DR. ISMAEL INCLAN GUERRERO M.D.
NPI 1518053503
Family Medicine in Yuma, AZ

Q: What is Ismael Guerrero's NPI number?

The NPI number for Ismael Guerrero is 1518053503. It was assigned to this individual provider in the NPPES registry on October 5, 2006. The provider is also known as Mr. Ismael Inclan Guerrero MD.

Q: What is Ismael Guerrero's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ismael Guerrero was last updated on September 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment

82.37/100

CMS Quality Rating

1881 W 24TH ST STE A, YUMA, AZ 85364(928) 726-7171(928) 726-7206 Get Directions Write a Review

NPPES record last updated: September 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Ismael Inclan Guerrero M.d. NPPES

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

DR. ISMAEL INCLAN GUERRERO M.D. (NPI 1518053503) is an individual family medicine provider in Yuma, Arizona, licensed in Arizona (21545) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Un Of California, Irvine, College Of Medicine (1983).

NPPES Registry Identity

NPI1518053503

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ISMAEL INCLAN GUERREROCredential: M.D.

Location Address1881 W 24TH ST STE AYuma, AZ 85364-6298

Mailing Address1881 W 24th St Ste AYuma, AZ 85364-6298 · (928) 726-7171 · Fax (928) 726-7206

Phone(928) 726-7171

Fax(928) 726-7206

Sole ProprietorYes

Medical School CMSUn Of California, Irvine, College Of MedicineGraduated 1983

Enumeration DateOctober 5, 2006

Last NPPES UpdateSeptember 26, 2024

NPPES CertifiedSeptember 26, 2024

✔ NPI 1518053503 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 AZ · 21545

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.

Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License 21545 (AZ)

1881 W 24TH ST STE A, Yuma, AZ 85364

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Other Names 1

Other Name (5)Mr. Ismael Inclan Guerrero Md

Other Identifiers 1

Medicaid139841 001AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ismael Inclan 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 ID3476525122

PECOS Enrollment IDI20040812000181

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.

Medicare Billing Reassignments

Medicare enrollment records show Ismael Guerrero reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Yuma Primary Care P L L C

Same address

Family Medicine

1881 W 24TH ST, SUITE A
Yuma, AZ 85364

Reassigned Medicare billing, Arizona enrollment
Medicare enrollment name: Yuma Primary Care PLLC
3 clinicians in this Medicare group

NPI 1740399633 (928) 726-7171

Yuma Regional Medical Center

0.5 mi

General Acute Care Hospital

2400 S AVE A
Yuma, AZ 85364

Reassigned Medicare billing, Arizona enrollment
557 clinicians in this Medicare group

NPI 1194706655 (928) 344-2000

Unitys Psychiatry PLLC

13 mi

Psychiatry

12447 S SANDRA AVE
Yuma, AZ 85367

Reassigned Medicare billing, Arizona enrollment

NPI 1871478313 (912) 247-6251

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

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.

492 services206 patients

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.

218 services134 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

188 services64 patients

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg J3420

This is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.

128 services48 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

100 services100 patients

Injection, ketorolac tromethamine, per 15 mg J1885

Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.

37 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85364 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

82.37/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

83.57

Promoting Interoperability

100

Improvement Activities

Cost

57.66

Referred Medical Equipment & Supplies CMS DME claims 21

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

15 suppliers73 claims223 services$5.82 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

2 suppliers16 claims17 services$2.59 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

7 suppliers35 claims55 services$1.04 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

1 supplier12 claims24 services$8.55 avg. paid by Medicare

Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358

DME-Orthotic Devices · category DF000N

1 supplier12 claims24 services$5.22 avg. paid by Medicare

Lubricant, per ounce A4402

DME-Orthotic Devices · category DF010N

1 supplier11 claims68 services$1.54 avg. paid by Medicare

Tape, non-waterproof, per 18 square inches A4450

DME-Medical/Surgical Supplies · category DA000N

2 suppliers13 claims1,280 services$0.10 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604