DR. PAUL NEIL GUERRIERO M.D.
NPI 1982697033
Ophthalmology - Retina Specialist in Orangeburg, NY

Q: What is Paul Guerriero's NPI number?

The NPI number for Paul Guerriero is 1982697033. It was assigned to this individual provider in the NPPES registry on August 24, 2005.

Q: What is Paul Guerriero's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Retina Specialist, with taxonomy code 207WX0107X.

Q: When was this NPI record last updated?

The NPPES record for Paul Guerriero was last updated on April 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since August 24, 2005PECOS EnrolledAccepts Medicare Assignment

95.63/100

CMS Quality Rating

99 DUTCH HILL RD, ORANGEBURG, NY 10962(845) 359-7272 Get Directions Write a Review

NPPES record last updated: April 16, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Paul Neil Guerriero M.d. NPPES

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

DR. PAUL NEIL GUERRIERO M.D. (NPI 1982697033) is an individual retina specialist in Orangeburg, New York, licensed in New York (158997) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (1983).

NPPES Registry Identity

NPI1982697033

Entity TypeIndividualMale

Primary Taxonomy207WX0107X

Provider Legal NameDR. PAUL NEIL GUERRIEROCredential: M.D.

Location Address99 DUTCH HILL RDOrangeburg, NY 10962-2185

Mailing Address9 Chateau Ridge DrGreenwich, CT 06831-2940 · (203) 861-0708 · Fax (203) 861-6866

Phone(845) 359-7272

Sole ProprietorYes

Medical School CMSState University Of New York Downstate Medical CenterGraduated 1983

Enumeration DateAugust 24, 2005

Last NPPES UpdateApril 16, 2017

✔ NPI 1982697033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmology · Retina SpecialistAllopathic & Osteopathic Physicians

Taxonomy Code207WX0107X

Licenses✔ Licensed in NY · 158997✔ Licensed in CT · 031410✔ Licensed in NJ · 25MA05393900

Definition

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

99 DUTCH HILL RD, Orangeburg, NY 10962

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Other Identifiers 23

Other0587629NY · Cigna

Medicare PIN23F952NY

Other411A91NY · Bcbs

Other2781534NY · Oxford

Other2C6873NY · Healthnet

Other1229222NY · Aetna Hmo

OtherE76859NY · Amerihealth

Other4109582NY · Aetna Ppo

Other158997-A40NY · Health First

OtherP2781534NY · Oxford

Other43Z913NY · Bcbs

Other411A92NY · Bcbs

Medicaid01135639NY

Other177470NY · Elder Plan

Other17P0351NY · Ny Presbyterian

Medicare PINP00123748NY

Medicare PIN023F95NY

Other0497979NY · Ghi

Medicare UPIND40031NY

Medicare PIN31762NY

Medicare PIN23F953NY

Other229561TNY · Hip

Medicare PIN23F951NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Paul Neil Guerriero 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 ID6204851173

PECOS Enrollment IDI20051010000823, I20141126001764

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

Medicare enrollment records show Paul Guerriero reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Eyecare Consultants Of Nj, PA.

17 mi

Ophthalmology

1225 MCBRIDE AVE STE 204
Woodland Park, NJ 07424

Reassigned Medicare billing, New Jersey enrollment
5 clinicians in this Medicare group

NPI 1851305817 (973) 785-2050

Harvey Rosenblum, MD,pc

20 mi

Ophthalmology

220 MADISON AVE
New York, NY 10016

Reassigned Medicare billing, New York enrollment
10 clinicians in this Medicare group

NPI 1457404733 (212) 683-7330

Scott M Spector MD

29 mi

Ophthalmology

488 MAIN AVE STE 2
Norwalk, CT 06851

Reassigned Medicare billing, Connecticut enrollment
Medicare enrollment name: Scott M Spector
5 clinicians in this Medicare group

NPI 1083820260 (203) 853-9900

Hudson Valley Eye Surgeons

34 mi

Ophthalmology

200 WESTAGE BUSINESS CTR DR
Fishkill, NY 12524

Reassigned Medicare billing, New York enrollment
10 clinicians in this Medicare group

