1. Home
  2. Directory
  3. Florida
  4. Saint Cloud
  5. Ophthalmology
  6. NPI Profile

JOSE A FLORES GUEVARA M.D.
NPI 1922006337
Ophthalmology in Saint Cloud, FL

Active since July 09, 2005PECOS Enrolled
84.95/100
CMS Quality Rating
4589 HENRY C. YATES LANE, SAINT CLOUD, FL 34769(407) 891-2010(407) 891-8211 Get Directions Write a Review

NPPES record last updated: November 28, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jose A Flores Guevara M.d. NPPES

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

JOSE A FLORES GUEVARA M.D. (NPI 1922006337) is an individual ophthalmology provider in Saint Cloud, Florida, licensed in Florida (ME135894) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Kissimmee.

NPPES Registry Identity

NPI1922006337
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJOSE A FLORES GUEVARACredential: M.D.
Location Address4589 HENRY C. YATES LANESaint Cloud, FL 34769
Mailing Address4589 Henry C. Yates LnSaint Cloud, FL 34769 · (407) 891-2010 · Fax (407) 891-8211
Phone(407) 891-2010
Fax(407) 891-8211
Sole ProprietorNo
Enumeration DateJuly 9, 2005
Last NPPES UpdateNovember 28, 2018
✔ NPI 1922006337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in FL · ME135894✔ Licensed in PR · 11435
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.
4589 HENRY C. YATES LANE, Saint Cloud, FL 34769
Open in Google Maps ↗

Secondary Practice Location 1

Location 11121 Miranda LaneKissimmee, FL 34741 · Phone (407) 530-5977 · Fax (407) 891-8211

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jose A Flores Guevara M.d. 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Jose Flores Guevara reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Cloud Eye Center Inc
2.0 mi
Ophthalmology
4589 H. C. YATES LANE
St Cloud, FL 34769
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1457509531 (407) 891-2010
Crystal River Eye Center,llc
90 mi
Ophthalmology
295 SE US HIGHWAY 19
Crystal River, FL 34429
  • Reassigned Medicare billing, Florida enrollment
  • 15 clinicians in this Medicare group
NPI 1619119948 (216) 338-7773

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34769 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
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

84.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality62.32
Promoting Interoperability100
Improvement Activities40
Cost87.53

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%21 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

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

JESSICA E RAMIREZ MD
General Practice
4589 HENRY C. YATES LANE
SAINT CLOUD, FL 34769
Osceola County (352) 259-2159

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 Jose Flores Guevara's NPI number?

The NPI number for Jose Flores Guevara is 1922006337. It was assigned to this individual provider in the NPPES registry on July 9, 2005.

Where is Jose Flores Guevara located?

Jose Flores Guevara practices at 4589 Henry C. Yates Lane, Saint Cloud, FL 34769. The listed phone number is (407) 891-2010.

What is Jose Flores Guevara's specialty?

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

Is Jose Flores Guevara enrolled in Medicare?

Yes. Jose Flores Guevara is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jose Flores Guevara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Flores Guevara reassigns Medicare benefits to 2 organizations: St Cloud Eye Center Inc (St Cloud, FL) and Crystal River Eye Center,llc (Crystal River, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jose Flores Guevara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Flores Guevara accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jose Flores Guevara 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 Jose Flores Guevara was last updated on November 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.