Dr. James John Guerra , MD
Orthopaedic Surgery • Naples, FL
1706 Medical Blvd, Ste 201
Naples, FL 34110
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. James Guerra is listed in NPPES under Orthopaedic Surgery.
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NPI assigned on April 19, 2006; this date does not establish years in practice.
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Published CMS data list 31,016 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 97110 — Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility: 13,939 service units.
- 97140 — Therapy procedure using manual technique: 7,423 service units.
- 99214 — Established patient outpatient office visit: 2,337 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See all 35 records in the table · Guide: How to read Medicare Part B data
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Published CMS data list 1,359 Medicare Part D prescriptions, including refills, in 2024.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Published rows only; this is not a quality measure.
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Published Part D records, 2024:
- Oxycodone-Acetaminophen (Oxycodone Hcl/Acetaminophen) — 302 prescription fills, including refills.
- Zolpidem Tartrate — 170 prescription fills, including refills.
- Celecoxib — 166 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See all 12 records in the table · Guide: How to read Medicare Part D prescriber data
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More Medicare Part B services than 90% of clinicians listed under Orthopaedic Surgery in Naples, FL (2024, 17 clinicians with data). Median for this group: 6,203. Middle half: 2,210 to 25,496.
More Medicare Part B services than 95% of clinicians listed under Orthopaedic Surgery in Florida (2024, 901 clinicians with data). Median for this group: 1,648. Middle half: 432 to 4,712.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 20,660 in 2020 to 31,016 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
1706 Medical Blvd
Ste 201
Naples, FL 34110
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 3 distinct group names: Collier Sports Medicine And Orthopaedic Center Pa; Cora Health Services Inc; The Moorings Incorporated. 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
Northwestern University Feinberg Medical School
1989
What Public CMS Data Show
Orthopaedic Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
1,644 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.
Medicare-allowed amount
About $1,944,006 in 2024
The total amount Medicare approved for these services in 2024. 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 – by Provider and Service, 2024.
Paid by Medicare
About $1,494,480 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, 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 – by Provider and Service, 2024.
30-day fills
1,465 standardized 30-day fills in 2024
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
$12,426 in 2024
The total cost of these prescriptions in 2024, 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 – by Provider and Drug, 2024.
Open Payments general payments, program year 2025
All general payments: $394,753.51 across 51 records.
By nature of payment (3 largest of 4)
- Royalty or License: $365,537.63 across 4 records.
- Consulting Fee: $27,500.00 across 31 records.
- Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program: $1,000.00 across 2 records.
Reporting-company totals
- Arthrex, Inc.: $394,716.19 across 50 records.
- VERTEX PHARMACEUTICALS INCORPORATED: $37.32 across 1 record.
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
37 years (graduated 1989)
CMS Doctors and Clinicians data list 1989 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
2006
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, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Dr. Guerra 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. Guerra 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 Naples and Florida
Billing and prescribing volume is not a quality rating.
Medicare Part B services
More Medicare Part B services than 90% of clinicians listed under Orthopaedic Surgery in Naples, FL (2024, 17 clinicians with data). Median for this group: 6,203. Middle half: 2,210 to 25,496.
More Medicare Part B services than 95% of clinicians listed under Orthopaedic Surgery in Florida (2024, 901 clinicians with data). Median for this group: 1,648. Middle half: 432 to 4,712.
Medicare-allowed amount
A higher Medicare-allowed amount than 95% of clinicians listed under Orthopaedic Surgery in Naples, FL (2024, 17 clinicians with data). Median for this group: $291,262. Middle half: $150,146 to $648,992.
A higher Medicare-allowed amount than 95% of clinicians listed under Orthopaedic Surgery in Florida (2024, 901 clinicians with data). Median for this group: $111,234. Middle half: $38,225 to $238,999.
