Active NPI 1841222171 Individual Practitioner Male Practitioner

Dr. Michael Guerena , MD

Specialist • Oceanside, CA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Michael Guerena, MD is a certified Specialist practicing in Oceanside, CA. With approximately 36 years of clinical experience since graduating from Loyola University Of Chicago, Stritch School Of Medicine in 1990, Dr. Guerena delivers high-quality medical care to the local community at 3609 VISTA WAY.

Dr. Guerena is affiliated with North Coast Urology Medical Associates Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, limited ultrasound scan of pelvis, test or measurement for functional capacity, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3609 Vista Way

Oceanside, CA 920564522

Telephone 7606372500

Fax 7606372501

Associated Practice Facility / Clinic

🏢 North Coast Urology Medical Associates Inc Facility NPI 1548292881

Medicare Profile & Education

Medical School

Loyola University Of Chicago, Stritch School Of Medicine

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Oceanside, CA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +3.2 yrs vs City Avg

City Avg: 32.8 Yrs

State Avg: 38.0 Yrs

Regional Practice Density

30 Specialists

Practicing in Oceanside, CA (6446 Statewide)

Telehealth Adoption Rate

13.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

35.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Guerena (36 Years) 36 Yrs

Oceanside Specialty Average (32.8 Years) 32.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,085	498	$125.09	$92.85
76857 Limited ultrasound scan of pelvis	397	315	$75.00	$51.81
97750 Test or measurement for functional capacity, each 15 minutes	392	188	$51.79	$30.22
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	258	173	$150.14	$130.52
81000 Manual urinalysis test with examination using microscope, non-automated	158	126	$10.00	$3.94
52000 Diagnostic exam of bladder and urethra using an endoscope	72	59	$300.00	$254.12
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	71	12	$600.00	$179.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$178.57	$111.56
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	33	12	$50.00	$37.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$201.92	$170.13
99459 Pelvic exam	18	17	$50.00	$25.16
76775 Limited ultrasound scan behind abdominal cavity	16	12	$168.75	$61.56
51741 Electronic assessment of bladder emptying	15	15	$56.67	$9.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	12	$317.86	$168.55
74420 Imaging of urinary tract	13	12	$40.00	$22.27
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	11	11	$500.00	$406.34
51797 Insertion of device into abdomen with pressure and urine flow rate study	11	11	$300.00	$203.58
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	11	11	$93.18	$32.93
0421T Waterjet destruction of prostrate accessed through the urethra	11	11	$918.18	$717.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	923	448	$125.03	$96.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	636	360	$150.14	$136.43
76856 Complete ultrasound scan of pelvis	335	273	$150.00	$120.06
81000 Manual urinalysis test with examination using microscope, non-automated	309	200	$10.02	$3.92
97750 Test or measurement for functional capacity, each 15 minutes	146	73	$75.75	$31.47
76857 Limited ultrasound scan of pelvis	126	123	$80.36	$54.27
52000 Diagnostic exam of bladder and urethra using an endoscope	99	79	$301.26	$270.55
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	97	97	$153.61	$119.73
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	81	11	$150.00	$133.26
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	61	11	$35.00	$15.46
51702 Simple insertion of temporary bladder tube	45	20	$77.22	$64.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	42	42	$201.19	$177.19
51798 Ultrasound measurement of bladder capacity after voiding	23	17	$50.00	$12.36
76872 Ultrasound scan of pelvic region through rectum	21	21	$177.14	$156.90
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	20	17	$275.00	$179.33
51715 Injection of implant material beneath lining of bladder and/or urethra using an endoscope	20	14	$277.50	$202.50
74420 Imaging of urinary tract	12	12	$35.00	$25.35

