DR. OMAR M GUERRA MD
NPI 1952337222
Surgery in Saint Louis, MO

Active since June 25, 2006PECOS EnrolledAccepts Medicare Assignment
82.1/100
CMS Quality Rating
555 N NEW BALLAS RD, DIV SURG ACCS, STE 265, SAINT LOUIS, MO 63141(314) 991-4644(866) 342-0133 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 25, 2024, Apr 10, 2024, Mar 14, 2023 (3 updates tracked since 2023).

About Dr. Omar M Guerra Md NPPES

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

DR. OMAR M GUERRA MD (NPI 1952337222) is an individual surgery provider in Saint Louis, Missouri, licensed in Missouri (2001016344) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Missouri Baptist Medical Center, and is a graduate of University Central Del Caribe Escuela De Medicina (1995).

NPPES Registry Identity

NPI1952337222
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. OMAR M GUERRACredential: MD
Location Address555 N NEW BALLAS RD, DIV SURG ACCS, STE 265Saint Louis, MO 63141-6825
Mailing AddressPo Box 7412011Chicago, IL 60674-2011 · (314) 991-4644 · Fax (866) 342-0133
Fax(866) 342-0133
Sole ProprietorNo
Medical School CMSUniversity Central Del Caribe Escuela De MedicinaGraduated 1995
Enumeration DateJune 25, 2006
Last NPPES UpdateApril 17, 20253 updates tracked since enumeration
NPPES CertifiedOctober 29, 2021
NPI 1952337222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in MO · 2001016344
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
555 N NEW BALLAS RD, Saint Louis, MO 63141

Other Identifiers 1

Medicaid207532003MO

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

Dr. Omar M Guerra 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 ID9335109867
PECOS Enrollment IDI20041019000019
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 15

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
63 services39 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
51 services51 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
43 services43 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
42 services41 patients
Repair of groin hernia (5 years or older) 49505
Repair of a groin hernia is a procedure aimed at fixing an abnormal bulge that can occur in the area between your abdomen and thigh. This condition happens when tissue pushes through a weak spot in your lower abdominal wall. The repair procedure returns this tissue back to its proper place.
39 services39 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
36 services36 patients

Hospital Affiliations CMS Care Compare

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

Missouri Baptist Medical Center

Acute Care Hospitals · Town And Country, MO
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260108
Location3015 N Ballas RdTown And Country, MO 63131 · St. Louis County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$69.50 typical visit price
range $17.76 – $137.92
Typical copayment $17.37 (range $4.44 – $34.48)
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.

82.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.14
Promoting Interoperability100
Improvement Activities20
Cost74.23

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.

Physical Therapist
555 N NEW BALLAS RD, SUITE 120
SAINT LOUIS, MO 63141
Physical Therapist
555 N NEW BALLAS RD
SAINT LOUIS, MO 63141
Internal Medicine
555 N NEW BALLAS RD, SUITE 101
SAINT LOUIS, MO 63141
Physical Therapist
555 N NEW BALLAS RD, SUITE 120
SAINT LOUIS, MO 63141
Physical Therapist
555 N NEW BALLAS RD, SUITE 120
SAINT LOUIS, MO 63141
Anesthesiology (Pain Medicine)
555 N NEW BALLAS RD, STE. 165
SAINT LOUIS, MO 63141
Internal Medicine
555 N NEW BALLAS RD, SUITE 110
SAINT LOUIS, MO 63141
Surgery (Vascular Surgery)
555 N NEW BALLAS RD, DIV SURG VASCULAR, STE 265
SAINT LOUIS, MO 63141

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 Omar Guerra's NPI number?

The NPI number for Omar Guerra is 1952337222. It was assigned to this individual provider in the NPPES registry on June 25, 2006.

Where is Omar Guerra located?

Omar Guerra practices at 555 N New Ballas Rd Div Surg Accs, Ste 265, Saint Louis, MO 63141. The listed phone number is (314) 991-4644.

What is Omar Guerra's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Omar Guerra enrolled in Medicare?

Yes. Omar Guerra 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 Omar Guerra accept?

Health plans from Cox HealthPlans list Omar Guerra 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 Omar Guerra affiliated with any hospitals?

According to CMS data, Omar Guerra is affiliated with Missouri Baptist Medical Center.

When was this NPI record last updated?

The NPPES record for Omar Guerra was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.