Paid by Medicare
A higher Medicare payment amount than 95% of clinicians listed under Orthopaedic Surgery in Naples, FL (2024, 17 clinicians with data). Median for this group: $218,037. Middle half: $109,760 to $482,262.
A higher Medicare payment amount than 95% of clinicians listed under Orthopaedic Surgery in Florida (2024, 901 clinicians with data). Median for this group: $83,613. Middle half: $27,846 to $181,468.
Medicare Part D prescriptions
More Part D prescriptions than 80% of clinicians listed under Orthopaedic Surgery in Naples, FL (2024, 16 clinicians with data). Median for this group: 441. Middle half: 287 to 1,129.
More Part D prescriptions than 90% of clinicians listed under Orthopaedic Surgery in Florida (2024, 886 clinicians with data). Median for this group: 263. Middle half: 82 to 561.
Part D drug cost
A higher Part D drug cost than 85% of clinicians listed under Orthopaedic Surgery in Naples, FL (2024, 16 clinicians with data). Median for this group: $2,701. Middle half: $1,141 to $10,774.
A higher Part D drug cost than 85% of clinicians listed under Orthopaedic Surgery in Florida (2024, 886 clinicians with data). Median for this group: $2,152. Middle half: $610 to $6,138.
21 active clinicians are listed under Orthopaedic Surgery with a practice address in Naples, FL (1,473 in Florida).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Naples
4.8% of these 21 clinicians have the CMS telehealth indicator.
81% of these 21 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 50% from 20,660 in 2020 to 31,016 in 2024.
- 2020: 20,660
- 2021: 24,042
- 2022: 32,537
- 2023: 27,209
- 2024: 31,016
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Medicare-allowed amount
Medicare-allowed amount increased 48% from $1,314,536 in 2020 to $1,944,006 in 2024.
- 2020: $1,314,536
- 2021: $1,427,091
- 2022: $1,766,141
- 2023: $1,714,849
- 2024: $1,944,006
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Paid by Medicare
Paid by Medicare increased 45% from $1,028,554 in 2020 to $1,494,480 in 2024.
- 2020: $1,028,554
- 2021: $1,121,014
- 2022: $1,353,122
- 2023: $1,323,010
- 2024: $1,494,480
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Medicare Part D prescriptions
Medicare Part D prescriptions stayed about the same: 1,351 in 2020 and 1,359 in 2024.
- 2020: 1,351
- 2021: 1,364
- 2022: 1,379
- 2023: 1,323
- 2024: 1,359
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30-day fills
30-day fills stayed about the same: 1,506 in 2020 and 1,465 in 2024.
- 2020: 1,506
- 2021: 1,533
- 2022: 1,498
- 2023: 1,453
- 2024: 1,465
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Part D drug cost
Part D drug cost decreased 32% from $18,233 in 2020 to $12,426 in 2024.
- 2020: $18,233
- 2021: $17,951
- 2022: $17,878
- 2023: $20,137
- 2024: $12,426
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Industry payments (Open Payments)
Industry payments (Open Payments) increased 38% from $285,377.12 in 2021 to $394,753.51 in 2025.