HCPCS Code & Description	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	917	380	$150.36	$137.93
99213 Established patient office or other outpatient visit, typically 15 minutes	733	357	$125.07	$98.32
76856 Complete ultrasound scan of pelvis	536	393	$150.19	$122.81
81000 Manual urinalysis test with examination using microscope, non-automated	425	257	$10.01	$3.95
52000 Diagnostic exam of bladder and urethra using an endoscope	122	92	$299.39	$278.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	91	91	$150.55	$120.95
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	82	13	$600.00	$175.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$200.00	$178.77
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	55	11	$35.00	$15.81
51702 Simple insertion of temporary bladder tube	43	25	$77.33	$62.69
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	42	13	$50.00	$37.85
76872 Ultrasound scan of pelvic region through rectum	29	28	$177.59	$161.95
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	26	12	$150.00	$107.26
76775 Limited ultrasound scan behind abdominal cavity	23	16	$150.00	$65.51
51797 Insertion of device into abdomen with pressure and urine flow rate study	18	18	$300.00	$230.58
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	18	18	$118.06	$35.37
51741 Electronic assessment of bladder emptying	18	18	$26.39	$7.52
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	18	18	$500.00	$450.11
52240 Destruction and/or removal of large growth of bladder using an endoscope	15	12	$500.00	$405.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	15	14	$278.33	$196.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	901	484	$119.42	$98.86
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	671	301	$151.59	$138.54
76856 Complete ultrasound scan of pelvis	471	362	$161.04	$124.85
81000 Manual urinalysis test with examination using microscope, non-automated	338	228	$10.00	$3.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	162	162	$153.92	$121.34
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	146	19	$600.00	$186.34
52000 Diagnostic exam of bladder and urethra using an endoscope	142	112	$289.96	$265.29
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	86	22	$60.17	$36.86
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	78	13	$35.00	$15.54
51702 Simple insertion of temporary bladder tube	44	17	$95.45	$70.24
76872 Ultrasound scan of pelvic region through rectum	24	24	$188.75	$153.15
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	23	11	$150.00	$108.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	15	$275.59	$209.34
52240 Destruction and/or removal of large growth of bladder using an endoscope	17	15	$511.76	$408.40
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	14	14	$500.00	$449.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$228.57	$180.34
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	14	14	$260.71	$59.46
55700 Biopsy of prostate gland	14	14	$435.71	$263.25
51797 Insertion of device into abdomen with pressure and urine flow rate study	14	14	$300.00	$216.36
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	14	14	$200.00	$36.47
51741 Electronic assessment of bladder emptying	14	14	$25.00	$7.59
74420 Imaging of urinary tract	12	11	$35.00	$26.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	923	453	$100.43	$81.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	429	284	$150.10	$117.62
76856 Complete ultrasound scan of pelvis	381	307	$159.65	$123.10
81000 Manual urinalysis test with examination using microscope, non-automated	301	183	$10.00	$3.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	194	46	$75.00	$49.66
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	187	26	$600.00	$222.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	137	137	$150.36	$115.11
52000 Diagnostic exam of bladder and urethra using an endoscope	125	94	$301.16	$233.49
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	110	27	$54.77	$35.55
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	110	11	$35.00	$15.65
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	82	12	$200.00	$143.86
51702 Simple insertion of temporary bladder tube	59	25	$125.00	$67.89
51705 Removal of skin suture with change of bladder tube	57	11	$168.95	$105.27
52442 Insertion of implant in urethra within prostate gland using an endoscope, each additional implant	36	11	$85.00	$54.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$204.81	$178.20
52240 Destruction and/or removal of large growth of bladder using an endoscope	21	17	$503.57	$411.42
51797 Insertion of device into abdomen with pressure and urine flow rate study	18	18	$300.00	$184.97
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	18	18	$500.00	$424.18
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	18	18	$266.67	$39.29
51741 Electronic assessment of bladder emptying	18	18	$41.67	$7.83
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$257.14	$215.56
74420 Imaging of urinary tract	12	12	$35.00	$27.40
52441 Insertion of implant in urethra within prostate gland using an endoscope, 1 implant	11	11	$270.45	$226.29
52601 Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope	11	11	$1100.00	$774.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	782	393	$100.13	$79.28
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	581	329	$150.29	$115.86
76856 Complete ultrasound scan of pelvis	501	360	$150.10	$120.44
81000 Manual urinalysis test with examination using microscope, non-automated	406	250	$10.00	$3.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	198	53	$75.00	$48.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	165	165	$150.00	$114.31
52000 Diagnostic exam of bladder and urethra using an endoscope	120	94	$255.00	$207.90
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	82	11	$189.63	$142.12
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	81	13	$600.00	$224.63
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	52	23	$145.67	$108.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$210.20	$171.09
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	42	15	$50.00	$34.09
51702 Simple insertion of temporary bladder tube	35	15	$125.00	$67.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	30	$259.84	$210.37
76775 Limited ultrasound scan behind abdominal cavity	26	19	$150.00	$62.12
51741 Electronic assessment of bladder emptying	23	23	$50.00	$8.09
74420 Imaging of urinary tract	22	16	$36.14	$27.17
51797 Insertion of device into abdomen with pressure and urine flow rate study	22	22	$300.00	$154.49
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	22	22	$300.00	$36.80
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	22	22	$500.00	$396.88
52310 Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope	14	12	$300.00	$292.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	12	12	$181.25	$154.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	624	341	$100.16	$76.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	389	228	$150.42	$112.15
81000 Manual urinalysis test with examination using microscope, non-automated	352	230	$10.00	$3.93
76856 Complete ultrasound scan of pelvis	327	252	$150.46	$119.53
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	157	32	$75.00	$46.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	112	112	$150.00	$112.36
52000 Diagnostic exam of bladder and urethra using an endoscope	101	80	$255.00	$177.31
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	101	16	$35.45	$21.98
51798 Ultrasound measurement of bladder capacity after voiding	93	83	$50.27	$17.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$204.55	$170.56
51702 Simple insertion of temporary bladder tube	22	12	$125.00	$68.88
76775 Limited ultrasound scan behind abdominal cavity	19	16	$150.00	$62.16
74420 Imaging of urinary tract	17	12	$36.47	$18.31
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	15	$265.00	$207.63
51741 Electronic assessment of bladder emptying	13	13	$53.85	$9.01
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	11	$175.00	$151.42
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	12	12	$300.00	$35.38
51797 Insertion of device into abdomen with pressure and urine flow rate study	12	12	$308.33	$115.49
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	12	12	$508.33	$356.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	837	374	$100.54	$75.69
81000 Manual urinalysis test with examination using microscope, non-automated	388	248	$10.04	$4.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	270	146	$150.17	$111.48
76856 Complete ultrasound scan of pelvis	246	190	$152.03	$118.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	239	69	$75.06	$45.46
51798 Ultrasound measurement of bladder capacity after voiding	230	181	$50.00	$20.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	150	150	$150.33	$111.57
64566 Implantation of lower leg neurostimulator electrode, accessed through the skin	124	13	$150.00	$136.40
52000 Diagnostic exam of bladder and urethra using an endoscope	115	89	$255.00	$173.69
51703 Complicated insertion of bladder tube	41	14	$165.00	$130.77
51741 Electronic assessment of bladder emptying	23	22	$50.00	$9.01
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	21	21	$500.00	$362.34
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	21	21	$300.00	$36.41
51797 Insertion of device into abdomen with pressure and urine flow rate study	21	21	$300.00	$119.19
74420 Imaging of urinary tract	17	15	$36.47	$18.23
76775 Limited ultrasound scan behind abdominal cavity	17	14	$154.41	$59.74
57288 Creation of sling around bladder canal (urethra) to control leakage	12	11	$858.33	$682.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$265.00	$206.54
51040 Incision of bladder with drainage	12	11	$322.92	$163.62
57282 Repair of pelvic ligaments through vagina	12	11	$437.50	$238.75
57267 Placement of artificial material for pelvic floor defect	12	11	$368.75	$242.00
57240 Repair of herniated bladder into vaginal wall	12	11	$575.00	$318.82

