MOHAMED A GUENENA MD
NPI 1730471459
Ophthalmology in Derry, NH

Active since May 13, 2011PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
6 TSIENNETO RD STE 101, DERRY, NH 03038(603) 434-4193(603) 437-6804 Get Directions Write a Review

NPPES record last updated: December 23, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 23, 2020, Mar 17, 2018, Aug 23, 2017 (3 updates tracked since 2017).

About Mohamed A Guenena Md NPPES

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

MOHAMED A GUENENA MD (NPI 1730471459) is an individual ophthalmology provider in Derry, New Hampshire, licensed in New Hampshire (20397) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with St Joseph Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1730471459
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameMOHAMED A GUENENACredential: MD
Location Address6 TSIENNETO RD STE 101Derry, NH 03038-1584
Mailing Address6 Tsienneto Rd Ste 101Derry, NH 03038-1584 · (603) 434-4193 · Fax (603) 437-6804
Fax(603) 437-6804
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2007
Enumeration DateMay 13, 2011
Last NPPES UpdateDecember 23, 20203 updates tracked since enumeration
NPPES CertifiedDecember 23, 2020
NPI 1730471459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in NH · 20397 Licensed in TX · R1379
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
6 TSIENNETO RD STE 101, Derry, NH 03038

Secondary Practice Locations 2

Location 16894 DoniphanEl Paso, TX 79835 · Phone (915) 261-7011 · Fax (915) 231-6822
Location 22900 Pershing Dr Ste AEl Paso, TX 79903-2483 · Phone (915) 261-7011 · Fax (915) 231-6822

Accepted 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

Mohamed A Guenena 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 ID749558989
PECOS Enrollment IDI20200612000689
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 16

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
645 services329 patients
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.
426 services387 patients
Measurement of corneal curvature and depth of eye 92136
This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.
207 services106 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
176 services105 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
156 services124 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
95 services95 patients

Hospital Affiliations CMS Care Compare

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

St Joseph Hospital

Acute Care Hospitals · Nashua, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number300011
Location172 Kinsley StNashua, NH 03060 · Hillsborough County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03038 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
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%50 patients5/55-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.

Other Providers at the Same Location NPPES 5

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

Optometrist
6 TSIENNETO RD STE 101
DERRY, NH 03038
Optometrist
6 TSIENNETO RD STE 101
DERRY, NH 03038
Optometrist
6 TSIENNETO RD STE 101
DERRY, NH 03038
Ophthalmology
6 TSIENNETO RD STE 101
DERRY, NH 03038
Optometrist
6 TSIENNETO RD STE 101
DERRY, NH 03038

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 Mohamed Guenena's NPI number?

The NPI number for Mohamed Guenena is 1730471459. It was assigned to this individual provider in the NPPES registry on May 13, 2011.

Where is Mohamed Guenena located?

Mohamed Guenena practices at 6 Tsienneto Rd Ste 101, Derry, NH 03038. The listed phone number is (603) 434-4193.

What is Mohamed Guenena's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Mohamed Guenena enrolled in Medicare?

Yes. Mohamed Guenena 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 Mohamed Guenena accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 4 other insurers list Mohamed Guenena 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 Mohamed Guenena affiliated with any hospitals?

According to CMS data, Mohamed Guenena is affiliated with St Joseph Hospital.

When was this NPI record last updated?

The NPPES record for Mohamed Guenena was last updated on December 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.