- 2021: $285,377.12
- 2022: $539,879.66
- 2023: $694,652.36
- 2024: $516,250.64
- 2025: $394,753.51
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · 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 – December 31, 2025): 51 records totaling $394,753.51.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Arthrex, Inc. |
Royalty or License
Cash or cash equivalent
|
Arthrex | General | $104,577.92 |
| Arthrex, Inc. |
Royalty or License
Cash or cash equivalent
|
Arthrex | General | $95,990.13 |
| Arthrex, Inc. |
Royalty or License
Cash or cash equivalent
|
Arthrex | General | $84,212.32 |
| Arthrex, Inc. |
Royalty or License
Cash or cash equivalent
|
Arthrex | General | $80,757.26 |
| Arthrex, Inc. |
Consulting Fee
Cash or cash equivalent
|
— | General | $4,500.00 |
| Arthrex, Inc. |
Consulting Fee
Cash or cash equivalent
|
— | General | $2,500.00 |
| Arthrex, Inc. |
Consulting Fee
Cash or cash equivalent
|
— | General | $2,000.00 |
| Arthrex, Inc. |
Consulting Fee
Cash or cash equivalent
|
— | General | $1,500.00 |
| Arthrex, Inc. |
Consulting Fee
Cash or cash equivalent
|
— | General | $1,250.00 |
| Arthrex, Inc. |
Consulting Fee
Cash or cash equivalent
|
— | General | $1,250.00 |
| Arthrex, Inc. |
Consulting Fee
Cash or cash equivalent
|
— | General | $1,000.00 |
| Arthrex, Inc. |
Consulting Fee
Cash or cash equivalent
|
— | General | $1,000.00 |
| Arthrex, Inc. |
Consulting Fee
Cash or cash equivalent
|
— | General | $1,000.00 |
| Arthrex, Inc. |
Consulting Fee
Cash or cash equivalent
|
— | General | $1,000.00 |
| Arthrex, Inc. |
Consulting Fee
Cash or cash equivalent
|
— | General | $1,000.00 |
| Arthrex, Inc. |
Consulting Fee
Cash or cash equivalent
|
— | General | $750.00 |
| Arthrex, Inc. |
Consulting Fee
Cash or cash equivalent
|
— | General | $500.00 |
| Arthrex, Inc. |
Consulting Fee
Cash or cash equivalent
|
— | General | $500.00 |
| Arthrex, Inc. |
Consulting Fee
Cash or cash equivalent
|
— | General | $500.00 |
| Arthrex, Inc. |
Consulting Fee
Cash or cash equivalent
|
— | General | $500.00 |
| Arthrex, Inc. |
Consulting Fee
Cash or cash equivalent
|
— | General | $500.00 |
| Arthrex, Inc. |
Consulting Fee
Cash or cash equivalent
|
— | General | $500.00 |
| Arthrex, Inc. |
Consulting Fee
Cash or cash equivalent
|
— | General | $500.00 |
| Arthrex, Inc. |
Consulting Fee
Cash or cash equivalent
|
— | General | $500.00 |
| Arthrex, Inc. |
Compensation for services other than consulting, including serving as faculty or as a speaker at a venue other than a continuing education program
Cash or cash equivalent
|
— | General | $500.00 |
(top 25 shown)
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 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 – by Provider and Service data, 2017–2024; 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 |
|---|---|---|---|---|
|
97110
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
|
13,939 | 417 | $88.22 | $24.25 |
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97140
Therapy procedure using manual technique, each 15 minutes
|
7,423 | 408 | $81.07 | $20.60 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
2,337 | 1,263 | $376.39 | $129.08 |
|
J0702
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg
|
1,322 | 516 | $24.95 | $6.88 |
|
20611
Aspiration and/or injection of fluid large joint using ultrasound guidance
|
914 | 617 | $296.96 | $97.76 |
|
73030
X-ray of shoulder, minimum of 2 views
|
770 | 588 | $103.53 | $34.76 |
|
73564
X-ray of knee, 4 or more views
|
770 | 606 | $136.03 | $46.82 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
549 | 549 | $487.30 | $169.73 |
|
97530
Therapy procedure using functional activities
|
487 | 45 | $113.25 | $36.15 |