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CA G80926

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

Medicaid State Provider ID

00G809260 (CA)

Hospital & Practice Group Affiliations

North Coast Urology Medical Associates Inc

3609 Vista Way, Oceanside, CA 920564522

Phone: 7606372500

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Dr. Bradley Frasier , MD

Specialist

NPI 1013932045

Doctor of Medicine (M.D.)

Dr. Robert Shapiro , MD

Urology

NPI 1033198320

Doctor of Medicine (M.D.)

Dr. Caroline Vilchis , MD

Urology

NPI 1083810410

Doctor of Medicine (M.D.)

Dr. Jason Phillips , MD, MBA

Urology

NPI 1417120387

Doctor of Medicine (M.D.), Master of Business Administration

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

✅

NPI Profile Active May 01, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location May 01, 2017

Registered at 3609 VISTA WAY, OCEANSIDE, CA 920564522 (Tel: 7606372500)

📍

Updated Business Mailing Address May 01, 2017

Registered at 3609 VISTA WAY, OCEANSIDE, CA 920564522 (Tel: 7606372500)

👤

Provider Name / Credentials Updated May 01, 2017

Recorded as MICHAEL GUERENA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 01, 2017

Specialist (License #G80926 in CA)

✅

NPI Profile Active January 04, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location January 04, 2011

Registered at 3609 VISTA WAY, OCEANSIDE, CA 920564522 (Tel: 7606372500)

📍

Updated Business Mailing Address January 04, 2011

Registered at 3609 VISTA WAY, OCEANSIDE, CA 920564522 (Tel: 7606372500)

👤

Provider Name / Credentials Updated January 04, 2011

Recorded as MICHAEL GUERENA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 04, 2011

Specialist (License #G80926 in CA)

🟢

Initial NPI Registration & Enumeration July 07, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Michael Guerena. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1841222171

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 07, 2006

Last Update: May 01, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3609 Vista Way

Oceanside, CA 920564522

Phone: 7606372500

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.