Justin Andrew De La Guerra, MD
NPI 1164009585ActiveIndividual· Family Medicine· Fayetteville, NC
Family Medicine (MD) in Fayetteville, North Carolina, trained at University of Connecticut School of Medicine (class of 2021). Their prescriptions cost Medicare Part D more than their services did: $98,294 for 1,229 claims, against $12,821 paid for services in 2024. Insulet Corporation was the largest of 2 companies reporting payments in 2025, $290.63 in all, mostly food and beverage.
Overview
| NPI | 1164009585 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Mar 24, 2021 |
| Last updated in NPPES | Nov 19, 2025 |
| Certified by provider | Nov 19, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 2023-02662 | NC |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (NC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 67 |
|---|---|
| Services billed | 343 across 37 procedure codes |
| Paid by Medicare | $12,821 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,229 · 2,691 30-day fills |
|---|---|
| Patients | 136 |
| Total drug cost | $98,294 |
| Generic share | 88% of claims |
Education and affiliations
| Medical school | University of Connecticut School of Medicine |
|---|---|
| Graduation year | 2021 |
| Medicare specialty | Family Practice |
Medical groups
- Fayetteville Area Health Education Foundation IncFayetteville, NC · 29 clinicians
- Cfv Express Care Billing Services LLCFayetteville, NC · 20 clinicians
Hospital affiliation
- Cape Fear Valley Medical CenterFayetteville, NC
Other facilities
- Highsmith Rainey Memorial HospitalLong-term care hospital · Fayetteville, NC
Industry payments (Open Payments)
- 2025$290.63 · 2 payments from 2 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Insulet Corporation | $146.60 | 1 |
| Corcept Therapeutics | $144.03 | 1 |
What the 2025 payments were for
- Food and Beverage$290.63 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 171 family medicine physicians in Fayetteville · All family medicine physicians in North Carolina