Justin De La Guerra, MD
NPI 1164009585 · Family Medicine Physician · Fayetteville, NC
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Justin De La Guerra, MD is a Family Medicine Physician provider in Fayetteville, NC (NPI 1164009585).
Provider details
- NPI number
- 1164009585
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 2023-02662 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
5 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
250 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 91 | $120 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 89 | $15 |
| Blood Test, Basic Group of Blood Chemicals (calcium, Total)80048 | 26 | $8 |
| Hemoglobin A1c Level83036 | 19 | $10 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 14 | $9 |
| Blood Test, Lipids (cholesterol and Triglycerides)80061 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 31 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 65 | 24 |
| Amlodipine Besylate | 54 | 25 |
| Lisinopril | 44 | 16 |
| Omeprazole | 43 | — |
| Gabapentin | 43 | 15 |
| Pantoprazole Sodium | 42 | 13 |
| Metoprolol Succinate |
Practice location
Mailing address
Additional practice locations (2)
- 150 Robeson StFayetteville, NC 28301-5570Phone: (910) 615-1059
- 6387 Ramsey St Unit 100Fayetteville, NC 28311-9442Phone: (910) 615-3879
Registry dates
- Enumerated
- 2021-03-24
- Last updated
- 2025-11-19
- Certified
- 2025-11-19
Frequently asked questions
- What is Justin De La Guerra's NPI number?
- Justin De La Guerra's National Provider Identifier (NPI) is 1164009585, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justin De La Guerra's specialty?
- Justin De La Guerra is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Justin De La Guerra located?
- Justin De La Guerra's practice location on file with NPPES is 1601 Owen Dr, Fayetteville, NC 28304-3425.
- What is Justin De La Guerra's phone number?
- The practice phone number listed in the NPPES registry for Justin De La Guerra is (910) 678-7259.
- Does Justin De La Guerra accept Medicare?
- Justin De La Guerra is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Justin De La Guerra's NPI active?
- Yes — Justin De La Guerra's NPI (1164009585) is active in the NPPES registry as of the last update on 2025-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.