i
Loading Page
loading, please wait

Select Year:

Home > MO Providers
placeholder image of provider

Dr. Guido Lastra Gonzalez, MD

(Dr. Guido Lastra Gonzalez, M.D.)

(No ratings)

Specializes in: Adult Endocrinology
National University of Colombia Faculty of Medicine
Professional interests include: hypertension (high blood pressure), cholesterol problems (lipid disorders), endocrine diseases (hormone disorders), and more.
1 Hospital Drive
Columbia, MO

Dr. Guido Lastra Gonzalez, MD is an endocrinologist in Columbia, MO specializing in adult endocrinology. He graduated from National University of Colombia Faculty of Medicine. Dr. Guido Lastra Gonzalez, MD is affiliated with U.S. Department of Veterans Affairs and University of Missouri Health Care.

View Doctor's Full Profile (573) 882-2100

Office Locations

University of Missouri Health Care

1 Hospital Drive
Columbia, MO
(573) 882-2100
open_in_new
1 Hospital Drive
Columbia, MO 65212
(573) 882-8445
(573) 884-7877
open_in_new

University of Missouri Health Care

1100 Virginia Avenue
Columbia, MO
(573) 882-2663
open_in_new
800 Hospital Drive Harry S. Truman Mvh (543)
Columbia, MO 65201
open_in_new

Some issues Dr. Guido Lastra Gonzalez, MD can help you with:

Thyroid Problems

Thyroid problems are a group of conditions that alter hormone regulation and metabolism. The thyroid is a small, butterfly-shaped gland located in the lower neck, just below the Adam's apple (laryngeal prominence) and larynx (voice box). Despite its small size, the thyroid has an outsized effect on the body by regulating hormones that control metabolism. Metabolism is the body's process of converting consumed food into fuel to power the entire body. Heart rate, weight, cholesterol, body temperature, and even physical growth and development are all affected by the metabolism.

When the thyroid malfunctions, the body is unable to properly process and allocate energy. Thyroid problems, such as hyperthyroidism (overactive thyroid) and hypothyroidism (underactive thyroid), cause irregular metabolism. In some cases, the body produces antibodies that attack the thyroid cells for unknown reasons. The damaged thyroid responds by releasing either too little or too much T3 and T4 thyroid hormones. Thyroid malfunctions may also arise from genetic causes or iodine deficiency. Thyroid problems may include:

  • Hashimoto's thyroiditis, an autoimmune disease that causes hypothyroidism
  • Graves' disease, an autoimmune disease that causes hyperthyroidism
  • Goiter
  • Thyroid nodule
  • Thyroid cancer

Hashimoto's is the leading cause of hypothyroidism, which is when the thyroid does not produce enough hormones to stimulate adequate metabolism. The condition is diagnosed by blood tests that measure TSH (thyroid stimulating hormone) and detect Hashimoto's antibodies. Symptoms of hypothyroidism include sluggish metabolism, inflammation, fatigue, weight gain, brittle hair, dry skin, and sensitivity to cold. To supplement impaired thyroid function, patients with Hashimoto's are typically prescribed synthetic thyroid hormone pills. Such patients may need to consume synthetic thyroids for the rest of their lives. Other treatments may include dietary changes, such as the avoidance of certain foods and medication to reduce inflammation. Frequent blood tests can inform patients if their TSH levels are within a normal range.

Grave's disease is most frequently the cause of hyperthyroidism, which is when the thyroid produces too many hormones, overstimulating one's metabolism. The condition is also diagnosed by blood tests that measure TSH and detect Grave's antibodies. Elevated heart rate, high blood pressure, sweating, bulging eyes, and weight loss are common symptoms of hyperthyroidism. Treatments for hyperthyroidism include oral radioactive iodine, which slowly shrinks the thyroid, slowing the production of excess thyroid hormone. Other anti-thyroid medications such as methimazole (Tapazole) also reduce the production of thyroid hormones. Blood pressure medications known as beta blockers can ease the increased heart rate caused by hyperthyroidism. If treatments are unsuccessful, patients may be prescribed a thyroidectomy, or surgery to remove part or all of the thyroid. Some patients with hyperthyroidism may require ophthalmological (eye medicine) treatments such as eye drops, prednisone, and surgery to reduce eye swelling and bulging.

Untreated thyroid disorders frequently lead to goiters or thyroid nodules. A thyroid goiter is a large lump that can be felt near the base of the neck and is made of swollen thyroid tissue or nodules (excess cell growth). Nodules and goiters are diagnosed by CT scan or ultrasound. Obstructive goiters can cause pain, coughing, and abnormal breathing. The most common cause of goiters is hyperthyroidism (overactive thyroid). However, Hashimoto's is also known to cause goiters or nodules. Goiters develop from continued damage from antibodies to the thyroid over time. At times, a goiter can result from a cancerous thyroid tumor. Most goiters and nodules are themselves benign.