|
97112
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
|
315 | 47 | $103.02 | $33.20 |
|
97161
Evaluation for physical therapy, typically 20 minutes
|
208 | 193 | $291.06 | $99.12 |
|
97162
Evaluation for physical therapy, typically 30 minutes
|
203 | 189 | $288.58 | $98.89 |
|
J7327
Hyaluronan or derivative, monovisc, for intra-articular injection, per dose
|
193 | 138 | $1507.83 | $681.90 |
|
73502
X-ray of hip, 2-3 views
|
175 | 145 | $138.95 | $46.89 |
|
J1885
Injection, ketorolac tromethamine, per 15 mg
|
164 | 35 | $9.41 | $0.64 |
|
27447
Replacement of knee joint, both sides of knee
|
122 | 114 | $4009.58 | $1358.01 |
|
29823
Removal of extensive shoulder joint tissue using an endoscope
|
116 | 115 | $1904.28 | $131.32 |
|
29826
Shaving of part of shoulder bone and repair of ligament using an endoscope
|
116 | 115 | $1597.88 | $180.85 |
|
29824
Partial removal of collar bone at shoulder using an endoscope
|
115 | 114 | $2200.51 | $439.83 |
|
23395
Relocation of one muscle of shoulder or upper arm
|
88 | 87 | $3947.00 | $693.67 |
|
23472
Prosthetic repair of shoulder joint, total shoulder
|
85 | 84 | $4471.78 | $1523.44 |
|
23020
Release of tendon of shoulder joint
|
84 | 83 | $2140.82 | $365.85 |
|
29879
Repair of knee joint with drilling and or scraping of joint using an endoscope
|
75 | 74 | $2110.33 | $692.52 |
|
29881
Removal of knee cartilage using an endoscope
|
72 | 71 | $1815.76 | $136.58 |
|
29876
Removal of joint lining from multiple knee joint compartments using an endoscope
|
65 | 64 | $2118.92 | $263.94 |
(top 25 shown)
Source: CMS Part B by Provider and Service, 2024; 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 2024.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Oxycodone-Acetaminophen | Oxycodone Hcl/Acetaminophen | 302 | 1,830 | $4,046.73 | 250 |
| Zolpidem Tartrate | Zolpidem Tartrate | 170 | 2,243 | $560.44 | 129 |
| Celecoxib | Celecoxib | 166 | 6,727 | $3,485.24 | 113 |
| Meloxicam | Meloxicam | 156 | 5,863 | $610.05 | 85 |
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 148 | 824 | $1,588.79 | 145 |
| Mupirocin | Mupirocin | 116 | 1,577 | $740.19 | 113 |
| Amoxicillin | Amoxicillin | 96 | 469 | $293.55 | 81 |
| Tramadol Hcl | Tramadol Hcl | 83 | 542 | $299.43 | 59 |
| Methylprednisolone | Methylprednisolone | 83 | 504 | $470.73 | 79 |
| Oxycontin | Oxycodone Hcl | 15 | 15 | $157.24 | 15 |
| Diclofenac Sodium | Diclofenac Sodium | 13 | 390 | $113.57 | — |
| Ondansetron Hcl | Ondansetron Hcl | 11 | 64 | $60.15 | — |
Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 207X00000X
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - ORTHOPEDIC SURGERY
I20040320000333
FL
7517855794
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
The Moorings Incorporated
120 Moorings Park Dr, Naples, FL 341052122
Cora Health Services Inc
20009 Verdana Village Blvd, Estero, FL 339289826
Phone: 4192216717
Collier Sports Medicine And Orthopaedic Center Pa
1706 Medical Blvd, Naples, FL 341101417
Phone: 2395933500206
The Moorings Incorporated
130 Moorings Park Dr, Naples, FL 341052122
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Physician Assistant
Physician Assistant (Certified)
Physician Assistant
Physician Assistant (Certified)
Orthopaedic Surgery - Sports Medicine
Family Medicine - Sports Medicine
Doctor of Medicine (M.D.)
Career & Practice History
NPI enumerated April 19, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Orthopaedic Surgery Specialists in Naples
- Dr. Steven Goldberg, MD
- Dr. Robert Zehr, MD
- Dr. Zachary Elstad, MD
- Dr. John Walsh, MD
- Dr. Scott Thompson, MD
- Dr. Herbert Bertram, MD
Mailing Address
1706 Medical Blvd, Ste 201
Naples, FL 34110
Phone: 2395933500