Dr. Luis Guada , MD
Neurological Surgery โข Miami, FL
1475 Nw 12th Ave
Miami, FL 331361002
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Luis Guada is listed in NPPES under Neurological Surgery.
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NPI assigned on April 3, 2017; this date does not establish years in practice.
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Published CMS data list 89 Original Medicare Part B services in 2023.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023. Published rows only; this is not a quality measure.
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Published Part B service records, 2023:
- 99232 โ Subsequent hospital care with moderate levelof medical decision making: 25 service units.
- 99233 โ Subsequent hospital care with moderate levelof medical decision making: 24 service units.
- 99222 โ Initial hospital care with straightforward or low-level medical decision making: 15 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2022 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2023). CPT notice
See all 5 records in the table ยท Guide: How to read Medicare Part B data
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Published CMS data list 100 Medicare Part D prescriptions, including refills, in 2023.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2023. Published rows only; this is not a quality measure.
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Published Part D records, 2023:
- Atorvastatin Calcium โ 32 prescription fills, including refills.
- Levetiracetam โ 28 prescription fills, including refills.
- Eliquis (Apixaban) โ 25 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2023. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 4 records in the table ยท Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 72 in 2022 to 89 in 2023.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2022โ2023.
Practice Location & Contact Primary Location
1475 Nw 12th Ave
Miami, FL 331361002
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
CMS Doctors and Clinicians lists 1 group name: Neurovascular And Spine Associates, A Medical Corporation. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
2001
What Public CMS Data Show
Neurological Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $11,566 in 2023
The total amount Medicare approved for these services in 2023. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023.
Paid by Medicare
About $9,019 in 2023
The part of the Medicare-allowed amount that Medicare itself paid in 2023, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2023.
30-day fills
183 standardized 30-day fills in 2023
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$22,478 in 2023
The total cost of these prescriptions in 2023, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2023.
Open Payments general payments, program year 2025
All general payments: $3,140.21 across 36 records.
By nature of payment
- Food and Beverage: $2,317.93 across 34 records.
- Travel and Lodging: $822.28 across 2 records.
Reporting-company totals (3 largest of 6)
- Stryker Corporation: $901.75 across 9 records.
- Scientia Vascular: $868.25 across 3 records.
- Balt USA, LLC: $746.00 across 6 records.
A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.
Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).
Years since graduation
25 years (graduated 2001)
CMS Doctors and Clinicians data list 2001 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
NPI first issued
2017
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, โDoes your provider accept Medicare as full payment?โ
Telehealth (some services)
Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.
You may be able to have some visits without going to the office. Ask which visits can be done by telehealth.
What this does not show: Telehealth (some services)
It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Guada has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Can order Medicare-covered services
CMS lists Dr. Guada as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Miami and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Guada are from 2023.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Guada are from 2023.
72 active clinicians are listed under Neurological Surgery with a practice address in Miami, FL (645 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Miami
40.3% of these 72 clinicians have the CMS telehealth indicator.
61.1% of these 72 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services increased 24% from 72 in 2022 to 89 in 2023.
- 2022: 72
- 2023: 89
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Medicare-allowed amount
Medicare-allowed amount increased 67% from $6,916 in 2022 to $11,566 in 2023.
- 2022: $6,916
- 2023: $11,566
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Paid by Medicare
Paid by Medicare increased 57% from $5,738 in 2022 to $9,019 in 2023.
- 2022: $5,738
- 2023: $9,019
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Medicare Part D prescriptions
Medicare Part D prescriptions increased 270% from 27 in 2019 to 100 in 2023.
- 2019: 27
- 2023: 100
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30-day fills
30-day fills increased 345% from 41 in 2019 to 183 in 2023.
- 2019: 41
- 2023: 183
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Part D drug cost
Part D drug cost increased 2083% from $1,030 in 2019 to $22,478 in 2023.
- 2019: $1,030
- 2023: $22,478
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $298.82 in 2021 to $3,140.21 in 2025.
- 2021: $298.82
- 2022: $1,431.48
- 2023: $1,194.62
- 2024: $11,053.65
- 2025: $3,140.21
Sources: CMS Medicare Physician & Other Practitioners (2023), CMS Medicare Part D Prescribers (2023), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท Report an error.
