Medicare Enrolled
Dr. Pamela Reyes Guerrero, M.D.
Internal Medicine · Winter Haven, FL
Practice pattern: Mixed Practice
— Diverse clinical practice across multiple procedure types
Low-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. Reyes Guerrero 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 →
Are you Dr. Reyes Guerrero?
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What this data tells you about Dr. Reyes Guerrero
Dr. Pamela Reyes Guerrero is an internal medicine specialist in Winter Haven, FL, with 14 years of NPI registration. Based on federal Medicare data, Dr. Reyes Guerrero performed 11,139 Medicare services across 5,554 unique beneficiaries.
Between the years covered by Open Payments, Dr. Reyes Guerrero received a total of $10,764 from 51 pharmaceutical and/or device companies across 543 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in internal medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Reyes Guerrero 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.
✓ 14 years in practice
▲ Top 3% volume in FL
$10,764 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 | 122228 | Clear | January 31, 2027 | — |
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 ↗11,139
Medicare services
Top 3% in FL for internal medicine
5,554
Unique beneficiaries
$22
Avg. Medicare payment
Medicare patients only (65+ / disabled) · Not a quality rating · How to read this →
~796 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 |
|---|---|---|---|
| Denosumab injection (Prolia/Xgeva) | 1,200 | $18 | $39 |
| Contrast dye for imaging (iodine-based) A contrast agent containing 300-399 mg/ml of iodine used to enhance imaging studies. It is administered per milliliter to improve the visibility of internal structures. |
1,050 | $0 | $0 |
| Blood draw (venipuncture) Insertion of a needle into a vein to collect a blood sample. |
767 | $8 | $9 |
| Complete blood count (CBC) with differential An automated laboratory test that measures the levels of red blood cells, white blood cells, and platelets in the blood, including a breakdown of the different types of white blood cells. |
674 | $8 | $16 |
| Thyroid stimulating hormone (TSH) test A blood test that measures the level of thyroid stimulating hormone to evaluate thyroid function. |
653 | $16 | $34 |
| 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. |
604 | $87 | $218 |
| Urine microalbumin test (kidney screening) A laboratory test that measures the amount of microalbumin, a small protein, in a urine sample. This test is used to detect early signs of kidney damage. |
565 | $6 | $12 |
| Creatinine test (kidney function) A blood test that measures the amount of creatinine to assess kidney function or detect muscle injury. |
562 | $5 | $10 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
469 | $9 | $19 |
| 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. |
456 | $65 | $150 |
| Comprehensive metabolic blood panel A blood test that measures a group of chemicals, including glucose, electrolytes, and kidney and liver function markers. |
348 | $10 | $21 |
| Kidney function blood test panel | 329 | $9 | $17 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
271 | $126 | $231 |
| Lipid panel (cholesterol and triglycerides) A blood test that measures cholesterol and triglyceride levels. |
258 | $13 | $27 |
| Urinalysis, microscopic examination A laboratory test that examines a urine sample under a microscope to check for cells, crystals, bacteria, or other substances. |
214 | $3 | $6 |
| Urinalysis with microscopic exam A urine test performed manually that includes examining the sample under a microscope to check for abnormalities. |
211 | $3 | $6 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
209 | $2 | $4 |
| Urine culture, bacterial identification A laboratory test that grows and identifies bacteria from a urine sample to detect infections. |
164 | $8 | $34 |
| Annual depression screening | 145 | $18 | $36 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
143 | $10 | $42 |
| Prothrombin time test (blood clotting) A laboratory test that measures how long it takes for blood to clot. This procedure evaluates the body's coagulation process. |
124 | $4 | $9 |
