrim Health Care and 1 other insurer list Derek Guarino 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 Derek Guarino was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.