1. Home
  2. Directory
  3. Florida
  4. Celebration
  5. Psychiatry Neurology
  6. NPI Profile

DR. CARLOS M GUERRERO MD
NPI 1649700311
Psychiatry & Neurology - Neurology in Celebration, FL

Active since June 15, 2017PECOS EnrolledAccepts Medicare Assignment
78.01/100
CMS Quality Rating
1530 CELEBRATION BLVD STE 304, CELEBRATION, FL 34747(407) 966-1480(407) 966-1487 Get Directions Write a Review

NPPES record last updated: August 2, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 2, 2024, Aug 23, 2021, Jun 21, 2021 and 1 more (4 updates tracked since 2017).

About Dr. Carlos M Guerrero Md NPPES

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

DR. CARLOS M GUERRERO MD (NPI 1649700311) is an individual neurology provider in Celebration, Florida, licensed in Florida (ME145992) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1649700311
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. CARLOS M GUERREROCredential: MD
Location Address1530 CELEBRATION BLVD STE 304Celebration, FL 34747-5165
Mailing Address1530 Celebration Blvd Ste 304Celebration, FL 34747-5165 · (407) 966-1480 · Fax (407) 966-1487
Phone(407) 966-1480
Fax(407) 966-1487
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 15, 2017
Last NPPES UpdateAugust 2, 20244 updates tracked since enumeration
NPPES CertifiedAugust 2, 2024
✔ NPI 1649700311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Licenses✔ Licensed in FL · ME145992✔ Licensed in SC · 41019
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

1530 CELEBRATION BLVD STE 304, Celebration, FL 34747
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. 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. Carlos M Guerrero Md 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 ID1850667924
PECOS Enrollment IDI20210726001672
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 4

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.

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.
178 services132 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
109 services80 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
64 services64 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
25 services16 patients

Hospital Affiliations CMS Care Compare 2

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

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Adventhealth Heart Of Florida

Acute Care Hospitals · Davenport, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100137
Location40100 Hwy 27Davenport, FL 33837 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34747 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

78.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.51
Promoting Interoperability100
Improvement Activities40
Cost69.18

Other Providers at the Same Location NPPES

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

LIXANDRA GONZALEZ M.D.
Psychiatry & Neurology (Neurology)
1530 CELEBRATION BLVD STE 304
CELEBRATION, FL 34747
Osceola County (407) 966-1480

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 Carlos Guerrero's NPI number?

The NPI number for Carlos Guerrero is 1649700311. It was assigned to this individual provider in the NPPES registry on June 15, 2017.

Where is Carlos Guerrero located?

Carlos Guerrero practices at 1530 Celebration Blvd Ste 304, Celebration, FL 34747. The listed phone number is (407) 966-1480.

What is Carlos Guerrero's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Carlos Guerrero enrolled in Medicare?

Yes. Carlos 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 Carlos Guerrero accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc. and Oscar Health Maintenance Organization of Florida list Carlos 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 Carlos Guerrero affiliated with any hospitals?

According to CMS data, Carlos Guerrero is affiliated with Adventhealth Orlando and Adventhealth Heart Of Florida.

When was this NPI record last updated?

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