Pharma & Medical Device Financial Disclosures
Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments
Program year 2025 (payments made January 1 โ December 31, 2025): 36 records totaling $3,140.21.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Scientia Vascular |
Travel and Lodging
Cash or cash equivalent
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โ | General | $477.43 |
| Stryker Corporation |
Travel and Lodging
Cash or cash equivalent
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EVOLVE | General | $344.85 |
| Scientia Vascular |
Food and Beverage
Cash or cash equivalent
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Aristotle | General | $344.05 |
| Balt USA, LLC |
Food and Beverage
In-kind items and services
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Carrier Delivery Catheter | General | $243.33 |
| Balt USA, LLC |
Food and Beverage
In-kind items and services
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Optima Coil System | General | $217.76 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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TREVO | General | $194.24 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
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PIPELINE | General | $150.77 |
| Balt USA, LLC |
Food and Beverage
In-kind items and services
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Carrier Delivery Catheter | General | $150.71 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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EVOLVE | General | $143.71 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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โ | General | $59.87 |
| Penumbra, Inc. |
Food and Beverage
Cash or cash equivalent
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Penumbra System | General | $58.79 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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BROADWAY 8 | General | $57.67 |
| Balt USA, LLC |
Food and Beverage
In-kind items and services
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Carrier Delivery Catheter | General | $51.18 |
| Penumbra, Inc. |
Food and Beverage
Cash or cash equivalent
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Smart Coil | General | $47.36 |
| Balt USA, LLC |
Food and Beverage
In-kind items and services
|
Carrier Delivery Catheter | General | $46.77 |
| Scientia Vascular |
Food and Beverage
Cash or cash equivalent
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โ | General | $46.77 |
| Penumbra, Inc. |
Food and Beverage
Cash or cash equivalent
|
RED 72 | General | $39.68 |
| Penumbra, Inc. |
Food and Beverage
Cash or cash equivalent
|
Smart Coil | General | $39.26 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
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EVOLVE | General | $36.31 |
| Balt USA, LLC |
Food and Beverage
In-kind items and services
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Carrier Delivery Catheter | General | $36.25 |
| Penumbra, Inc. |
Food and Beverage
Cash or cash equivalent
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RED 72 | General | $31.98 |
| Penumbra, Inc. |
Food and Beverage
Cash or cash equivalent
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Penumbra Coil 400 | General | $29.33 |
| Stryker Corporation |
Food and Beverage
In-kind items and services
|
TARGET | General | $29.27 |
| Medtronic, Inc. |
Food and Beverage
In-kind items and services
|
PIPELINE | General | $29.22 |
| Penumbra, Inc. |
Food and Beverage
Cash or cash equivalent
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Smart Coil | General | $28.36 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2021โ2022 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ by Provider and Service data, 2022โ2023; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
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25 | 12 | $291.20 | $88.82 |
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99233
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
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24 | 13 | $368.00 | $135.31 |
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99222
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes
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15 | 15 | $509.33 | $147.72 |
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99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
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13 | 13 | $743.92 | $196.45 |
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99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
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12 | 12 | $281.00 | $110.69 |
Source: CMS Part B by Provider and Service, 2023; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2023.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Atorvastatin Calcium | Atorvastatin Calcium | 32 | 2,280 | $482.59 | 15 |
| Levetiracetam | Levetiracetam | 28 | 1,440 | $1,208.21 | โ |
| Eliquis | Apixaban | 25 | 1,005 | $20,462.54 | โ |
| Quetiapine Fumarate | Quetiapine Fumarate | 15 | 750 | $325.14 | โ |
Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2024-02-06NUCC Taxonomy Code: 207T00000X
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - NEUROSURGERY
I20251031002591
CA
9638555089
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Neurovascular And Spine Associates, A Medical Corporation
1150 M Indian Canyon Dr, Palm Springs, CA 922624872
Phone: 9513651841
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Neurological Surgery
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant
Neurological Surgery
Doctor of Medicine (M.D.)
Neurological Surgery
Doctor of Medicine (M.D.)
Neurological Surgery
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
Advanced Practice Registered Nurse
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 1475 NW 12TH AVE, MIAMI, FL 331361002 (Tel: 3052436946)
Registered at 1475 NW 12TH AVE, MIAMI, FL 331361002 (Tel: 3052436946)
Neurological Surgery (license number reported to NPPES: FL ME150898)
Registered at 151 CRANDON BLVD APT 439, KEY BISCAYNE, FL 331491532 (Tel: 9543948580)
Psychiatry & Neurology (license number reported to NPPES: NY 316021)
Registered at 1468 MADISON AVE BLDG 14TH, NEW YORK, NY 100296508 (Tel: 9543948580)
Registered at 1214 5TH AVE APT 23G, NEW YORK, NY 100295241 (Tel: 9543948580)
NPI status registered as active in NPPES database
Registered at 1611 NW 12TH AVE, MIAMI, FL 331361005 (Tel: 9543948580)
Registered at 253 NE 2ND ST APT 3108, MIAMI, FL 331322313 (Tel: 9543948580)
Recorded as LUIS GUADA, M.D
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Neurological Surgery Specialists in Miami
- Dr. Ricardo Komotar, MD
- Dr. Timur Urakov, MD
- Dr. Michael Ivan, MD
- Dr. Stephen Burks, MD
- Dr. Allan Levi, MD, PhD
- Dr. Alexa Rose, MD
Mailing Address
1475 Nw 12th Ave
Miami, FL 331361002
Phone: 3052436946