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JIM J GUERRA MD
NPI 1639175458
Internal Medicine in Desoto, TX

Active since June 27, 2005PECOS Enrolled
90.13/100
CMS Quality Rating
1204 KITTERY DR, DESOTO, TX 75115(512) 810-8611(512) 551-2567 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 7, 2023, Mar 2, 2021 (2 updates tracked since 2021).

About Jim J Guerra Md NPPES

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

JIM J GUERRA MD (NPI 1639175458) is an individual internal medicine provider in Desoto, Texas, licensed in Texas (J2590) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639175458
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJIM J GUERRACredential: MD
Location Address1204 KITTERY DRDesoto, TX 75115-8132
Mailing Address1204 Kittery DrDesoto, TX 75115-8132 · (512) 810-8611 · Fax (512) 406-6216
Phone(512) 810-8611
Fax(512) 551-2567
Sole ProprietorNo
Enumeration DateJune 27, 2005
Last NPPES UpdateMarch 7, 20232 updates tracked since enumeration
NPPES CertifiedMarch 2, 2021
✔ NPI 1639175458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · J2590
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1204 KITTERY DR, Desoto, TX 75115
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Other Identifiers 10

Medicaid127007611TX
Other7600029TX · United Healthcare
Medicaid127007610TX
Other8G8840TX · Blue Cross Blue Shield
Medicaid127007612TX
Medicaid127007613TX
Medicaid127007614TX
Other9399591007TX · Cigna
Medicaid156289401TX
Other2543029TX · Aetna

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jim J Guerra Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75115 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

90.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.11
Promoting Interoperability88
Improvement Activities40
Cost63.49

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…
97%158 patients4/55-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 3

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
4 suppliers43 claims65 services$6.07 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
2 suppliers20 claims20 services$1.13 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
2 suppliers14 claims14 services$6.81 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Jim Guerra's NPI number?

The NPI number for Jim Guerra is 1639175458. It was assigned to this individual provider in the NPPES registry on June 27, 2005.

Where is Jim Guerra located?

Jim Guerra practices at 1204 Kittery Dr, Desoto, TX 75115. The listed phone number is (512) 810-8611.

What is Jim Guerra's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jim Guerra enrolled in Medicare?

Yes. Jim Guerra is registered in the Medicare PECOS enrollment system.

What insurance does Jim Guerra accept?

Health plans from Blue Cross and Blue Shield of Texas list Jim 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.

When was this NPI record last updated?

The NPPES record for Jim Guerra was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.