1. Home
  2. Directory
  3. Texas
  4. Rio Grande City
  5. Emergency Medicine
  6. NPI Profile

DR. ROLANDO ALBERTO GUERRERO M.D.
NPI 1649288259
Emergency Medicine in Rio Grande City, TX

Active since August 03, 2006PECOS EnrolledAccepts Medicare Assignment
92.53/100
CMS Quality Rating
128 N FM 3167, RIO GRANDE CITY, TX 78582(956) 487-9025(956) 487-4680 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 2, 2024, Jun 21, 2018 (2 updates tracked since 2018).

About Dr. Rolando Alberto Guerrero M.d. NPPES

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

DR. ROLANDO ALBERTO GUERRERO M.D. (NPI 1649288259) is an individual emergency medicine provider in Rio Grande City, Texas, licensed in Texas (K8629) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Starr County Memorial Hospital, and is a graduate of University Of Texas Medical School At San Antonio (1997).

NPPES Registry Identity

NPI1649288259
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. ROLANDO ALBERTO GUERREROCredential: M.D.
Location Address128 N FM 3167Rio Grande City, TX 78582
Mailing Address2426 Mimosa CirRio Grande City, TX 78582-6702 · (956) 494-3763 · Fax (956) 370-6582
Phone(956) 487-9025
Fax(956) 487-4680
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 1997
Enumeration DateAugust 3, 2006
Last NPPES UpdateMay 2, 20242 updates tracked since enumeration
NPPES CertifiedMay 2, 2024
✔ NPI 1649288259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in TX · K8629
Definition
An 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.
Also ListedLegal MedicineTaxonomy 173000000X · License K8629 (TX)
128 N FM 3167, Rio Grande City, TX 78582
Open in Google Maps ↗

Other Identifiers 1

Medicaid092645303TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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. Rolando Alberto Guerrero 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 ID2163312885
PECOS Enrollment IDI20040317000664
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
124 services102 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
105 services90 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Starr County Memorial Hospital

Acute Care Hospitals · Rio Grande City, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450654
Location128 N Fm Rd 3167Rio Grande City, TX 78582 · Starr County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78582 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.

92.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.45
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

DR. NAOMI JANE D'ACOLATSE M.D.
Family Medicine
128 N FM 3167
RIO GRANDE CITY, TX 78582
Starr County (956) 487-9025
DANE STEPHEN PAWLOWSKI MD
Family Medicine
128 N FM 3167
RIO GRANDE CITY, TX 78582
Starr County (956) 487-9025
STARR COUNTY HOSPITAL DISTRICT
Anesthesiology
128 N FM 3167
RIO GRANDE CITY, TX 78582
Starr County (956) 487-9025
MR. ROGELIO CONTRERAS MSN, APRN, FNP-BC
Nurse Practitioner (Family)
128 N FM 3167, RHC
RIO GRANDE CITY, TX 78582
Starr County (956) 487-0453
STARR COUNTY HOSPITAL DISTRICT
Clinic/Center (Rural Health)
128 N FM 3167
RIO GRANDE CITY, TX 78582
Starr County (956) 487-2892
DR. NATHAN VERN TANNER MD
Emergency Medicine
128 N FM 3167
RIO GRANDE CITY, TX 78582
Starr County (956) 487-9025
MISS KEIRSTEN AYISA CUMMINGS APRN, FNP-BC
Nurse Practitioner (Family)
128 N FM 3167
RIO GRANDE CITY, TX 78582
Starr County (956) 735-3347
STARR COUNTY HOSPITAL DISTRICT
General Acute Care Hospital (Rural)
128 N FM 3167
RIO GRANDE CITY, TX 78582
Starr County (956) 487-5561

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 Rolando Guerrero's NPI number?

The NPI number for Rolando Guerrero is 1649288259. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Rolando Guerrero located?

Rolando Guerrero practices at 128 N Fm 3167, Rio Grande City, TX 78582. The listed phone number is (956) 487-9025.

What is Rolando Guerrero's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Rolando Guerrero enrolled in Medicare?

Yes. Rolando Guerrero 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 Rolando Guerrero accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Rolando Guerrero 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 Rolando Guerrero affiliated with any hospitals?

According to CMS data, Rolando Guerrero is affiliated with Starr County Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Rolando Guerrero was last updated on May 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.