Diego Guerrero, MD
Pain Medicine · Winter Park, FLNPI 1972599892
Payments from drug & device makers
What this record shows
Almost everything reported here is food and beverage — 100.0% of the total across 27 separate payments, which is the pattern of a clinician who attends manufacturer presentations rather than one with a consulting arrangement. It is spread thinly across 13 manufacturers, the largest accounting for just 20.3% — the pattern of someone who eats at a lot of different presentations. That places this record below the midpoint for pain medicine clinicians in FL, where the typical reported total is $2,085.
Across 27 payments — averaging $24.01 each. Meals, travel, consulting and speaking fees, gifts and royalties reported by drug and device makers.
- MML US, Inc.$132
- Nevro Corp.$96
- Boston Scientific$94
- Biotronik NRO, Inc.$64
- Curonix LLC$57
- Stryker$37
- plus $168 from 7 others
What the payments were for
- Food & beverage$648100%
Most of this is food and beverage — typically meals provided during product presentations at a clinic or hospital. Nationally that is the single largest category of reported payments by count.
General payments by program year
Who reported the general payments
Companies are grouped under their corporate parent — a single manufacturer often files under several CMS reporting entities. Research and ownership payments are counted separately and are not in this table.
| Company | Payments | Total |
|---|---|---|
| MML US, Inc. | 1 | $132 |
| Nevro Corp. | 6 | $96 |
| Boston Scientific | 5 | $94 |
| Biotronik NRO, Inc. | 2 | $64 |
| Curonix LLC | 1 | $57 |
| Stryker | 1 | $37 |
| Vertex | 1 | $30 |
| Stimwave Technologies Incorporated | 2 | $27 |
| Averitas Pharma Inc. | 1 | $27 |
| Pfizer | 2 | $27 |
| Abbott | 1 | $20 |
| Biodelivery Sciences International, Inc. | 1 | $19 |
| Nalu Medical, Inc. | 3 | $18 |
What the payments were tied to
Products named in the reported payments. Only payments of $100 or more are attributed here — the typical reported payment nationally is a meal worth about $16, and listing those product-by-product would be noise.
- ReActiv8$132
How this compares
$648 in reported general payments places this provider in the 30th percentile of 596 pain medicine providers in Florida.
Medicare billing
What this is not: this is the amount Original Medicare Part B allowed for services this provider billed in 2024. It is not their income. It excludes Medicare Advantage — now more than half of all Medicare enrollment — along with Medicaid and all commercial insurance, and it is gross practice revenue before staff, rent, supplies and malpractice premiums. CMS also suppresses any figure covering ten or fewer patients, so low-volume providers appear smaller than they are.
Most prescribed under Part D
| Drug | Claims | Cost to plans & patients |
|---|---|---|
| OxycontinOxycodone Hcl | 31 | $29,017 |
| Oxycodone-AcetaminophenOxycodone Hcl/Acetaminophen | 564 | $14,489 |
| Hydrocodone-AcetaminophenHydrocodone/Acetaminophen | 631 | $13,187 |
| Xtampza ErOxycodone Myristate | 11 | $11,213 |
| Fentanyl | 65 | $7,226 |
| Oxycodone Hcl | 257 | $4,625 |
| Acetaminophen-CodeineAcetaminophen With Codeine | 186 | $2,954 |
| Pregabalin | 174 | $2,851 |
| Tramadol Hcl | 334 | $2,409 |
| Hydromorphone Hcl | 124 | $2,168 |
| Morphine Sulfate ErMorphine Sulfate | 71 | $1,486 |
| Methadone Hcl | 36 | $871 |
| Tramadol Hcl ErTramadol Hcl | 12 | $702 |
| Gabapentin | 49 | $439 |
| Morphine Sulfate | 24 | $438 |
Paid to pharmacies, not to this prescriber.
Other pain medicine in Winter Park
- Jeffrey GudinMiami$356K
- Joseph PergolizziNaples$333K
- Ramon Cuevas-TrisanRiviera Beach$220K
- Navdeep JassalLakeland$163K
- Mark-Friedrich HurdleJacksonville$140K
- Rodolfo GariTampa$120K
- Stephen PylesOcala$115K
- Orlando FloreteJacksonville$86K
- Michael GreeneMiddleburg$73K
- Nicholas BremerFernandina Beach$66K
Where these figures come from
- Payments: CMS Open Payments, program years 2019–2025 (publication P06302026_06032026).
- Billing: Medicare Physician & Other Practitioners, data year 2024. Original Medicare Part B only.
- Identity: NPPES NPI Registry, July 2026.