| Office visit for established patient An office visit for an existing patient that may not require the healthcare professional to be present. |
117 | $16 | $45 |
| Urine culture, bacterial colony count A laboratory test that measures the number of bacteria growing in a urine sample to help identify infections. |
103 | $8 | $34 |
| Dexamethasone injection (steroid) An injection of dexamethasone sodium phosphate, a corticosteroid medication, administered in a dose of 1 milligram. |
90 | $0 | $0 |
| Screening mammography An X-ray of the breast used to detect breast cancer in women who have no signs or symptoms of the disease. |
73 | $123 | $371 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
73 | $18 | $18 |
| Influenza virus detection test A laboratory test that uses an immunoassay technique to detect the presence of the influenza virus through direct visual observation. |
72 | $16 | $33 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
70 | $72 | $183 |
| Vitamin B-12 injection An injection of vitamin B-12 (cyanocobalamin) with a dose of up to 1000 mcg. |
70 | $1 | $4 |
| 3D screening mammography (tomosynthesis) A screening imaging test of the breast using 3D technology to detect potential abnormalities. |
67 | $51 | $154 |
| Chest X-ray, 2 views An X-ray imaging test of the chest that captures two different angles to visualize the lungs, heart, and chest wall. |
59 | $22 | $96 |
| Ketorolac injection, per 15 mg An injection of ketorolac tromethamine, a nonsteroidal anti-inflammatory drug, administered in doses measured per 15 mg. |
56 | $0 | $1 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
54 | $209 | $487 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
49 | $9 | $51 |
| Parathyroid hormone level test A blood test that measures the amount of parathyroid hormone in your body. This hormone helps regulate calcium levels in the blood and bones. |
44 | $40 | $83 |
| Vitamin B-12 level test A blood test that measures the amount of vitamin B-12 in your body. |
41 | $15 | $30 |
| Ferritin level test (iron stores) A blood test that measures the level of ferritin, a protein that stores iron in the body. |
41 | $13 | $27 |
| Iron level test | 41 | $6 | $13 |
| Transferrin level test A blood test that measures the amount of transferrin, a protein that binds to and transports iron in the body. |
41 | $12 | $26 |
| Thyroxine (T4) level test A blood test that measures the total amount of thyroxine, a thyroid hormone, in your body. |
39 | $7 | $14 |
| Thyroid hormone evaluation A blood test to measure the levels of thyroid hormones in the body. This evaluation helps assess how well the thyroid gland is functioning. |
39 | $6 | $13 |
| Vaccine administration The process of giving a vaccine to a patient. This code covers the administration service only and does not include the cost of the vaccine itself. |
37 | $10 | $42 |
| Bone density scan (DEXA) A test that uses low-dose X-rays to measure bone mineral density in the hip, pelvis, and spine. It helps assess bone strength and risk of fractures. |
36 | $36 | $116 |
| SARS-CoV-2 immunoassay test A laboratory test using immunoassay techniques to detect the presence of severe acute respiratory syndrome coronavirus. |
36 | $35 | $90 |
| Office visit, established patient, complex (40-54 min) An office or outpatient visit for an existing patient lasting between 40 and 54 minutes. This level of service is determined by the total time spent on the date of the encounter. |
31 | $134 | $294 |
| Vitamin D level test A blood test to measure the amount of Vitamin D-3 in your body. |
28 | $29 | $59 |
| PSA test (prostate cancer screening) A blood test that measures the level of prostate-specific antigen to screen for prostate cancer. |
27 | $19 | $39 |
| Uric acid level test A blood test that measures the level of uric acid in your body. Uric acid is a waste product formed when the body breaks down purines. |
22 | $4 | $9 |
| Blood creatinine level test A blood test that measures the amount of creatinine, a waste product from muscle wear and tear, to help assess kidney function. |
18 | $5 | $10 |
| Blood urea nitrogen test A blood test that measures the amount of urea nitrogen to assess kidney function. |
18 | $4 | $8 |
| 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. |
