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Carmen Guerra, MD

NPI 1356373781ActiveIndividual· Hospitalist· Philadelphia, PA

Hospitalist (MD) in Philadelphia, Pennsylvania, trained at University of Rochester School of Medicine and Dentistry (class of 1993). Their prescriptions cost Medicare Part D more than their services did: $61,698 for 1,275 claims, against $9,855 paid for services in 2024. Roche Molecular Systems, Inc. reported $4,400 in payments in 2025, mostly speaking and faculty fees.

Overview

NPI1356373781
StatusActive
Entity typeIndividual
CredentialMD
Sole proprietorNo
NPI issuedJul 7, 2006
Last updated in NPPESDec 5, 2017

Specialties and licenses

TaxonomyCodeLicenseState
Hospitalist Primary208M00000XMD057933LPA
Internal Medicine207R00000XMD057933LPA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Internal Medicine (PA)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients51
Services billed114 across 12 procedure codes
Paid by Medicare$9,855

Part D prescriptions in 2024

Prescriptions (claims)1,275 · 3,150 30-day fills
Patients101
Total drug cost$61,698
Generic share92% of claims

Medicare sources and data years

Education and affiliations

Medical schoolUniversity of Rochester School of Medicine and Dentistry
Graduation year1993
Medicare specialtyInternal Medicine

Medical group

Hospital affiliations

Other facilities

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$4,400 · 1 payment from 1 company
  • 2024$556.55 · 5 payments from 3 companies

Top paying companies in 2025

CompanyAmountPayments
Roche Molecular Systems, Inc.$4,4001

What the 2025 payments were for

  • Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program$4,400 · 1 payment

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other hospitalists in Philadelphia

All 271 hospitalists in Philadelphia · All hospitalists in Pennsylvania