MATEO GUARDERAS RIBADENEIRA M.D.
NPI 1487004990
Surgery in Russellville, AR

Active since June 15, 2016PECOS EnrolledAccepts Medicare Assignment
84.86/100
CMS Quality Rating
101 SKYLINE DR, RUSSELLVILLE, AR 72801(479) 968-2345(479) 890-7180 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mateo Guarderas Ribadeneira M.d. NPPES

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

MATEO GUARDERAS RIBADENEIRA M.D. (NPI 1487004990) is an individual surgery provider in Russellville, Arkansas, licensed in Arkansas (E-15224) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1487004990
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMATEO GUARDERAS RIBADENEIRACredential: M.D.
Location Address101 SKYLINE DRRussellville, AR 72801-3395
Mailing Address101 Skyline DrRussellville, AR 72801-3395 · (799) 682-3454 · Fax (479) 890-7180
Fax(479) 890-7180
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 15, 2016
Last NPPES UpdateOctober 16, 2024
NPPES CertifiedOctober 16, 2024
NPI 1487004990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in AR · E-15224
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
101 SKYLINE DR, Russellville, AR 72801

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

Mateo Guarderas Ribadeneira 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 ID6406238229
PECOS Enrollment IDI20220726003327
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 7

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.

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.
129 services129 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
68 services66 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.
51 services44 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
38 services38 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
33 services33 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72801 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
$79.72 typical visit price
range $51.36 – $157.74
Typical copayment $19.93 (range $12.84 – $39.43)
Most-billed visit code 99203
Established Patient
$64.56 typical visit price
range $16.16 – $128.77
Typical copayment $16.14 (range $4.04 – $32.19)
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.

84.86/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.19
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.

Orthopaedic Surgery
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Surgery
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Durable Medical Equipment & Medical Supplies
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Pediatrics
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Nurse Practitioner (Family)
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Family Medicine
101 SKYLINE DR
RUSSELLVILLE, AR 72801
General Practice
101 SKYLINE DR
RUSSELLVILLE, AR 72801
Pediatrics
101 SKYLINE DR
RUSSELLVILLE, AR 72801

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 Guarderas Ribadeneira's NPI number?

The NPI number for Mateo Guarderas Ribadeneira is 1487004990. It was assigned to this individual provider in the NPPES registry on June 15, 2016.

Where is Mateo Guarderas Ribadeneira located?

Mateo Guarderas Ribadeneira practices at 101 Skyline Dr, Russellville, AR 72801. The listed phone number is (479) 968-2345.

What is Mateo Guarderas Ribadeneira's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Mateo Guarderas Ribadeneira enrolled in Medicare?

Yes. Mateo Guarderas Ribadeneira 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 Guarderas Ribadeneira accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Mateo Guarderas Ribadeneira 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 Mateo Guarderas Ribadeneira was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.