The exact causes of thyroid cancer are unknown. People who develop thyroid cancer may or may not have another thyroid problem such as Hashimoto's or Grave's disease. Symptoms of thyroid cancer include a nodule that can be felt on the neck, hoarseness, difficulty swallowing, swelling in the neck, and neck and throat pain. CT and MRI scans are used to diagnose thyroid cancer. There are four types of thyroid cancer which vary in intensity. Thyroidectomy (thyroid removal surgery) is usually prescribed to treat thyroid cancer.

Thyroid problems are often long-term conditions that require some form of treatment. With regular monitoring and medication, many people with thyroid problems are able to lead active and fulfilling lives.

Noteworthy Medicare Patient Procedures Performed by Dr. Guido Lastra Gonzalez, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 10%

By Affordability:

neck ultrasound
soft tissue ultrasound

In 2023, Dr. Guido Lastra Gonzalez, MD had a list price for neck ultrasound, and soft tissue ultrasound that was lower than the list prices billed to Medicare by 90% of providers in related specialties within Missouri. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 25%

By Affordability:

hospital care
inpatient care
inpatient hospital care

In 2012, Dr. Guido Lastra Gonzalez, MD had a list price for hospital care, inpatient care, and inpatient hospital care (for patient admitted to hospital) that was lower than the list prices billed to Medicare by 75% of providers in related specialties within Missouri. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2012 Medicare Procedure Volume

The top procedures that Dr. Guido Lastra Gonzalez, MD treated as an endocrinologist in Columbia, MO during 2012 were blood draw, hospital care and inpatient care.

Volume of procedures performed by Dr. Guido Lastra Gonzalez, MD for Medicare patients.

blood draw 38
doctor visit 190
hospital care 25
inpatient care 25

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

The top procedures that Dr. Guido Lastra Gonzalez, MD treated as an endocrinologist in Columbia, MO during 2013 were blood draw, hospital care and inpatient care.

Volume of procedures performed by Dr. Guido Lastra Gonzalez, MD for Medicare patients.

blood draw 31
doctor visit 227
hospital care 14
inpatient care 14

2013 Medicare Patient Data

Information about Medicare patients treated by Dr. Guido Lastra Gonzalez, MD.

Gender
Male 65
Female 95
Ethnicity
Non-Hispanic White 142
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 71
From 75 to 84 0
85 and over 0
Less than 65 63

Conditions of Medicare patients treated by Dr. Guido Lastra Gonzalez, MD in 2013

Hypertension 73
High Cholesterol 63
Stroke 0
Ischemic Heart Disease 42
Depression 39
Chronic Kidney Disease 33
Asthma 7
Osteoperosis 7
Atrial Fibrilation 11
Heart Failure 24
Chronic Obstructive Pulmonary Disease 18
Diabetes 71
Dementia 8
Cancer 0

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

The top procedures that Dr. Guido Lastra Gonzalez, MD treated as an endocrinologist in Columbia, MO during 2014 were blood draw, hospital care, inpatient care and ultrasound (sonogram).

Volume of procedures performed by Dr. Guido Lastra Gonzalez, MD for Medicare patients.

blood draw 34
doctor visit 215
hospital care 16
inpatient care 16
neck imaging 12
ultrasound (sonogram) 12

2014 Medicare Patient Data

Information about Medicare patients treated by Dr. Guido Lastra Gonzalez, MD.

Gender
Male 65
Female 95
Ethnicity
Non-Hispanic White 146
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 63
From 75 to 84 0
85 and over 0
Less than 65 68

Conditions of Medicare patients treated by Dr. Guido Lastra Gonzalez, MD in 2014

Hypertension 73
High Cholesterol 65
Stroke 8
Ischemic Heart Disease 42
Depression 39
Chronic Kidney Disease 37
Asthma 12
Osteoperosis 8
Atrial Fibrilation 15
Heart Failure 30
Chronic Obstructive Pulmonary Disease 23
Diabetes 67
Dementia 8
Cancer 8

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

The top procedures that Dr. Guido Lastra Gonzalez, MD treated as an endocrinologist in Columbia, MO during 2015 were blood draw, hospital care, inpatient care and ultrasound (sonogram).

