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Diora Guzman Marte , NP

Nurse Practitioner โ€ข Lawrence, MA

Active NPI 1609491190 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

34 Haverhill St
Lawrence, MA 018412884

Call 9786860090 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

34 Haverhill St

Lawrence, MA 018412884

Telephone 9786860090
Organization at the Same NPPES Address or Phone
Greater Lawrence Family Health Center, Inc. Facility NPI 1699774646

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 2 distinct group names: Greater Lawrence Family Health Center Inc; Urgent Care Operations Pc. 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

Graduation Year

2019

Medicare patients

33 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $4,043 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.

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, 2024.

Paid by Medicare

About $2,529 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

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, 2024.

30-day fills

494 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

$25,589 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

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, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

7 years (graduated 2019)

CMS Doctors and Clinicians data list 2019 as the year this clinician finished professional 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

2020

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.

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, โ€œDoes your provider accept Medicare as full payment?โ€

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

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.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Diora Guzman Marte 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.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Diora Guzman Marte 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.

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.

Guide: What ordering and referring status means

Compared with the same specialty in Lawrence and Massachusetts

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 90% of clinicians listed under Nurse Practitioner in Massachusetts (2024, 1,536 clinicians with data). Median for this group: 293. Middle half: 113 to 625.

Too few clinicians listed under Nurse Practitioner in Lawrence have Medicare Part B data for 2024 to compare.

Medicare-allowed amount

A lower Medicare-allowed amount than 85% of clinicians listed under Nurse Practitioner in Massachusetts (2024, 1,536 clinicians with data). Median for this group: $24,187. Middle half: $9,751 to $49,233.

Too few clinicians listed under Nurse Practitioner in Lawrence have Medicare Part B data for 2024 to compare.

Paid by Medicare

A lower Medicare payment amount than 85% of clinicians listed under Nurse Practitioner in Massachusetts (2024, 1,536 clinicians with data). Median for this group: $18,312. Middle half: $7,110 to $37,062.

Too few clinicians listed under Nurse Practitioner in Lawrence have Medicare Part B data for 2024 to compare.

Medicare Part D prescriptions

Fewer Part D prescriptions than 60% of clinicians listed under Nurse Practitioner in Lawrence, MA (2024, 11 clinicians with data). Median for this group: 458. Middle half: 93 to 1,256.

Close to the middle for clinicians listed under Nurse Practitioner in Massachusetts (2024, 1,589 clinicians with data). Median for this group: 330. Middle half: 89 to 1,072.

Part D drug cost

A lower Part D drug cost than 70% of clinicians listed under Nurse Practitioner in Lawrence, MA (2024, 11 clinicians with data). Median for this group: $70,554. Middle half: $15,986 to $320,736.

Close to the middle for clinicians listed under Nurse Practitioner in Massachusetts (2024, 1,589 clinicians with data). Median for this group: $25,224. Middle half: $1,758 to $161,316.

24 active clinicians are listed under Nurse Practitioner with a practice address in Lawrence, MA (3,483 in Massachusetts).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lawrence

29.2% of these 24 clinicians have the CMS telehealth indicator.

45.8% of these 24 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2019โ€“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 โ€“ by Provider and Service data, 2020โ€“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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
19 16 $222.20 $108.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
14 14 $338.82 $141.07

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.

CMS Part D ยท Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Azithromycin Azithromycin 41 205 $167.47 38
Lamotrigine Lamotrigine 27 870 $301.69 โ€”
Dextroamphetamine-Amphetamine Dextroamphetamine/Amphetamine 25 734 $462.08 โ€”
Quetiapine Fumarate Quetiapine Fumarate 22 780 $340.56 โ€”
Lisinopril Lisinopril 21 1,890 $192.82 13
Hydroxyzine Hcl Hydroxyzine Hcl 19 603 $248.51 โ€”
Atorvastatin Calcium Atorvastatin Calcium 17 1,170 $143.26 โ€”
Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst 16 92 $157.99 15
Doxycycline Hyclate Doxycycline Hyclate 14 89 $90.07 14
Diclofenac Sodium Diclofenac Sodium 14 343 $299.67 11
Eliquis Apixaban 13 750 $14,676.69 โ€”
Vyvanse Lisdexamfetamine Dimesylate 13 390 $7,804.15 โ€”
Methylprednisolone Methylprednisolone 12 73 $80.23 12
Fluticasone Propionate Fluticasone Propionate 12 614 $163.47 โ€”
Hydrochlorothiazide Hydrochlorothiazide 11 990 $20.30 โ€”
Ibuprofen Ibuprofen 11 163 $67.68 11
Losartan Potassium Losartan Potassium 11 870 $70.51 โ€”
Metformin Hcl Er Metformin Hcl 11 930 $70.97 โ€”
Risperidone Risperidone 11 510 $33.42 โ€”
Albuterol Sulfate Hfa Albuterol Sulfate 11 234 $197.79 โ€”

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

Self-certified to NPPES: 2021-01-12
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

License # reported to NPPES MA RN2288192

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Massachusetts Board of Registration in Medicine.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - NURSE PRACTITIONER

Medicare Enrollment ID

I20230403000211

Enrollment State Jurisdiction

NH

PECOS Control ID

2163840232

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

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

Greater Lawrence Family Health Center Inc

34 Haverhill St, Lawrence, MA 018412884

Phone: 9786860090

Greater Lawrence Family Health Center Inc

150 Park St, Lawrence, MA 018412517

Phone: 9786851770

Urgent Care Operations Pc

50 Dodge St, Beverly, MA 019151765

Phone: 9789222171

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

21 listed
NPI 1053000331

Doctor of Medicine (M.D.)

NPI 1144582552

Doctor of Medicine (M.D.)

NPI 1144891276

Doctor of Medicine (M.D.)

NPI 1114581535

Doctor of Medicine (M.D.)

NPI 1043912223

Doctor of Medicine (M.D.)

NPI 1033317276

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
๐Ÿ“
Updated Practice Location January 31, 2023

Registered at 34 HAVERHILL ST, LAWRENCE, MA 018412884 (Tel: 9786860090)

๐Ÿ“
Updated Business Mailing Address January 31, 2023

Registered at 34 HAVERHILL ST, LAWRENCE, MA 018412884 (Tel: 9786860090)

โœ…
NPI Profile Active June 10, 2020

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) June 10, 2020

Registered at 380 MERRIMACK ST, METHUEN, MA 018445870 (Tel: 9789750700)

๐Ÿ“
Business Mailing Address (Initial Record) June 10, 2020

Registered at 604 HAVERHILL ST, LAWRENCE, MA 018414116 (Tel: 9783975668)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) June 10, 2020

Recorded as DIORA GUZMAN MARTE, NP

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2020

Nurse Practitioner (license number reported to NPPES: MA RN2288192)

๐ŸŸข
Initial NPI Registration & Enumeration June 10, 2020

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1609491190
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 10, 2020
Last Update: January 31, 2023
Sole Proprietor: No

Other Nurse Practitioners in Lawrence

All Nurse Practitioners in Lawrence

Mailing Address

34 Haverhill St

Lawrence, MA 018412884

Phone: 9786860090

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.