ERICK J GUERRA MD
NPI 1518959949
Family Medicine in Independence, MO

Active since August 22, 2005PECOS EnrolledAccepts Medicare Assignment
77.28/100
CMS Quality Rating
4801 S CLIFF AVE STE 300, INDEPENDENCE, MO 64055(816) 251-5200(816) 251-5299 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Erick J Guerra Md NPPES

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

ERICK J GUERRA MD (NPI 1518959949) is an individual family medicine provider in Independence, Missouri, licensed in Missouri (2002024941) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Saint Luke's South Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1518959949
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameERICK J GUERRACredential: MD
Location Address4801 S CLIFF AVE STE 300Independence, MO 64055-6954
Mailing Address901 E. 104th St., Mailstop 400nKansas City, MO 64131 · (816) 251-5200 · Fax (816) 251-5299
Fax(816) 251-5299
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateAugust 22, 2005
Last NPPES UpdateJanuary 24, 2025
NPPES CertifiedJanuary 24, 2025
NPI 1518959949 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 MO · 2002024941
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 ListedPreventive Medicine · Undersea and Hyperbaric MedicineTaxonomy 2083P0011X · License 2002024941 (MO)
4801 S CLIFF AVE STE 300, Independence, MO 64055

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

Erick J Guerra 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 ID7315947439
PECOS Enrollment IDI20070123000428, I20210622001729
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.

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.
349 services85 patients
Removal of tissue from wound, 20.0 sq cm or less 97597
This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.
293 services52 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.
117 services99 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
29 services29 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
28 services20 patients
Removal of tissue from wound, each additional 20.0 sq cm 97598
This procedure involves the careful removal of damaged tissue from a wound, typically beyond an initial 20.0 sq cm. This is done to promote healing, prevent infection, and improve the function and appearance of the area surrounding the wound.
19 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Saint Luke's South Hospital

Acute Care Hospitals · Overland Park, KS
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number170185
Location12300 Metcalf AvenueOverland Park, KS 66213 · Johnson County
Emergency services

St Lukes Hospital Of Kansas City

Acute Care Hospitals · Kansas City, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260138
Location4401 Wornall RoadKansas City, MO 64111 · Jackson County
Emergency services Birthing friendly

Saint Luke's East Hospital

Acute Care Hospitals · Lees Summit, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260216
Location100 N E Saint Luke's BoulevardLees Summit, MO 64086 · Jackson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 64055 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
$85.82 typical visit price
range $55.29 – $168.52
Typical copayment $21.45 (range $13.82 – $42.13)
Most-billed visit code 99203
Established Patient
$97.82 typical visit price
range $17.60 – $137.20
Typical copayment $24.45 (range $4.40 – $34.30)
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.

77.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.71
Promoting Interoperability100
Improvement Activities40
Cost50.58

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers11 claims38 services$6.56 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 7

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

Family Medicine
4801 S CLIFF AVE STE 300
INDEPENDENCE, MO 64055
Nurse Practitioner (Family)
4801 S CLIFF AVE STE 300
INDEPENDENCE, MO 64055
Family Medicine
4801 S CLIFF AVE STE 300
INDEPENDENCE, MO 64055
Family Medicine
4801 S CLIFF AVE STE 300
INDEPENDENCE, MO 64055
Internal Medicine
4801 S CLIFF AVE STE 300
INDEPENDENCE, MO 64055
Family Medicine
4801 S CLIFF AVE STE 300
INDEPENDENCE, MO 64055
Nurse Practitioner (Family)
4801 S CLIFF AVE STE 300
INDEPENDENCE, MO 64055

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 Erick Guerra's NPI number?

The NPI number for Erick Guerra is 1518959949. It was assigned to this individual provider in the NPPES registry on August 22, 2005.

Where is Erick Guerra located?

Erick Guerra practices at 4801 S Cliff Ave Ste 300, Independence, MO 64055. The listed phone number is (816) 251-5200.

What is Erick Guerra's specialty?

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

Is Erick Guerra enrolled in Medicare?

Yes. Erick Guerra 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 Erick Guerra accept?

Health plans from Blue Cross and Blue Shield of Kansas City and Medica list Erick Guerra 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 Erick Guerra affiliated with any hospitals?

According to CMS data, Erick Guerra is affiliated with Saint Luke's South Hospital, St Lukes Hospital Of Kansas City and Saint Luke's East Hospital.

When was this NPI record last updated?

The NPPES record for Erick Guerra was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.