Volume of procedures performed by Dr. Guido Lastra Gonzalez, MD for Medicare patients.

aspiration 12
blood draw 38
diagnostic procedures 12
doctor visit 253
hospital care 36
image guided procedures 12
inpatient care 36
minimally invasive procedures 12
minor procedures 12
neck imaging 30
ultrasound (sonogram) 30

2015 Medicare Patient Data

Information about Medicare patients treated by Dr. Guido Lastra Gonzalez, MD.

Gender
Male 168
Female 278
Ethnicity
Non-Hispanic White 392
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 196
From 75 to 84 0
85 and over 0
Less than 65 168

Conditions of Medicare patients treated by Dr. Guido Lastra Gonzalez, MD in 2015

Hypertension 75
High Cholesterol 63
Stroke 0
Ischemic Heart Disease 42
Depression 35
Chronic Kidney Disease 41
Asthma 17
Osteoperosis 10
Atrial Fibrilation 9
Heart Failure 29
Chronic Obstructive Pulmonary Disease 26
Diabetes 70
Dementia 10
Cancer 8

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

The top procedures that Dr. Guido Lastra Gonzalez, MD treated as an endocrinologist in Columbia, MO during 2016 were hospital care, inpatient care, ultrasound (sonogram) and neck imaging.

Volume of procedures performed by Dr. Guido Lastra Gonzalez, MD for Medicare patients.

aspiration 12
diagnostic procedures 12
doctor visit 297
hospital care 45
image guided procedures 12
inpatient care 45
minimally invasive procedures 12
minor procedures 12
neck imaging 30
ultrasound (sonogram) 30

2016 Medicare Patient Data

Information about Medicare patients treated by Dr. Guido Lastra Gonzalez, MD.

Gender
Male 97
Female 123
Ethnicity
Non-Hispanic White 202
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 95
From 75 to 84 0
85 and over 0
Less than 65 70

Conditions of Medicare patients treated by Dr. Guido Lastra Gonzalez, MD in 2016

Hypertension 75
High Cholesterol 67
Stroke 5
Ischemic Heart Disease 43
Depression 35
Chronic Kidney Disease 57
Asthma 25
Osteoperosis 10
Atrial Fibrilation 12
Heart Failure 29
Chronic Obstructive Pulmonary Disease 24
Diabetes 70
Dementia 10
Cancer 13

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

The top procedures that Dr. Guido Lastra Gonzalez, MD treated as an endocrinologist in Columbia, MO during 2017 were hospital care, inpatient care, ultrasound (sonogram) and neck imaging.

Volume of procedures performed by Dr. Guido Lastra Gonzalez, MD for Medicare patients.

doctor visit 175
hospital care 33
inpatient care 33
neck imaging 19
ultrasound (sonogram) 19

2017 Medicare Patient Data

Information about Medicare patients treated by Dr. Guido Lastra Gonzalez, MD.

Gender
Male 68
Female 84
Ethnicity
Non-Hispanic White 134
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 69
From 75 to 84 0
85 and over 0
Less than 65 46

Conditions of Medicare patients treated by Dr. Guido Lastra Gonzalez, MD in 2017

Hypertension 75
High Cholesterol 72
Stroke 8
Ischemic Heart Disease 46
Depression 32
Chronic Kidney Disease 61
Asthma 9
Osteoperosis 0
Atrial Fibrilation 16
Heart Failure 34
Chronic Obstructive Pulmonary Disease 24
Diabetes 72
Dementia 9
Cancer 13

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

The top procedures that Dr. Guido Lastra Gonzalez, MD treated as an endocrinologist in Columbia, MO during 2018 were ultrasound (sonogram), neck imaging, hospital care and inpatient care.

Volume of procedures performed by Dr. Guido Lastra Gonzalez, MD for Medicare patients.

doctor visit 142
hospital care 15
inpatient care 15
neck imaging 22
ultrasound (sonogram) 22

2018 Medicare Patient Data

Information about Medicare patients treated by Dr. Guido Lastra Gonzalez, MD.

Gender
Male 58
Female 75
Ethnicity
Non-Hispanic White 120
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 65
From 75 to 84 0
85 and over 0
Less than 65 40

Conditions of Medicare patients treated by Dr. Guido Lastra Gonzalez, MD in 2018

Hypertension 73
High Cholesterol 68
Stroke 0
Ischemic Heart Disease 36
Depression 32
Chronic Kidney Disease 55
Asthma 9
Osteoperosis 12
Atrial Fibrilation 11
Heart Failure 20
Chronic Obstructive Pulmonary Disease 21
Diabetes 71
Dementia 9
Cancer 8

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

The top procedures that Dr. Guido Lastra Gonzalez, MD treated as an endocrinologist in Columbia, MO during 2019 were ultrasound (sonogram) and neck imaging.

