Isabel Guerrero, MD
NPI 1568456580 · Infectious Disease Physician · Toms River, NJ
Enrolled with Medicare as Practitioner - Infectious Disease · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Isabel Guerrero, MD is a Infectious Disease Physician provider in Toms River, NJ (NPI 1568456580).
Provider details
- NPI number
- 1568456580
- Entity type
- Individual
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- MA39476 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
211 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) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 138 | $80 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 55 | $135 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 18 | $176 |
Typical Medicare-allowed amounts for these services range $80–$176 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote 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 · 7 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Bictegrav/Emtricit/Tenofov Alabrand: Biktarvy | 98 | 12 |
| Elviteg/Cob/Emtri/Tenof Alafenbrand: Genvoya | 42 | — |
| Raltegravir Potassiumbrand: Isentress | 22 | — |
| Dolutegravir Sodium/Lamivudinebrand: Dovato | 19 | — |
| Vancomycin Hcl | 15 | — |
| Emtricitabine/Tenofov Alafenambrand: Descovy | 11 | — |
| 0.9 % Sodium Chloride |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$378 across 14 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
Registry dates
- Enumerated
- 2005-09-06
- Last updated
- 2008-03-07
Frequently asked questions
- What is Isabel Guerrero's NPI number?
- Isabel Guerrero's National Provider Identifier (NPI) is 1568456580, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Isabel Guerrero's specialty?
- Isabel Guerrero is listed in the NPPES registry with a primary specialty of Infectious Disease Physician (Allopathic & Osteopathic Physicians).
- Where is Isabel Guerrero located?
- Isabel Guerrero's practice location on file with NPPES is 25 Mule Rd, Toms River, NJ 08755-5035.
- What is Isabel Guerrero's phone number?
- The practice phone number listed in the NPPES registry for Isabel Guerrero is (732) 286-2565.
- Does Isabel Guerrero accept Medicare?
- Isabel Guerrero is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Isabel Guerrero's NPI active?
- Yes — Isabel Guerrero's NPI (1568456580) is active in the NPPES registry as of the last update on 2008-03-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.