Rafael Raymund Guerrero
NPI 1205525045 · Nurse Practitioner · Bayville, NJ
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rafael Raymund Guerrero is a Nurse Practitioner provider in Bayville, NJ (NPI 1205525045).
Provider details
- NPI number
- 1205525045
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 26NJ01478900 (NJ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
3 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
340 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Residence Visit for Established Patient With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99349 | 162 | $112 |
| Residence Visit for Established Patient With High Level of Medical Decision Making, Per Day, If Using Time, at Least 60 Minutes99350 | 57 | $160 |
| Subsequent Nursing Facility Care With High Level of Medical Decision Making, Per Day, If Using Time, at Least 45 Minutes99310 | 47 | $136 |
| Residence Visit for New Patient With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 60 Minutes99344 | 47 | $124 |
| Subsequent Nursing Facility Care With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99309 | 27 | $95 |
Typical Medicare-allowed amounts for these services range $95–$160 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 70 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Gabapentin | 136 | 41 |
| Furosemide | 126 | 43 |
| Atorvastatin Calcium | 126 | 48 |
| Amlodipine Besylate | 118 | 36 |
| Metoprolol Succinate | 103 | 30 |
| Metformin Hcl | 94 | 26 |
| Levothyroxine Sodium | 89 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$238 across 3 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (1)
- 137 High St Fl 2aMount Holly, NJ 08060-1476Phone: (609) 474-0120
Registry dates
- Enumerated
- 2023-05-08
- Last updated
- 2023-12-13
- Certified
- 2023-12-13
Frequently asked questions
- What is Rafael Raymund Guerrero's NPI number?
- Rafael Raymund Guerrero's National Provider Identifier (NPI) is 1205525045, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rafael Raymund Guerrero's specialty?
- Rafael Raymund Guerrero is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Rafael Raymund Guerrero located?
- Rafael Raymund Guerrero's practice location on file with NPPES is 53 Pelican Drive, Bayville, NJ 08721.
- What is Rafael Raymund Guerrero's phone number?
- The practice phone number listed in the NPPES registry for Rafael Raymund Guerrero is (732) 930-4221.
- Does Rafael Raymund Guerrero accept Medicare?
- Rafael Raymund Guerrero is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Rafael Raymund Guerrero's NPI active?
- Yes — Rafael Raymund Guerrero's NPI (1205525045) is active in the NPPES registry as of the last update on 2023-12-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.