NPPES file of Aug 9, 2026

Jose A. Guerra, M.D.

Adolescent Medicine (Family Medicine) Physician · Winchester, MA

Jose A. Guerra, M.D. is an adolescent medicine (family medicine) physician with a practice address in Winchester, Massachusetts, and NPI 1043259039, issued on Jun 5, 2006. Check the license (Massachusetts 203423, as entered in NPPES) on the Massachusetts Board of Registration in Medicine; 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
1043259039
Name
Jose A. Guerra
Credential
M.D.
Primary taxonomy
Adolescent Medicine (Family Medicine) Physician 207QA0000X
License number
203423 MA
Self-reported in NPPES; status is on the state search
Practice location
11 Shore RD, Winchester, MA 01890
Phone
(781) 729-1810
Enumerated
Jun 5, 2006
Record last updated
Oct 11, 2011 (not updated in 15 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20040817001151); accepts Medicare assignment
Medical or professional school
University Of Massachusetts Medical School, 1996
Telehealth
Offers telehealth (CMS)
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.
Download card Updates feed

Also registered at 11 Shore RD

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

  1. Jessica Burns, FNPFamily Nurse Practitioner1275878720
  2. Heather Jones, MDGeriatric Medicine (Family Medicine) Physician1679591366
  3. Adrianna Manzi, PAMedical Physician Assistant1508591991
  4. Wellner Poppe, M.D.Family Medicine Physician1548238157
  5. Hilda Rock, M.D.Family Medicine Physician1477971976
  6. Joel Solomon, M.D.Family Medicine Physician1417924440

Verify Jose A. Guerra in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersMassachusetts Board of Registration in Medicine
    Search for license 203423
    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 Massachusetts 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.

Is this page about you? You can ask us to correct, restrict or remove it: how.

17% more Medicare Part D claims than the average adolescent medicine (family medicine) physician in 2024

4,106 Medicare Part D claims for 421 beneficiaries, against an average of 3,520 among the 69 providers of this specialty who prescribed in Part D. 12 claims were for opioids.

  1. Jose Guerra4,106
  2. Specialty average3,520

Most prescribed

  1. Atorvastatin Calcium613 claims
  2. Lisinopril287 claims
  3. Amlodipine Besylate282 claims
  4. Simvastatin145 claims
  5. Levothyroxine Sodium135 claims
  6. Metoprolol Succinate135 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): 91.4 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 score76.9
  2. Costnot scored (reweighted)
  3. Promoting interoperabilityout of 100 · 25%100.0
  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).

Bills Medicare through one group practice

  1. Beth Israel Lahey Health Primary Care, IncSouth Hamilton, MA

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

Adolescent Medicine (Family Medicine) Physician providers in Massachusetts

There are 6 adolescent medicine (family medicine) physician records in Massachusetts.

The 5 adolescent medicine (family medicine) physician records with the nearest ZIP codes

  1. Jennifer Kahn, M.D.Lawrence, MA 018411770529174
  2. Manuel Lowenhaupt, M.D.Andover, MA 018101497788053
  3. Joanna Brown, M.D.Boston, MA 021151720059025
  4. Joanne Cox, MDBoston, MA 021151629187273
  5. Laura Koenigs, MDSpringfield, MA 011071871513200

Common questions

What is Jose A. Guerra, M.D.'s NPI number?

Jose A. Guerra, M.D.'s National Provider Identifier (NPI) is 1043259039, issued on Jun 5, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Jose A. Guerra, M.D. located?

The NPPES record lists a practice address at 11 Shore RD, Winchester, MA, 01890. Phone: (781) 729-1810. Providers update this record themselves, so call before visiting.

How can I verify Jose A. Guerra, M.D.'s license?

NPPES lists Massachusetts license number 203423, as entered by the provider. Search the Massachusetts Board of Registration in Medicine at https://findmydoctor.mass.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Jose A. Guerra, M.D. prescribe under Medicare Part D?

In 2024, Jose A. Guerra, M.D. had 4,106 Medicare Part D claims for 421 beneficiaries; the average among adolescent medicine (family medicine) physician prescribers was 3,520. Part D covers Medicare prescriptions only.

What is Jose A. Guerra, M.D.'s MIPS final score?

The 2023 MIPS final score is 91.4 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.