2026 NPPES data Epilepsy Physician NPI 1154982585 MD
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GLORIA ORTIZ GUERRERO, MD

Epilepsy Physician in ROCHESTER, Minnesota. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
40
Medicare Part D claims · 17 beneficiaries · Epilepsy Physician avg: 878
What the federal data reveals: GLORIA ORTIZ GUERRERO, MD is a Epilepsy Physician ([object Object]) practicing in ROCHESTER, Minnesota with a Medicare Part D prescribing footprint of 40 claims across 17 beneficiaries .

What stands out: GLORIA ORTIZ GUERRERO, MD filed 40 Medicare Part D claims in 2023 across ROCHESTER, Minnesota. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

GLORIA ORTIZ GUERRERO, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

GLORIA ORTIZ GUERRERO, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 06/26/2019

NPI 1154982585

Primary specialty

Epilepsy Physician

Rare

354 US NPIs in this specialty

Medicare Part D claims

40 95% vs specialty avg

2023 prescription claims

Specialty avg: 878

Specialty distribution in Minnesota

How Epilepsy Physician compares to other specialties among Minnesota providers

Minnesota providers

Epilepsy Physician share within Minnesota

1. Epilepsy Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Epilepsy Physician share within Minnesota

Specialty board-certification context

Estimated specialty board-certified rate — Epilepsy Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Epilepsy Physician ABMS/AOA estimate

Est. board-certified rate (Epilepsy Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Epilepsy Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

GLORIA ORTIZ GUERRERO, MD is a Epilepsy Physician provider practicing in ROCHESTER, Minnesota, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1154982585. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

GLORIA ORTIZ GUERRERO, MD appears in the CMS NPPES registry as a Epilepsy Physician provider holding MD credentials at 200 1ST ST SW, ROCHESTER, MN, 55905, with a listed phone of (507) 284-2511. NPI 1154982585 was issued on 06/26/2019. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what ORTIZ GUERRERO most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 40 prescription claims written by this provider, covering 17 Medicare beneficiaries and totaling roughly $9K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Epilepsy Physician is a narrow specialty nationwide, with 354 enrolled providers across 42 states and an average of 878 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

200 1ST ST SW
ROCHESTER, MN 55905

Provider Details

NPI 1154982585
Specialty Epilepsy Physician
Credentials MD
Gender Female
NPI Issued 06/26/2019

Hospital and facility affiliations

Facilities where GLORIA ORTIZ GUERRERO, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

MAYO CLINIC
ROCHESTER, MN

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

40
Total Claims
$9K
Total Drug Cost
17
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
61
Total Day Supply
1,649
Generic Drug Cost
$1K

Patient Demographics

Average Patient Age
60.8 years
Avg HCC Risk Score
1.23

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Lacosamide
12

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Epilepsy Physician Overview

How GLORIA ORTIZ GUERRERO, MD fits within the Epilepsy Physician landscape nationally.

354
Epilepsy Physician Providers in US
42
States with Epilepsy Physician
878
Avg Claims per Provider

GLORIA ORTIZ GUERRERO, MD's 40 claims are below the specialty average of 878.

Nearby Epilepsy Physician Providers in Minnesota

Other clinicians with the same primary specialty enrolled in Minnesota, drawn from the same CMS NPPES roster as ORTIZ GUERRERO.

Compare Epilepsy Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is GLORIA ORTIZ GUERRERO, MD's specialty?
GLORIA ORTIZ GUERRERO, MD specializes in Epilepsy Physician and practices in ROCHESTER, Minnesota. Credentials: MD.
How much does GLORIA ORTIZ GUERRERO, MD prescribe under Medicare Part D?
In 2023, GLORIA ORTIZ GUERRERO, MD wrote 40 Medicare Part D claims totaling $9K in drug costs for 17 beneficiaries.
Where is GLORIA ORTIZ GUERRERO, MD located?
GLORIA ORTIZ GUERRERO, MD is located at 200 1ST ST SW, ROCHESTER, MN, 55905. Phone: (507) 284-2511.
What is GLORIA ORTIZ GUERRERO, MD's NPI number?
GLORIA ORTIZ GUERRERO, MD's National Provider Identifier (NPI) is 1154982585, issued on 06/26/2019.
How many Epilepsy Physician providers are there in the US?
There are 354 Epilepsy Physician providers across 42 states in the US. The average Epilepsy Physician provider writes 878 Medicare Part D claims per year.
What drugs does GLORIA ORTIZ GUERRERO, MD prescribe most often?
Based on 2023 Medicare Part D data, GLORIA ORTIZ GUERRERO, MD's most frequently prescribed drugs include Lacosamide. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does GLORIA ORTIZ GUERRERO, MD accept Medicare?
GLORIA ORTIZ GUERRERO, MD appears in CMS Medicare data with 40 Part D claims and 17 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GLORIA ORTIZ GUERRERO, MD's credentials?
GLORIA ORTIZ GUERRERO, MD's NPI is 1154982585 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology