Active NPI 1679651772 Individual Practitioner Female Practitioner

Dr. Helena M. Guarda , MD

Plastic Surgery • Suffolk, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Helena Guarda, MD is a certified Plastic Surgery practicing in Suffolk, VA. With approximately 25 years of clinical experience since graduating from Louisiana State University School Of Medicine In New Orleans in 2001, Dr. Guarda delivers high-quality medical care to the local community at 5131 RIVER CLUB DR STE 110.

Dr. Guarda accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5131 River Club Dr Ste 110

Suffolk, VA 234353846

Telephone 7574836550

Fax 7574836555

Associated Practice Facility / Clinic

🏢 Plastic Surgery Specialist Of Virginia, Inc. Facility NPI 1619147717

Medicare Profile & Education

Medical School

Louisiana State University School Of Medicine In New Orleans

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Suffolk, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

25 Yrs +4.5 yrs vs City Avg

City Avg: 20.5 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

3 Specialists

Practicing in Suffolk, VA (139 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Guarda (25 Years) 25 Yrs

Suffolk Specialty Average (20.5 Years) 20.5 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	83	57	$267.16	$87.87
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$326.20	$107.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$165.69	$54.41

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	65	52	$269.58	$88.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$334.41	$109.94
99202 New patient office or other outpatient visit, typically 20 minutes	18	18	$216.00	$71.04
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$168.78	$55.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	77	55	$274.44	$90.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$338.97	$111.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	24	$171.12	$56.79
99202 New patient office or other outpatient visit, typically 20 minutes	24	24	$220.62	$72.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	63	51	$275.91	$91.07
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$338.85	$109.78
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	19	$169.97	$56.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	81	58	$198.79	$75.27
99202 New patient office or other outpatient visit, typically 20 minutes	23	23	$201.65	$76.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	109	62	$194.00	$70.43
99202 New patient office or other outpatient visit, typically 20 minutes	20	20	$192.00	$72.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$179.00	$99.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	136	89	$194.00	$70.05
99202 New patient office or other outpatient visit, typically 20 minutes	34	34	$192.00	$71.42
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$179.00	$103.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	148	98	$194.00	$72.02
99202 New patient office or other outpatient visit, typically 20 minutes	53	53	$192.00	$73.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	13	$238.00	$105.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$179.00	$106.33

Medical Specialties & State Licenses

CMS Verified: 2020-05-05

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License VA 0101231360

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.

Specialist

NUCC Taxonomy Code: 174400000X

State License VA 0101231360

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

6901905 (VA)

Career & Practice History Timeline

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

10 Historical Events

📍

Updated Practice Location May 05, 2020

Registered at 5131 RIVER CLUB DR STE 110, SUFFOLK, VA 234353846 (Tel: 7574836550)

📍

Updated Business Mailing Address May 05, 2020

Registered at 5131 RIVER CLUB DR STE 110, SUFFOLK, VA 234353846 (Tel: 7574836550)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 05, 2020

Specialist (License #0101231360 in VA)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 19, 2019

Surgery (License #0101231360 in VA)

✅

NPI Profile Active October 18, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 18, 2011

Registered at 5833 HARBOUR VIEW BLVD, SUITE B, SUFFOLK, VA 234352657 (Tel: 7574836550)

📍

Updated Business Mailing Address October 18, 2011

Registered at 5833 HARBOUR VIEW BLVD STE B, SUFFOLK, VA 234353760 (Tel: 7574836550)

👤

Provider Name / Credentials Updated October 18, 2011

Recorded as HELENA GUARDA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2011

Specialist (License #0101231360 in VA)

🟢

Initial NPI Registration & Enumeration November 02, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679651772

Entity Type:

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

Enumeration Date: November 02, 2006

Last Update: May 05, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

5131 River Club Dr Ste 110

Suffolk, VA 234353846

Phone: 7574836550

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.