NPPES file of Aug 9, 2026

Francisco Javier Flores Guardado, MD

Pulmonary Disease Physician · San Antonio, TX

Francisco Javier Flores Guardado, MD is a pulmonary disease physician with a practice address in San Antonio, Texas, and NPI 1598931263, issued on May 2, 2008. Check the license (Texas P4049, as entered in NPPES) on the Texas Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1598931263
Name
Francisco Javier Flores Guardado
Credential
MD
Primary taxonomy
Pulmonary Disease Physician 207RP1001X
License number
P4049 TX
Self-reported in NPPES; status is on the state search
Practice location
10007 Huebner RD Ste 402, San Antonio, TX 78240
Phone
(210) 692-0361
Enumerated
May 2, 2008
Record last updated
Feb 20, 2026
Fax
(210) 692-0151
Medicaid ID
284584402 TX
Medicare enrollment
Enrolled (PECOS I20110930000104); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 10007 Huebner RD Ste 402

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Marc Chalaby, M.D.Pulmonary Disease Physician1487648291
  2. Charles Duncan, MDPulmonary Disease Physician1215932462
  3. Monica Garcia Plaza, CNSAdult Health Clinical Nurse Specialist1992167779
  4. Gerardo Garza Gutierrez, M.D.Pulmonary Disease Physician1710901954
  5. Arturo Homma, MDPulmonary Disease Physician1306841556
  6. Paloma Sanchez, MDPulmonary Disease Physician1134507114

Verify Francisco Javier Flores Guardado in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersTexas Medical Board
    Search for license P4049
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Texas license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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57% fewer Medicare Part D claims than the average pulmonary disease physician in 2024

614 Medicare Part D claims for 117 beneficiaries, against an average of 1,425 among the 11,596 providers of this specialty who prescribed in Part D. Brand-name drugs were 49% of claims.

  1. Francisco Flores Guardado614
  2. Specialty average1,425

Most prescribed

  1. Montelukast Sodium113 claims
  2. Albuterol Sulfate Hfa111 claims
  3. Trelegy Ellipta71 claims
  4. Breo Ellipta51 claims
  5. Breztri Aerosphere23 claims
  6. Methylprednisolone23 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The MIPS final score for 2023 (Medicare payment program): 92.2 of 100

The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score61.6
  2. Costout of 100 · 30%93.0
  3. Promoting interoperabilityout of 100 · 25%93.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $906.05

34 payments; by number, the most common kind was food and beverage; the largest payer was Inari Medical, Inc. The 8,806 providers of this specialty with any payment received $5,159.88 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Francisco Flores Guardado$906.05
  2. Specialty average$5,159.88

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Pulmonary Consultants OF San Antonio PASan Antonio, TX

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Francisco Javier Flores Guardado among 967 pulmonary disease physician records in Texas

Francisco Javier Flores Guardado, MD is one of 967 pulmonary disease physician records with a practice address in Texas. 88% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 59% of them.

  • NPI issued2008 · 59% of these records are older, 34% newer
  • In a Medicare fileYes · 88% of these records are
  • In the CMS Doctors and Clinicians fileYes · 80% of these records are
  • Graduated2002 · median 2001 among the 773 with a school on file
  • Record last updated2026 · 48% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RP1001X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Pulmonary Disease Physician providers in Texas

There are 967 pulmonary disease physician records in Texas.

The 8 pulmonary disease physician records with the nearest ZIP codes

  1. Randall Bell, M.D.San Antonio, TX 782401780681403
  2. Charles Burch, MDSan Antonio, TX 782401831196559
  3. Marc Chalaby, M.D.San Antonio, TX 782401487648291
  4. Charles Duncan, MDSan Antonio, TX 782401215932462
  5. Gustavo Gabino-Miranda, MDSan Antonio, TX 782401972744365
  6. Gerardo Garza Gutierrez, M.D.San Antonio, TX 782401710901954
  7. Arturo Homma, MDSan Antonio, TX 782401306841556
  8. Jairo Melo, M.D.San Antonio, TX 782401912904079

Common questions

What is Francisco Javier Flores Guardado, MD's NPI number?

Francisco Javier Flores Guardado, MD's National Provider Identifier (NPI) is 1598931263, issued on May 2, 2008. An NPI identifies a provider in billing; it is not a license.

Where is Francisco Javier Flores Guardado, MD located?

The NPPES record lists a practice address at 10007 Huebner RD Ste 402, San Antonio, TX, 78240. Phone: (210) 692-0361. Providers update this record themselves, so call before visiting.

How can I verify Francisco Javier Flores Guardado, MD's license?

NPPES lists Texas license number P4049, as entered by the provider. Search the Texas Medical Board at https://profile.tmb.state.tx.us/Search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Francisco Javier Flores Guardado, MD prescribe under Medicare Part D?

In 2024, Francisco Javier Flores Guardado, MD had 614 Medicare Part D claims for 117 beneficiaries; the average among pulmonary disease physician prescribers was 1,425. Part D covers Medicare prescriptions only.

What is Francisco Javier Flores Guardado, MD's MIPS final score?

The 2023 MIPS final score is 92.2 of 100. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.