DR. ANTONIO FRED GUERRA MD
NPI 1518985373
Family Medicine in San Antonio, TX

Active since July 18, 2006PECOS EnrolledAccepts Medicare Assignment
15102 JONES MALTSBERGER RD STE 101, SAN ANTONIO, TX 78247(210) 745-0084(210) 745-0139 Get Directions Write a Review

NPPES record last updated: June 18, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Antonio Fred Guerra Md NPPES

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

DR. ANTONIO FRED GUERRA MD (NPI 1518985373) is an individual family medicine provider in San Antonio, Texas, licensed in Texas (F9511) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospital, and is a graduate of University Of Texas Medical School At San Antonio (1981).

NPPES Registry Identity

NPI1518985373
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ANTONIO FRED GUERRACredential: MD
Location Address15102 JONES MALTSBERGER RD STE 101San Antonio, TX 78247-3367
Mailing Address7113 San Pedro Ave # 316San Antonio, TX 78216-6219 · (210) 745-0084 · Fax (210) 745-0139
Fax(210) 745-0139
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1981
Enumeration DateJuly 18, 2006
Last NPPES UpdateJune 18, 2019
NPI 1518985373 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 · F9511
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 ListedHospitalistTaxonomy 208M00000X · License F9511 (TX)
15102 JONES MALTSBERGER RD STE 101, San Antonio, TX 78247

Other Identifiers 2

Medicaid123438704TX
Medicaid1237387-05TX

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. Antonio Fred 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 ID8628026861
PECOS Enrollment IDI20050105000171
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
318 services69 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
60 services51 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
43 services40 patients

Hospital Affiliations CMS Care Compare

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

Methodist Hospital

Acute Care Hospitals · San Antonio, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450388
Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78247 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.

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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
6%166 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$16.73 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 3

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

Family Medicine
15102 JONES MALTSBERGER RD STE 101
SAN ANTONIO, TX 78247
Clinical Nurse Specialist
15102 JONES MALTSBERGER RD STE 101
SAN ANTONIO, TX 78247
Hospitalist
15102 JONES MALTSBERGER RD STE 101
SAN ANTONIO, TX 78247

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 Antonio Guerra's NPI number?

The NPI number for Antonio Guerra is 1518985373. It was assigned to this individual provider in the NPPES registry on July 18, 2006.

Where is Antonio Guerra located?

Antonio Guerra practices at 15102 Jones Maltsberger Rd Ste 101, San Antonio, TX 78247. The listed phone number is (210) 745-0084.

What is Antonio Guerra's specialty?

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

Is Antonio Guerra enrolled in Medicare?

Yes. Antonio 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 Antonio Guerra accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Imperial Insurance Companies, Inc., Molina Healthcare and Oscar Insurance Company list Antonio 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 Antonio Guerra affiliated with any hospitals?

According to CMS data, Antonio Guerra is affiliated with Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Antonio Guerra was last updated on June 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.