18 | $109 | $333 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
18 | $30 | $56 |
| Sed rate test (inflammation marker) This automated test measures how quickly red blood cells settle in a tube to detect inflammation in the body. |
16 | $3 | $5 |
| Retinal imaging with remote physician review This procedure involves imaging the retina followed by a remote review of the images by a physician. |
16 | $18 | $101 |
| Complete ultrasound of retroperitoneum An ultrasound examination of the structures located behind the abdominal cavity. |
14 | $80 | $333 |
| Coagulation assessment blood test A blood test that measures how long it takes for blood to clot. The sample can be plasma or whole blood. |
14 | $6 | $12 |
| Transitional care management services, moderate complexity Services provided to coordinate care during the transition from an inpatient or other facility setting back to the community. This includes follow-up and management of a health problem of at least moderate complexity. |
14 | $158 | $368 |
| 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. |
13 | $23 | $97 |
| Direct bilirubin level test A blood test that measures the amount of direct bilirubin in your body. Direct bilirubin is the form of the waste product processed by the liver. |
13 | $5 | $10 |
| Folic acid level test A blood test that measures the amount of folic acid in the serum. |
13 | $14 | $29 |
| 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. |
12 | $33 | $132 |
| Ultrasound of head and neck soft tissue This procedure uses sound waves to create images of the soft tissues in the head and neck area. It allows for the visualization of structures beneath the skin without using radiation. |
12 | $70 | $340 |
| Liver function blood test panel | 12 | $8 | $16 |
| Phosphate level test A blood test that measures the amount of phosphate in your body. Phosphate is a mineral that helps keep bones and teeth strong. |
12 | $5 | $9 |
| Home health plan of care certification Certification by a physician or allowed practitioner for Medicare-covered home health services under a home health plan of care. This includes contacting the home health agency and reviewing reports of patient status required by physicians. |
12 | $40 | $107 |
| X-ray of lower and sacral spine, minimum of 4 views An X-ray imaging test of the lower back and sacrum using at least four different angles to visualize the bones and joints. |
11 | $32 | $142 |
| Strep A rapid test A rapid test to detect Group A Streptococcus bacteria using an immunoassay method with direct visual observation. |
11 | $16 | $33 |
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.
Industry Payment Transparency
Open Payments through 2024 ↗$10,764
Total received (2018-2024)
Avg $1,538/year across 7 years
Top 7% in FL for internal medicine
51
Companies
543
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.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$10,434 (96.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$330 (3.1%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$979
2023
$881
2022
$721
2021
$1,483
2020
$1,935
2019
$2,467
2018
$2,298
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
GlaxoSmithKline, LLC.
$1,388
AstraZeneca Pharmaceuticals LP
$1,256
Novo Nordisk Inc
$825
Lilly USA, LLC
$648
Amgen Inc.
$646
PFIZER INC.
$630
Boehringer Ingelheim Pharmaceuticals, Inc.
$591
Actelion Pharmaceuticals US, Inc.
$486
SANOFI-AVENTIS U.S. LLC
$388
AbbVie Inc.
$328
Astellas Pharma US Inc
$302
Janssen Pharmaceuticals, Inc
$250
ABBVIE INC.
$225
Abbott Laboratories
$185
Merck Sharp & Dohme Corporation
$184
Allergan Inc.
$180
Allergan, Inc.
$174
Novartis Pharmaceuticals Corporation
$170
Kowa Pharmaceuticals America, Inc.
$151
E.R. Squibb & Sons, L.L.C.
$130
Genentech USA, Inc.
$123
Biohaven Pharmaceutical Holding Company Ltd.
$122
Esperion Therapeutics, Inc.
$110
Boston Scientific Corporation
$101
EMD Serono, Inc.
$98
PORTOLA PHARMACEUTICALS, INC.
$94
United Therapeutics Corporation
$94
Bayer Healthcare Pharmaceuticals Inc.
$92
Amarin Pharma Inc.
$84
Exact Sciences Corporation
$72
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$69
Merck Sharp & Dohme LLC
$67
Biohaven Pharmaceuticals, Inc.
$59
Daiichi Sankyo Inc.