NPI 1245297613 (845) 896-9280

Tri State Eye Ophthalmology Of Middletown PC

35 mi

Specialist

75 CRYSTAL RUN RD, SUITE 120
Middletown, NY 10941

Reassigned Medicare billing, New York enrollment
5 clinicians in this Medicare group

NPI 1053430256 (845) 703-2020

Gerstenfeld & Gerstenfeld M D S P C

37 mi

Ophthalmology

4299 HYLAN BLVD
Staten Island, NY 10312

Reassigned Medicare billing, New York enrollment
7 clinicians in this Medicare group

NPI 1720254840 (718) 984-7616

Atlantic Eye Physicians, PA

53 mi

Specialist

300 HIGHWAY 35 # 204
Eatontown, NJ 07724

Reassigned Medicare billing, New Jersey enrollment
17 clinicians in this Medicare group

NPI 1629023551 (732) 222-7373

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

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.

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

6,311 services2,189 patients

Established patient problem focused exam of visual system 92012

This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.

3,797 services1,940 patients

Injection of drug into eye 67028

An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.

2,862 services539 patients

Injection, bevacizumab, 10 mg J9035

Bevacizumab is a medication given through an injection. It's designed to prevent the growth of new blood vessels that cancer cells need to grow and spread. The 10 mg dose refers to the amount of the drug in the injection.

1,716 services364 patients

Injection, aflibercept, 1 mg J0178

Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.

1,702 services180 patients

Injection, faricimab-svoa, 0.1 mg J2777

Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.

1,440 services16 patients

Extended exam of the back part of the eye with optic nerve drawing 92202

This procedure involves a detailed examination of the back part of your eye, focusing on the optic nerve, a crucial component for vision. A drawing or map of the optic nerve is created to help track any changes over time. This can help detect eye diseases early.

885 services750 patients

Established patient complete exam of visual system 92014

An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.

735 services720 patients

Extended exam of the back part of the eye with retinal drawing 92201

This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.

584 services393 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.

278 services198 patients

New patient complete exam of visual system 92004

A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.

25 services25 patients

2d ultrasound scan of eye tissue and structures 76512

A 2D ultrasound scan of eye tissue and structures is a non-invasive procedure that uses sound waves to create images of your eye. It helps doctors to examine your eye's internal structures, detect abnormalities, and plan for treatments if needed.

23 services20 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

23 services17 patients

Exam of retinal blood vessels using a special camera after injection of a dye 92235

This procedure, known as a fluorescein angiography, involves taking images of the back of your eye. A dye is injected into your arm that travels to your eye, highlighting the blood vessels in your retina. This helps identify any abnormalities.

18 services18 patients

Destruction of leaking blood vessels of retina using laser 67228

This procedure involves using a laser to treat leaking blood vessels in the retina, the part of the eye responsible for vision. The laser seals off these vessels, preventing further leakage and helping to preserve sight.

17 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10962 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

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.

95.63/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

85.45

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement

Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for…

90%155 patients4/55-star benchmark: 100%

Age-Related Macular Degeneration (AMD): Dilated Macular Examination

Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or…

100%155 patients5/55-star benchmark: 100%

Care Plan

Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…

100%55 patients5/55-star benchmark: 100%

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%71 patients5/55-star benchmark: 100%

Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care

Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician who manages the ongoing care of the patient with diabetes mellitus…

100%81 patients5/55-star benchmark: 100%

Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy

Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy and the presence or absence of macular edema during…

93%87 patients4/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%545 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period

60%348 patients3/55-star benchmark: 99%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

0%513 patients1/55-star benchmark: 98%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

100%258 patients5/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

80%513 patients4/55-star benchmark: 100%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user

Patients tobacco: 91% · 191 patients

91%191 patients

Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation

Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months

78%64 patients3/55-star benchmark: 100%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

96%513 patients4/55-star benchmark: 100%

Use of High-Risk Medications in the Elderly

Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.

Lower rates are better for this measure.

Patients 2+: 0% · 282 patients

0%282 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 20

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

SPORTS PT OF NEW YORK

Clinic/Center