Dr. Helena M. Guarda , MD
Plastic Surgery • Suffolk, VA
5131 River Club Dr Ste 110
Suffolk, VA 234353846
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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NPI assigned on November 2, 2006; this date does not establish years in practice.
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Published CMS data list 113 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:
- 99213 — Established patient outpatient office visit: 83 service units.
- 99203 — New patient outpatient office visit: 17 service units.
- 99212 — Established patient outpatient office visit: 13 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 the full table · Guide: How to read Medicare Part B data
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Published CMS data list 13 Medicare Part D prescriptions, including refills, in 2019.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2019. Published rows only; this is not a quality measure.
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Published Part D records, 2019:
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) — 13 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2019. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table · Guide: How to read Medicare Part D prescriber data
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Close to the middle for Medicare Part B services among clinicians listed under Plastic Surgery in Virginia (2024, 41 clinicians with data). Median for this group: 105. Middle half: 40 to 440.
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 104 in 2020 to 113 in 2024.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020–2024.
Practice Location & Contact Primary Location
5131 River Club Dr Ste 110
Suffolk, VA 234353846
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
Louisiana State University School Of Medicine In New Orleans
2001
What Public CMS Data Show
Plastic Surgery: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
83 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 $9,827 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 $6,732 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
13 standardized 30-day fills in 2019
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
$105 in 2019
The total cost of these prescriptions in 2019, 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, 2019.
Open Payments general payments, program year 2025
All general payments: $373.46 across 6 records.
By nature of payment
- Food and Beverage: $373.46 across 6 records.
Reporting-company totals
- ABBVIE INC.: $359.68 across 5 records.
- MOTIVA USA, LLC: $13.78 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
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
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. Guarda 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. Guarda 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 Suffolk and Virginia
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Close to the middle for clinicians listed under Plastic Surgery in Virginia (2024, 41 clinicians with data). Median for this group: 105. Middle half: 40 to 440.
Too few clinicians listed under Plastic Surgery in Suffolk have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
Close to the middle for clinicians listed under Plastic Surgery in Virginia (2024, 41 clinicians with data). Median for this group: $9,781. Middle half: $3,779 to $45,594.
Too few clinicians listed under Plastic Surgery in Suffolk have Medicare Part B data for 2024 to compare.
Paid by Medicare
Close to the middle for clinicians listed under Plastic Surgery in Virginia (2024, 41 clinicians with data). Median for this group: $7,075. Middle half: $2,706 to $35,703.
Too few clinicians listed under Plastic Surgery in Suffolk have Medicare Part B data for 2024 to compare.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Guarda are from 2019.
3 active clinicians are listed under Plastic Surgery with a practice address in Suffolk, VA (134 in Virginia).
Addresses are self-reported to NPPES and may be out of date.
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 varied from year to year: 104 in 2020 and 113 in 2024.
- 2020: 104
- 2021: 108
- 2022: 169
- 2023: 117
- 2024: 113
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Medicare-allowed amount
Medicare-allowed amount increased 25% from $7,848 in 2020 to $9,827 in 2024.
- 2020: $7,848
- 2021: $9,506
- 2022: $14,720
- 2023: $10,061
- 2024: $9,827
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Paid by Medicare
Paid by Medicare increased 24% from $5,417 in 2020 to $6,732 in 2024.
- 2020: $5,417
- 2021: $6,767
- 2022: $10,272
- 2023: $6,851
- 2024: $6,732
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Medicare Part D prescriptions
Medicare Part D prescriptions went from 17 in 2015 to 13 in 2019.
- 2015: 17
- 2016: 37
- 2017: 13
- 2018: 13
- 2019: 13
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30-day fills
30-day fills went from 17 in 2015 to 13 in 2019.
- 2015: 17
- 2016: 37
- 2017: 13
- 2018: 13
- 2019: 13
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Part D drug cost
Part D drug cost went from $222 in 2015 to $105 in 2019.
- 2015: $222
- 2016: $458
- 2017: $116
- 2018: $105
- 2019: $105
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $44.04 in 2020 to $373.46 in 2025.
- 2020: $44.04
- 2021: $14.05
- 2023: $132.94
- 2024: $173.72
- 2025: $373.46
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2019), 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): fewer than 11 records totaling $373.46.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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BOTOX | General | $145.97 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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NATRELLE SALINE-FILLED BREAST IMPLANTS | General | $139.98 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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BOTOX | General | $25.82 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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— | General | $24.43 |
| ABBVIE INC. |
Food and Beverage
In-kind items and services
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— | General | $23.48 |
| MOTIVA USA, LLC |
Food and Beverage
Cash or cash equivalent
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Motiva Implant Matrix | General | $13.78 |
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 |
|---|---|---|---|---|
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99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
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83 | 57 | $267.16 | $87.87 |
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
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17 | 17 | $326.20 | $107.42 |
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99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
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13 | 13 | $165.69 | $54.41 |
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 2019.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 13 | 69 | $105.29 | 12 |
Source: CMS Part D by Provider and Drug, 2019; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2020-05-05NUCC Taxonomy Code: 208200000X
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - PLASTIC AND RECONSTRUCTIVE SURGERY
I20080820000290
VA
2860567286
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 5131 RIVER CLUB DR STE 110, SUFFOLK, VA 234353846 (Tel: 7574836550)
Registered at 5131 RIVER CLUB DR STE 110, SUFFOLK, VA 234353846 (Tel: 7574836550)
Specialist (license number reported to NPPES: VA 0101231360)
Surgery (license number reported to NPPES: VA 0101231360)
NPI status registered as active in NPPES database
Registered at 5833 HARBOUR VIEW BLVD, SUITE B, SUFFOLK, VA 234352657 (Tel: 7574836550)
Registered at 5833 HARBOUR VIEW BLVD STE B, SUFFOLK, VA 234353760 (Tel: 7574836550)
Recorded as HELENA GUARDA, M.D.
Specialist (license number reported to NPPES: VA 0101231360)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Plastic Surgery Specialists in Suffolk
Healthcare providers in SuffolkMailing Address
5131 River Club Dr Ste 110
Suffolk, VA 234353846
Phone: 7574836550