DR. RAMIRO A DE LA GUERRA M.D. NPI 1639108707
Emergency Medicine in West Palm Beach, FL

About DR. RAMIRO A DE LA GUERRA M.D.

Ramiro De La Guerra is a provider established in West Palm Beach, Florida and his medical specialization is Emergency Medicine. The NPI number of Ramiro De La Guerra is 1639108707 and was assigned on July 2006. The practitioner's primary taxonomy code is 207P00000X with license number ME67206 (FL). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1639108707
Provider NameDR. RAMIRO A DE LA GUERRA M.D.
Location Address2201 45TH ST WEST PALM BEACH, FL 33407
Location Phone(561) 842-6141
Mailing Address104 PRIVATE PL GREENACRES, FL 33413
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Enumeration Date07-01-2006
Last Update Date03-19-2008

Ramiro De La Guerra is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices..

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 89.3, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207P00000X
ClassificationEmergency Medicine
TypeAllopathic & Osteopathic Physicians
License No.ME67206
License StateFL
Taxonomy DescriptionAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

DR. RAMIRO A DE LA GUERRA M.D.
2201 45TH ST
WEST PALM BEACH, FL
ZIP 33407
Phone: (561) 842-6141

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Mailing Address

DR. RAMIRO A DE LA GUERRA M.D.
104 PRIVATE PL
GREENACRES, FL
ZIP 33413
Phone: (561) 963-9811


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 89.3
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 82
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 89.3
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
G06525MEDICARE UPIN (02)
27834ZMEDICARE ID-TYPE UNSPECIFIED (04)FL
251896100MEDICAID (05)FL

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639108707
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669201670
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 2 + 0 + 1 + 6 + 7 + 0 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1639108707 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1568418200COLUMBIA HOSPITAL PALM BEACHES LIMITED PARTNERSHIP
Organization
Psychiatric Unit2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 842-6141
1023064573MD PATH LLC
Organization
Pathology (Anatomic Pathology & Clinical Pathology)2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 842-6141
1184661266COLUMBIA HOSPITAL PALM BEACHES LIMITED PARTNERSHIP
Organization
General Acute Care Hospital2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 842-6141
1639116031GLORIA E DUNKIN MD PA
Organization
Psychiatry & Neurology (Psychiatry)2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 842-6141
1134158207MR. RICHARD C KULLEN III PA-C
Individual
Physician Assistant2201 45TH ST EMERGENCY ROOM
WEST PALM BEACH, FL 33407
(561) 863-3901
1386676682MS. STASHA LYNN MARTELLA PA-C
Individual
Physician Assistant2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 842-6141
1588743652PALM BEACHES EKG READERS
Organization
Internal Medicine (Cardiovascular Disease)2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 842-6141
1316006703DR. GLORIA E DUNKIN M.D.
Individual
Psychiatry & Neurology (Psychiatry)2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 842-6141
1467589267 THELMA ELAINE JOHNSON RN.,RNFA
Individual
Physician Assistant (Surgical)2201 45TH ST COLUMBIA HOSPITAL
WEST PALM BEACH, FL 33407
(561) 863-3855
1205094356 MELISSA JANOSEK LCSW
Individual
Social Worker (Clinical)2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 863-2143
1629233515 LARISSA LEMBERT-TEZANOS MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 842-6141
1881829281DR. DAVID BOJAN M.D.
Individual
Emergency Medicine2201 45TH ST EMERGENCY DEPARTMENT
WEST PALM BEACH, FL 33407
(561) 863-3901
1831425271 ERIK C NELSON AA
Individual
Anesthesiologist Assistant2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 863-3970
1538462130EAST FLORIDA BEHAVIORAL HEALTH NETWORK, LLC
Organization
Psychiatry & Neurology (Psychiatry)2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 863-3824
1427353648FLORIDA PEDIATRIC CRITICAL CARE
Organization
Pediatrics2201 45TH ST
WEST PALM BEACH, FL 33407
(888) 382-5603
1588937346FL-I MEDICAL SERVICES, P.A.
Organization
Emergency Medicine2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 842-6141
1508112772DR. GEORGE A GARCIA JR. D.O.
Individual
Internal Medicine2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 842-6141
1881898963MRS. SHELBY DARLENE NORRIS MSN ARNP
Individual
Nurse Practitioner2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 964-7511
1528238482 VALERIYA Y SHAROVA M.D.
Individual
Psychiatry & Neurology (Psychiatry)2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 964-7511
1578516316MS. MARLYN LISA YASSEN PA-C
Individual
Physician Assistant (Medical)2201 45TH ST
WEST PALM BEACH, FL 33407
(561) 964-7511

Frequently Asked Questions

What is Dr. Ramiro De La Guerra M.D. NPI number?

The NPI number assigned to Dr. Ramiro De La Guerra M.D. is 1639108707, registered as an "individual" on July 01, 2006

Where is Dr. Ramiro De La Guerra M.D. located?

The provider is located at 2201 45th St West Palm Beach, Fl 33407 and the phone number is (561) 842-6141

Which is Dr. Ramiro De La Guerra M.D. specialty?

The provider's speciality is Emergency Medicine

What insurance does Dr. Ramiro De La Guerra M.D. accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Dr. Ramiro De La Guerra M.D. registered in PECOS?

Yes, as of January 10, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What are Dr. Ramiro De La Guerra M.D. Quality Ratings?

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.

How much is a visit to Dr. Ramiro De La Guerra M.D.?

Medicare beneficiaries should expect a typical cost of $94.64 with an average copayment of $23.66 for new patient appointments. Established patients should expect a typical charge of $108.36 and an average copayment of 27.09. Please review your insurance plan or contact the provider directly to determine your specific costs.

How do I update my NPI information?

The NPI record of Dr. Ramiro De La Guerra M.D. was last updated on July 01, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]