2026 NPPES data Adult Medicine Physician NPI 1518053503 M.D.
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ISMAEL GUERRERO, M.D.

Adult Medicine Physician in YUMA, Arizona. 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
5K
Medicare Part D claims · 687 beneficiaries · Adult Medicine Physician avg: 3K
Generic prescribing
86%
generic claims · 14% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
82.37/100
▼ 1 pts below national avg 83.1 · [object Object]
Industry payments
$128.76
7 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: ISMAEL GUERRERO, M.D. is a Adult Medicine Physician ([object Object]) practicing in YUMA, Arizona with a Medicare Part D prescribing footprint of 5K claims across 687 beneficiaries — 14% brand-name prescribing . Their CMS MIPS Final Score of 82.37/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities . Industry payments of $128.76 across 7 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: ISMAEL GUERRERO, M.D. reported a CMS MIPS final score of 82.37 out of 100, below the 83.1 national average, and filed 4,708 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

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

ISMAEL GUERRERO, M.D. at a glance

Near national average

NPI registry status

Active

Issued 10/05/2006

NPI 1518053503

Primary specialty

Adult Medicine Physician

Niche

2,481 US NPIs in this specialty

Medicare Part D claims

4,708 68% vs specialty avg

2023 prescription claims

Specialty avg: 2,807

MIPS final score

82.37/100 0.7299999999999898% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Arizona

How Adult Medicine Physician compares to other specialties among Arizona providers

Arizona providers

Adult Medicine Physician share within Arizona

1. Adult Medicine Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Adult Medicine Physician share within Arizona

Medicare quality performance — MIPS

ISMAEL GUERRERO, M.D.'s 2023 MIPS final score plotted against the Adult Medicine Physician national average

Near national average
MIPS Final Score
82.37/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Adult Medicine Physician) — 82.37/100 vs national avg 83.1

0%100%National avg83%82.4%
MIPS final score (Adult Medicine Physician) — 82.37/100 vs national avg 83.1

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).

ISMAEL GUERRERO, M.D. is a Adult Medicine Physician provider practicing in YUMA, Arizona, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: M.D.. NPI: 1518053503. 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.

ISMAEL GUERRERO, M.D. appears in the CMS NPPES registry as a Adult Medicine Physician provider holding M.D. credentials at 1881 W 24TH ST STE A, YUMA, AZ, 85364, with a listed phone of (928) 726-7171. NPI 1518053503 was issued on 10/05/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what 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 4,708 prescription claims written by this provider, covering 687 Medicare beneficiaries and totaling roughly $550K in drug spend, split 14% brand-name and 86% generic by claim count, with an opioid prescribing rate of 2.9%. 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. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 82.37/100 for the 2023 performance year (Quality 83.5701, Cost 57.6633), compared with the national average of 83.1.

Adult Medicine Physician is a narrow specialty nationwide, with 2,481 enrolled providers across 52 states and an average of 2,807 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

1881 W 24TH ST STE A
YUMA, AZ 85364

Provider Details

NPI 1518053503
Specialty Adult Medicine Physician
Credentials M.D.
Gender Male
NPI Issued 10/05/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

82.37
Final Score
Avg: 83.1
83.5701
Quality
57.6633
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where ISMAEL GUERRERO, M.D. 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.

YUMA PRIMARY CARE PLLC
YUMA, AZ

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

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for ISMAEL GUERRERO, M.D.. Source: openpaymentsdata.cms.gov.

Total received

$129

Largest payer

ABBVIE INC.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Typical

ISMAEL GUERRERO, M.D. — brand share 14.0%
Specialty average (est.)

14% brand-name claims vs 86% generic, on 4,708 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

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

4,708
Total Claims
$550K
Total Drug Cost
687
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
11,088
Total Day Supply
327,847
Brand vs Generic
14% brand / 86% generic
Brand Drug Cost
$441K
Generic Drug Cost
$104K
Opioid Claims
136 (2.9% rate)
Antibiotic Claims
64

Patient Demographics

Average Patient Age
73.9 years
Avg HCC Risk Score
1.24
Gender Split
54% female / 46% male
Age Distribution
<65: 67, 65-74: 306, 75-84: 223, 85+: 91

Top Prescribed Drugs (Medicare Part D)

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

Drug Claims
Levothyroxine Sodium
255
Metformin Hcl
211
Lisinopril
182
Atorvastatin Calcium
175
Amlodipine Besylate
171
Losartan Potassium
137
Omeprazole
129
Rosuvastatin Calcium
104
Metoprolol Tartrate
90
Tamsulosin Hcl
87

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

Adult Medicine Physician Overview

How ISMAEL GUERRERO, M.D. fits within the Adult Medicine Physician landscape nationally.

2,481
Adult Medicine Physician Providers in US
52
States with Adult Medicine Physician
2,807
Avg Claims per Provider

ISMAEL GUERRERO, M.D.'s 4,708 claims are above the specialty average of 2,807.

Nearby Adult Medicine Physician Providers in Arizona

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

Compare Adult Medicine Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ISMAEL GUERRERO, M.D.'s specialty?
ISMAEL GUERRERO, M.D. specializes in Adult Medicine Physician and practices in YUMA, Arizona. Credentials: M.D..
How much does ISMAEL GUERRERO, M.D. prescribe under Medicare Part D?
In 2023, ISMAEL GUERRERO, M.D. wrote 4,708 Medicare Part D claims totaling $550K in drug costs for 687 beneficiaries.
What is ISMAEL GUERRERO, M.D.'s Medicare quality score?
ISMAEL GUERRERO, M.D. has a CMS MIPS Final Score of 82.37/100 (Quality: 83.5701, Cost: 57.6633). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ISMAEL GUERRERO, M.D. located?
ISMAEL GUERRERO, M.D. is located at 1881 W 24TH ST STE A, YUMA, AZ, 85364. Phone: (928) 726-7171.
What is ISMAEL GUERRERO, M.D.'s NPI number?
ISMAEL GUERRERO, M.D.'s National Provider Identifier (NPI) is 1518053503, issued on 10/05/2006.
Does ISMAEL GUERRERO, M.D. prescribe more brand-name or generic drugs?
ISMAEL GUERRERO, M.D.'s prescribing is 14% brand-name and 86% generic drugs by claim count, with $441K in brand drug costs.
Does ISMAEL GUERRERO, M.D. prescribe opioids?
Yes, ISMAEL GUERRERO, M.D. had 136 opioid claims in 2023 with an opioid prescribing rate of 2.9%.
How many Adult Medicine Physician providers are there in the US?
There are 2,481 Adult Medicine Physician providers across 52 states in the US. The average Adult Medicine Physician provider writes 2,807 Medicare Part D claims per year.
What drugs does ISMAEL GUERRERO, M.D. prescribe most often?
Based on 2023 Medicare Part D data, ISMAEL GUERRERO, M.D.'s most frequently prescribed drugs include Levothyroxine Sodium, Metformin Hcl, Lisinopril. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ISMAEL GUERRERO, M.D. accept Medicare?
ISMAEL GUERRERO, M.D. appears in CMS Medicare data with 4,708 Part D claims and 687 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ISMAEL GUERRERO, M.D.'s credentials?
ISMAEL GUERRERO, M.D.'s NPI is 1518053503 with credentials M.D.. 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.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
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