Volume of procedures performed by Dr. Guido Lastra Gonzalez, MD for Medicare patients.

doctor visit 42
neck imaging 21
ultrasound (sonogram) 21

2019 Medicare Patient Data

Information about Medicare patients treated by Dr. Guido Lastra Gonzalez, MD.

Gender
Male 18
Female 39
Age
From 65 to 74 30
From 75 to 84 0
85 and over 0
Less than 65 16

Conditions of Medicare patients treated by Dr. Guido Lastra Gonzalez, MD in 2019

Hypertension 70
High Cholesterol 54
Stroke 0
Ischemic Heart Disease 30
Depression 32
Chronic Kidney Disease 53
Asthma 0
Osteoperosis 0
Atrial Fibrilation 0
Heart Failure 26
Chronic Obstructive Pulmonary Disease 0
Diabetes 47
Dementia 0
Cancer 0

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

The top procedures that Dr. Guido Lastra Gonzalez, MD treated as an endocrinologist in Columbia, MO during 2020 were ultrasound (sonogram), neck imaging, hospital care and inpatient care.

Volume of procedures performed by Dr. Guido Lastra Gonzalez, MD for Medicare patients.

doctor visit 26
hospital care 12
inpatient care 12
neck imaging 18
ultrasound (sonogram) 18

2020 Medicare Patient Data

Information about Medicare patients treated by Dr. Guido Lastra Gonzalez, MD.

Gender
Male 19
Female 40
Ethnicity
Non-Hispanic White 48
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 26
From 75 to 84 0
85 and over 0
Less than 65 17

Conditions of Medicare patients treated by Dr. Guido Lastra Gonzalez, MD in 2020

Hypertension 75
High Cholesterol 53
Stroke 0
Ischemic Heart Disease 36
Depression 42
Chronic Kidney Disease 58
Asthma 0
Osteoperosis 0
Atrial Fibrilation 0
Heart Failure 24
Chronic Obstructive Pulmonary Disease 0
Diabetes 53
Dementia 0
Cancer 0

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

The top procedures that Dr. Guido Lastra Gonzalez, MD treated as an endocrinologist in Columbia, MO during 2021 were ultrasound (sonogram), neck imaging, hospital care and inpatient care.

Volume of procedures performed by Dr. Guido Lastra Gonzalez, MD for Medicare patients.

doctor visit 34
hospital care 21
inpatient care 21
neck imaging 21
ultrasound (sonogram) 21

2021 Medicare Patient Data

Information about Medicare patients treated by Dr. Guido Lastra Gonzalez, MD.

Gender
Male 27
Female 35
Age
From 65 to 74 32
From 75 to 84 15
85 and over 0
Less than 65 0

Conditions of Medicare patients treated by Dr. Guido Lastra Gonzalez, MD in 2021

Hypertension 75
High Cholesterol 60
Stroke 0
Ischemic Heart Disease 42
Depression 40
Chronic Kidney Disease 66
Asthma 0
Osteoperosis 0
Atrial Fibrilation 23
Heart Failure 37
Chronic Obstructive Pulmonary Disease 0
Diabetes 61
Dementia 23
Cancer 0

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Guido Lastra Gonzalez, MD treated as an endocrinologist in Columbia, MO during 2022 were ultrasound (sonogram) and neck imaging.

Volume of procedures performed by Dr. Guido Lastra Gonzalez, MD for Medicare patients.

doctor visit 50
neck imaging 35
ultrasound (sonogram) 35

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Guido Lastra Gonzalez, MD.

Gender
Male 27
Female 39
Age
From 65 to 74 40
From 75 to 84 12
85 and over 0
Less than 65 0

Conditions of Medicare patients treated by Dr. Guido Lastra Gonzalez, MD in 2022

Hypertension 75
High Cholesterol 58
Stroke 0
Ischemic Heart Disease 29
Depression 30
Chronic Kidney Disease 32
Asthma 0
Osteoperosis 0
Atrial Fibrilation 0
Heart Failure 17
Chronic Obstructive Pulmonary Disease 23
Diabetes 48
Dementia 18
Cancer 29

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

The top procedures that Dr. Guido Lastra Gonzalez, MD treated as an endocrinologist in Columbia, MO during 2023 were ultrasound (sonogram), neck imaging, hospital care and inpatient care.

Volume of procedures performed by Dr. Guido Lastra Gonzalez, MD for Medicare patients.

doctor visit 90
hospital care 16
inpatient care 16
neck imaging 19
ultrasound (sonogram) 19

2023 Medicare Patient Data

Information about Medicare patients treated by Dr. Guido Lastra Gonzalez, MD.

