Medicare Enrolled
Dr. James Guerra, MD
Orthopedic Surgery · Naples, FL
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Mixed engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Guerra from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
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What this data tells you about Dr. Guerra
Dr. James Guerra is an orthopedic surgery specialist in Naples, FL, with 19 years of NPI registration. Based on federal Medicare data, Dr. Guerra performed 27,209 Medicare services across 6,269 unique beneficiaries.
Between the years covered by Open Payments, Dr. Guerra received a total of $2,323,194 from 11 pharmaceutical and/or device companies across 437 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in orthopedic surgery. The majority of payments are classified as financial or ownership interests (royalties, licensing fees, or investment interests). Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Guerra is Very High — reflecting how much public federal data is available about this provider. This is not a quality rating. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years in practice
▲ Top 1% volume in FL
$2,323,194 industry payments
Florida License Status
FL DOH · MQA1
Active license
None
Board action on record
0
Recent admin complaints
| Profession | License # | Status | Expires | Board Action |
|---|---|---|---|---|
| Medical Doctor | 71751 | Clear | January 31, 2028 | — |
Data from Florida Department of Health Medical Quality Assurance.
License records are public under Chapter 119, Florida Statutes.
Verify directly on FL DOH →
Medicare Practice Summary
Medicare Utilization ↗27,209
Medicare services
Top 1% in FL for orthopedic surgery
6,269
Unique beneficiaries
$49
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~1,432 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Physical therapy exercise, per 15 min A therapy session using exercises to improve strength, endurance, range of motion, and flexibility. Each 15-minute unit is billed separately. |
11,673 | $20 | $56 |
| Manual therapy (hands-on treatment), per 15 min | 7,254 | $17 | $51 |
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
2,051 | $96 | $241 |
| Betamethasone steroid injection An injection containing a combination of betamethasone acetate and betamethasone sodium phosphate. |
1,294 | $5 | $25 |
| Ultrasound-guided large joint aspiration or injection This procedure uses ultrasound imaging to guide the removal of fluid from or the injection of medication into a large joint. |
760 | $79 | $192 |
| Shoulder X-ray, 2+ views An X-ray imaging test of the shoulder joint using at least two different angles to visualize the bones and surrounding structures. |
674 | $27 | $66 |
| Knee X-ray, 4 or more views An imaging test using X-rays to create multiple pictures of the knee joint from different angles. |
616 | $35 | $88 |
| New patient office visit (45-59 min) An initial office visit for a new patient lasting between 45 and 59 minutes. This code covers the total time spent by the physician or qualified healthcare professional on the date of the encounter. |
434 | $121 | $319 |
| Functional activity therapy A therapy procedure that utilizes functional activities as part of the treatment process. |
321 | $29 | $70 |
| Evaluation for physical therapy, typically 20 minutes | 199 | $77 | $189 |
| Hip X-ray, 2-3 views An X-ray imaging test of the hip joint using two to three different angles to visualize the bones and surrounding structures. |
169 | $36 | $89 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
164 | $59 | $172 |
| Hyaluronan intra-articular injection An injection of hyaluronan or a derivative into a joint to provide lubrication and cushioning. |
164 | $560 | $1,514 |
| Evaluation for physical therapy, typically 30 minutes | 146 | $77 | $189 |
| Neuromuscular re-education therapy, per 15 min A therapy procedure designed to re-educate the functional connection between the brain, nerves, and muscles. It is billed in 15-minute increments. |
107 | $25 | $65 |
| Arthroscopic shoulder debridement A minimally invasive procedure to remove damaged or excess tissue from the shoulder joint using a small camera and instruments inserted through tiny incisions. |
101 | $105 | $1,211 |
| Partial collarbone removal via endoscope This procedure involves the surgical removal of a portion of the collarbone (clavicle) using an endoscope, a small camera inserted through a tiny incision to guide the surgeon. |
101 | $392 | $1,376 |
| Arthroscopic shoulder surgery for bone shaving and ligament repair A minimally invasive procedure using a small camera to shave part of the shoulder bone and repair a ligament. |
101 | $151 | $988 |
| Total knee replacement | 89 | $1,123 | $2,581 |
| Knee arthroscopy with drilling or scraping A minimally invasive procedure using a small camera to examine the knee joint. The surgeon uses instruments to drill or scrape tissue inside the joint. |
87 | $566 | $1,324 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
82 | $46 | $127 |
| Arthroscopic removal of knee cartilage A minimally invasive surgical procedure to remove damaged or loose pieces of cartilage from the knee joint using a small camera and instruments inserted through tiny incisions. |
80 | $118 | $1,081 |
| Knee arthroscopy with synovectomy A minimally invasive procedure using a small camera to remove the inflamed lining of the knee joint. |
77 | $230 | $1,307 |
| Shoulder or upper arm muscle relocation A surgical procedure to move a muscle in the shoulder or upper arm to a new position. |
64 | $558 | $2,557 |
| Total shoulder joint prosthetic repair Surgical replacement of the shoulder joint with a prosthetic device. This procedure involves removing damaged joint components and inserting artificial parts to restore function. |
