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SERGIO GUZMAN D.M.D., M.S.D.
NPI 1649209487
Dentist - Periodontics in Worcester, MA

Active since July 02, 2006Opted out of Medicare · through Nov 6, 2027
255 PARK AVE, SUITE 701, WORCESTER, MA 01609(508) 363-4400(508) 363-4700 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Sergio Guzman D.m.d., M.s.d. NPPES

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

SERGIO GUZMAN D.M.D., M.S.D. (NPI 1649209487) is an individual periodontics provider in Worcester, Massachusetts, licensed in Massachusetts (20823) and active in the NPI registry since July 2006. He has opted out of Medicare through November 6, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1649209487
Entity TypeIndividualMale
Primary Taxonomy1223P0300X
Provider Legal NameSERGIO GUZMANCredential: D.M.D., M.S.D.
Location Address255 PARK AVE, SUITE 701Worcester, MA 01609-1953
Mailing Address255 Park Ave, Suite 701Worcester, MA 01609-1953 · (508) 363-4400 · Fax (508) 363-4700
Phone(508) 363-4400
Fax(508) 363-4700
Sole ProprietorNo
Enumeration DateJuly 2, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1649209487 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in MA · 20823
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
255 PARK AVE, Worcester, MA 01609
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Sergio Guzman D.m.d., M.s.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 6, 2017 through November 6, 2027.

Opt-Out Effective DateNovember 6, 2017
Opt-Out In Effect ThroughNovember 6, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01609 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MISS KAYLA C DALY MA, MT-BC, LMHC
Specialist
255 PARK AVE, SUITE 304
WORCESTER, MA 01609
Worcester County (508) 304-2415
OLGA ROCHE LCSW
Social Worker (Clinical)
255 PARK AVE, SUITE 300
WORCESTER, MA 01609
Worcester County (781) 871-6550
DEBORAH DUTTON LMHC
Social Worker (Clinical)
255 PARK AVE, SUITE 300
WORCESTER, MA 01609
Worcester County (781) 871-6550
JAMES C HUROWITZ MD
Internal Medicine
255 PARK AVE, SUITE 210
WORCESTER, MA 01609
Worcester County (508) 753-8800
DR. CHRISTOPHER VANKLEECK PSY.D.
Psychologist (Clinical)
255 PARK AVE
WORCESTER, MA 01609
Worcester County (508) 612-6212
MRS. TOBIE SUSAN BECKER R.D.,L.D.
Dietitian, Registered
255 PARK AVE, SUITE 210
WORCESTER, MA 01609
Worcester County (508) 754-8000
KARYN STERN DMD PC
Dentist (Endodontics)
255 PARK AVE, SUITE 303
WORCESTER, MA 01609
Worcester County (508) 755-3636
PHILIP J. CABRERA, D.D.S., F.R.C.D. (C), P.C.
Dentist (Endodontics)
255 PARK AVE, SUITE 1020
WORCESTER, MA 01609
Worcester County (508) 792-4290

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 Sergio Guzman's NPI number?

The NPI number for Sergio Guzman is 1649209487. It was assigned to this individual provider in the NPPES registry on July 2, 2006.

Where is Sergio Guzman located?

Sergio Guzman practices at 255 Park Ave Suite 701, Worcester, MA 01609. The listed phone number is (508) 363-4400.

What is Sergio Guzman's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Sergio Guzman enrolled in Medicare?

No. Sergio Guzman has opted out of Medicare through November 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Sergio Guzman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.