Gender
Male 43
Female 65
Ethnicity
Non-Hispanic White 95
Black 0
Hispanic 0
Asian 0
Other 0
Native American 0
Age
From 65 to 74 62
From 75 to 84 22
85 and over 0
Less than 65 0

Conditions of Medicare patients treated by Dr. Guido Lastra Gonzalez, MD in 2023

Hypertension 75
High Cholesterol 69
Stroke 0
Ischemic Heart Disease 23
Depression 23
Chronic Kidney Disease 28
Asthma 14
Osteoperosis 19
Atrial Fibrilation 16
Heart Failure 18
Chronic Obstructive Pulmonary Disease 18
Diabetes 52
Dementia 0
Cancer 25

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2012 - 2023

Volume of procedures performed by Dr. Guido Lastra Gonzalez, MD for Medicare patients.

The highest averages for the top procedures that Dr. Guido Lastra Gonzalez, MD treated as an endocrinologist in Columbia, MO were blood draw, hospital care, inpatient care and ultrasound (sonogram).

aspiration 12
blood draw 35
diagnostic procedures 12
doctor visit 145
hospital care 23
image guided procedures 12
inpatient care 23
minimally invasive procedures 12
minor procedures 12
neck imaging 22
ultrasound (sonogram) 22

Average Medicare Patient Data From 2012 - 2023

Information about Medicare patients treated by Dr. Guido Lastra Gonzalez, MD.

Gender
Female 80
Male 54
Ethnicity
Black / African American 0
Asian / Pacific Islander 0
Non-Hispanic White 106
Hispanic 0
Native American / Alaskan Native 0
Other 0
Age
85 and over 0
75 to 84 4
Less than 65 40
65 to 74 62

Average of Total of Conditions of Medicare patients treated by Dr. Guido Lastra Gonzalez, MD From 2012 - 2023

The highest averages of the most common conditions of Medicare patients that Dr. Guido Lastra Gonzalez, MD treated were hypertension, high cholesterol, diabetes and chronic kidney disease.

Hypertension 67
High Cholesterol 57
Stroke 1
Ischemic Heart Disease 34
Depression 31
Chronic Kidney Disease 43
Asthma 7
Osteoporosis 5
Heart Failure 24
Chronic Obstructive Pulmonary Disease 14
Diabetes 56
Atrial Fibrillation 9
Dementia 7
Cancer 8

Education & Training

Dr. Guido Lastra Gonzalez, MD graduated from National University of Colombia Faculty of Medicine. He completed residency at University of Missouri Health System. He is certified by the American Board of Internal Medicine-Endocrinology, Diabetes & Metabolism and has a state license in Missouri.

Medical School: National University of Colombia Faculty of Medicine

Residency: University of Missouri Health System

Board Certification: American Board of Internal Medicine-Endocrinology, Diabetes & Metabolism

Licensed In: Missouri

Affiliations & Hospitals

Dr. Guido Lastra Gonzalez, MD is associated with these hospitals and organizations:

U.S. Department of Veterans Affairs
University of Missouri Health Care

Ratings & Reviews

Dr. Guido Lastra Gonzalez, MD does not have any reviews yet, be the first to leave a review of Dr. Guido Lastra Gonzalez, MD here: Leave a Review

(No ratings)

Leave a Review

General Payments

These charts describe general payments received by Dr. Guido Lastra Gonzalez, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

Payments by Company
COMSORT, Inc $125 GRASTEK
$125
Pfizer Inc. $109 SOMAVERT
$75 		XELJANZ
$34
Lilly USA, LLC $88 HUMULIN
$88
Merck Sharp & Dohme Corporation $84 ZETIA
$84
Novo Nordisk Inc $51 Victoza
$34 		Levemir
$17
Other $168 t-slim insulin pump
$48 		COMETRIQ
$33 		BYDUREON WEEKLY
$21 		Cycloset
$19 		NATPARA
$18 		Other
$30
Types of Payments
Food and Beverage $500
Consulting Fee $125

Research Payments

Dr. Guido Lastra Gonzalez, MD has received 8 research payments totaling $48,589.

Biography

Dr. Guido Gonzalez specializes in adult endocrinology and practices in Columbia, MO. Clinical interests for Dr. Gonzalez include diabetes, pancreas problems, and thyroid problems. After completing medical school at National University of Colombia Faculty of Medicine, Dr. Gonzalez performed his residency at the University of Missouri Health System. He has received the following distinction: Selected for Oral abstract Presentation in the Aldosterone International Conference, Toronto, Canada. Dr. Gonzalez's hospital/clinic affiliations include the University of Missouri Health Care and U.S. Department of Veterans Affairs.

Other Providers in Columbia, MO