64 | $1,260 | $2,905 |
| Shoulder tendon release A surgical procedure to cut or release a tendon in the shoulder joint to improve movement or relieve pain. |
63 | $302 | $1,381 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
56 | $0 | $10 |
| Arthroscopic rotator cuff repair A minimally invasive surgery to repair torn shoulder tendons using a small camera and instruments inserted through tiny incisions. |
43 | $933 | $2,140 |
| Elbow X-ray, minimum 3 views An X-ray imaging test of the elbow joint that captures at least three different angles to visualize the bones and surrounding structures. |
25 | $26 | $62 |
| Ultrasound-guided joint aspiration or injection Removal of fluid from or injection into a medium-sized joint using ultrasound guidance to ensure accurate placement. |
24 | $68 | $171 |
| Knee X-ray, 1-2 views An X-ray imaging test of the knee joint using one to two different angles to visualize the bones and surrounding structures. |
22 | $28 | $65 |
| Total hip replacement Surgical procedure to replace the thigh bone and hip joint with artificial components. |
21 | $1,125 | $2,585 |
| Biceps tendon removal or relocation A surgical procedure to remove or reposition the biceps tendon. |
20 | $331 | $1,520 |
| Elbow X-ray, 2 views An X-ray imaging test of the elbow joint using two different angles to visualize the bones and surrounding structures. |
19 | $20 | $56 |
| Removal of deep implant from bone A surgical procedure to extract a deep implant that is embedded within the bone. |
16 | $192 | $1,177 |
| Limited ultrasound of joint or extremity A focused ultrasound exam of a specific joint or other structure in the arm or leg, excluding blood vessels. |
16 | $35 | $106 |
| Shoulder joint capsule repair and tightening A surgical procedure to repair and tighten the shoulder joint capsule to restore stability. |
12 | $815 | $2,245 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
0.8% high complexity
8.8% medium
90.4% routine
Industry Payment Transparency
Open Payments through 2024 ↗$2,323,194
Total received (2018-2024)
Avg $331,885/year across 7 years
Top 1% in FL for orthopedic surgery
11
Companies
437
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Financial / Ownership
Ownership or investment interests, royalties, and licensing fees
$2,322,786 (100.0%)
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$408 (0.0%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$516,251
2023
$694,652
2022
$539,880
2021
$285,377
2020
$137,561
2019
$83,156
2018
$66,318
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
Arthrex, Inc.
$2,322,786
Zimmer Biomet Holdings, Inc.
$114
Smith+Nephew, Inc.
$62
Flexion Therapeutics, Inc.
$60
Baxter Healthcare
$40
SANOFI-AVENTIS U.S. LLC
$39
Heraeus Medical, LLC.
$23
Vericel Corporation
$21
Pacira Pharmaceuticals Incorporated
$18
Smith & Nephew, Inc.
$17
ACACIA PHARMA INC
$14
Top 3 companies account for 100.0% of total payments
Associated products mentioned in payments ›
ARTHREX · ARTHROPLASTY IMPLANTS KNEE ARTHROPLASTY TOTAL KNEE · ARTHROPLASTY INSTRUMENTS KNEE & HIP ARTHROPLASTY TOTAL KNEE · ARTHROPLASTY INSTRUMENTS SHOULDER ARTHROPLASTY & FRACTURE SUTURE KITS · Arthrex · BIOLOGICS CONSUMABLES ACCESSORIES BONE MARROW · BIOLOGICS CONSUMABLES BONE REPAIR IOBP · BYFAVO · CAPITAL CONSUMABLES CONSUMABLES BLADES & BURRS OTHER · CAPITAL CONSUMABLES CONSUMABLES BLADES & BURRS SPECIALTY · DISTAL EXTREMITIES IMPLANTS SOFT TISSUE ACHILLES · DISTAL EXTREMITIES INSTRUMENTS TRAUMA UPPER EXTREMITY TRAUMA · EXPAREL · FLOSEAL · Fast-Fix 360 · KNEE & HIP IMPLANTS HIP FIBERTAK · KNEE & HIP IMPLANTS SUSPENSORY FIXATION ACL TIGHTROPE · KNEE & HIP INSTRUMENTS HIP DISPOSABLE · KNEE & HIP SUTURE FIBERLOOP OTHER · MACI · PALACOS · ROSA · Regeneten · SHOULDER IMPLANTS BICEPS REPAIR FIBERTAK · SYNVISC-ONE · Zilretta
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Payments are distributed across multiple categories with no single dominant type. Total industry engagement is in the top 1% for orthopedic surgery in FL.
Equivalent to $8,538 per 100 Medicare services performed
Geographic Context
Orthopedic surgeons within 10 mi
66
Per 100K population
17.0
County median income
$86,173
Nearest hospital
PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE
5.2 mi
5.2 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This measures how much public data is available about a provider — not how good they are. How we calculate this →
Summary
Dr. Guerra is a mixed practice specialist, with above-average Medicare volume (top 1% in FL), with mixed engagement industry engagement in the top 1% of FL peers, with 19 years of NPI registration.
This summary is auto-generated from federal data. It describes data availability and patterns — not clinical quality. Read our methodology →
Frequently Asked Questions
Is Dr. Guerra experienced with physical therapy exercise, per 15 min?
Based on Medicare claims data, Dr. Guerra performed 11,673 physical therapy exercise, per 15 min services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Guerra receive payments from pharmaceutical companies?
Yes. Dr. Guerra received a total of $2,323,194 from 11 companies across 437 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Guerra's costs compare to other orthopedic surgeons in Naples?
Dr. Guerra's average Medicare payment per service is $49. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Guerra) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
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About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. The Transparency Score measures data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
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