GUIDO LASTRA GONZALEZ M.D.
NPI 1558454017
Internal Medicine - Endocrinology, Diabetes & Metabolism in Columbia, MO

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1 HOSPITAL DR, COLUMBIA, MO 65212(573) 882-8445(573) 884-7877 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 15, 2022, Apr 11, 2022, Apr 16, 2021 and 1 more (4 updates tracked since 2019).

About Guido Lastra Gonzalez M.d. NPPES

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

GUIDO LASTRA GONZALEZ M.D. (NPI 1558454017) is an individual endocrinology, diabetes & metabolism provider in Columbia, Missouri, licensed in Missouri (2010032127) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Missouri Health Care, and is a graduate of Other (1993).

NPPES Registry Identity

NPI1558454017
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameGUIDO LASTRA GONZALEZCredential: M.D.
Location Address1 HOSPITAL DRColumbia, MO 65212-0001
Mailing AddressPo Box 843966Kansas City, MO 64184-3966 · (573) 884-3300 · Fax (573) 884-0943
Fax(573) 884-7877
Sole ProprietorNo
Medical School CMSOtherGraduated 1993
Enumeration DateOctober 2, 2006
Last NPPES UpdateSeptember 15, 20224 updates tracked since enumeration
NPPES CertifiedApril 11, 2022
✔ NPI 1558454017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in MO · 2010032127
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
1 HOSPITAL DR, Columbia, MO 65212

Other Identifiers 1

Medicaid204370209MO

Accepted 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

Guido Lastra Gonzalez 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 ID1557554896
PECOS Enrollment IDI20101019001637
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 Reassignment

Medicare enrollment records show Guido Lastra Gonzalez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
1 HOSPITAL DR
Columbia, MO 65212
  • Reassigned Medicare billing, Missouri enrollment
  • 1,395 clinicians in this Medicare group

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 5

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 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
36 services25 patients
Ultrasound scan of head and neck soft tissue 76536
An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.
26 services26 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.
22 services22 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.
19 services18 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.
19 services17 patients

Hospital Affiliations CMS Care Compare

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

University Of Missouri Health Care

Acute Care Hospitals · Columbia, MO
2/5 CMS rating
OwnershipGovernment - State
CMS Certification Number260141
LocationOne Hospital DriveColumbia, MO 65212 · Boone County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 65212 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
$121.96 typical visit price
range $52.28 – $161.24
Typical copayment $30.49 (range $13.07 – $40.31)
Most-billed visit code 99204
Established Patient
$93.24 typical visit price
range $16.30 – $131.05
Typical copayment $23.31 (range $4.07 – $32.76)
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.

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

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.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers11 claims11 services$185.29 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 20

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

Internal Medicine (Clinical Cardiac Electrophysiology)
1 HOSPITAL DR
COLUMBIA, MO 65212
Internal Medicine (Hematology & Oncology)
1 HOSPITAL DR
COLUMBIA, MO 65212
Emergency Medicine
1 HOSPITAL DR
COLUMBIA, MO 65212
Anesthesiology
1 HOSPITAL DR
COLUMBIA, MO 65212
Physician Assistant
1 HOSPITAL DR
COLUMBIA, MO 65212
Orthopaedic Surgery (Orthopaedic Trauma)
1 HOSPITAL DR
COLUMBIA, MO 65212
Psychiatry & Neurology (Neurology)
1 HOSPITAL DR
COLUMBIA, MO 65212
Anesthesiology
1 HOSPITAL DR, DC056.20
COLUMBIA, MO 65212

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 Guido Lastra Gonzalez's NPI number?

The NPI number for Guido Lastra Gonzalez is 1558454017. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Guido Lastra Gonzalez located?

Guido Lastra Gonzalez practices at 1 Hospital Dr, Columbia, MO 65212. The listed phone number is (573) 882-8445.

What is Guido Lastra Gonzalez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Guido Lastra Gonzalez enrolled in Medicare?

Yes. Guido Lastra Gonzalez 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.

Which organization bills Medicare for Guido Lastra Gonzalez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Guido Lastra Gonzalez reassigns Medicare benefits to The Curators Of The University Of Missouri (Columbia, MO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Guido Lastra Gonzalez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Guido Lastra Gonzalez accept?

Health plans from Anthem Blue Cross and Blue Shield list Guido Lastra Gonzalez 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 Guido Lastra Gonzalez affiliated with any hospitals?

According to CMS data, Guido Lastra Gonzalez is affiliated with University Of Missouri Health Care.

When was this NPI record last updated?

The NPPES record for Guido Lastra Gonzalez was last updated on September 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.