$58
Teva Pharmaceuticals USA, Inc.
$46
Xeris Pharmaceuticals, Inc.
$45
Bayer HealthCare Pharmaceuticals Inc.
$40
Eisai Inc.
$23
Averitas Pharma Inc.
$22
Mylan Specialty L.P.
$22
Aurinia Pharma U.S., Inc.
$20
Smith+Nephew, Inc.
$19
Nestle HealthCare Nutrition Inc.
$18
Phathom Pharmaceuticals, Inc.
$18
Regeneron Healthcare Solutions, Inc.
$18
DEXCOM, INC.
$17
Nabriva Therapeutics, plc
$17
Ironwood Pharmaceuticals, Inc
$16
IMPEL PHARMACEUTICALS INC.
$15
Shire North American Group Inc
$15
SHIELD THERAPEUTICS INC
$13
Top 3 companies account for 32.2% of total payments
Associated products mentioned in payments ›
ACCRUFER · AIRSUPRA · AJOVY · ANDEXXA · ANORO · ANORO ELLIPTA · AREXVY · Aimovig · BASAGLAR · BELSOMRA · BEVESPI AEROSPHERE · BEXSERO · BREO · BREZTRI · BREZTRI AEROSPHERE · BRILINTA · BYSTOLIC · CHANTIX · COLOGUARD · Cologuard Collection Kit · DEXCOM G6 TRANSMITTER · DUZALLO · ELIQUIS · EMGALITY · ENTRESTO · EUCRISA · EVENITY · EVKEEZA · Esbriet · FARXIGA · FORTEO · FREESTYLE LIBRE · FreeStyle Libre · GVOKE HYPOPEN · GVOKE PFS · INJECTAFER · INVOKANA · JANUVIA · JARDIANCE · Kerendia · LEQVIO · LINZESS · LOKELMA · LUPKYNIS · LYRICA · Leqembi · Livalo · MOUNJARO · MYRBETRIQ · Mavenclad · NEXLETOL · NONE · NURTEC ODT · OFEV · OPSUMIT · OPSUMIT MACITENTAN · Otezla · Ozempic · PAXLOVID · PRALUENT · PREMARIN · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · Prolia · QULIPTA · QUTENZA · RENASYS GO v2 HOME · Repatha · Rybelsus · SHINGRIX · SOLIQUA · SOLIQUA 100/33 · SPIRIVA RESPIMAT · STIOLTO · STIOLTO RESPIMAT · SYMBICORT · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TRULICITY · Tresiba · Trudhesa · UBRELVY · UPTRAVI · VERQUVO · VESICARE · VIBERZI · VOQUEZNA · VRAYLAR · VYNDAQEL · VYVANSE · Vascepa · Victoza · WATCHMAN · XARELTO · XIFAXAN · Xenleta · Xofluza · Yupelri · ZENPEP
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 →
Most payments (97%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 7% for internal medicine in FL.
Equivalent to $97 per 100 Medicare services performed
Geographic Context
Internal medicine physicians within 10 mi
274
Per 100K population
36.0
County median income
$63,644
Nearest hospital
WINTER HAVEN HOSPITAL
6.0 mi
6.0 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. Reyes Guerrero is a mixed practice specialist, with above-average Medicare volume (top 3% in FL), with low-engagement industry engagement in the top 7% of FL peers.
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. Reyes Guerrero experienced with denosumab injection (prolia/xgeva)?
Based on Medicare claims data, Dr. Reyes Guerrero performed 1,200 denosumab injection (prolia/xgeva) 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. Reyes Guerrero receive payments from pharmaceutical companies?
Yes. Dr. Reyes Guerrero received a total of $10,764 from 51 companies across 543 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. Reyes Guerrero's costs compare to other internal medicine physicians in Winter Haven?
Dr. Reyes Guerrero's average Medicare payment per service is $22. 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. Reyes Guerrero) 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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