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JORGE GUTIERREZ DO
NPI 1053971259
Family Medicine in Guilford, CT

Active since June 19, 2019PECOS EnrolledAccepts Medicare Assignment
93.27/100
CMS Quality Rating
652 BOSTON POST RD STE 1, GUILFORD, CT 06437(203) 453-0677(203) 458-7015 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 11, 2023, Apr 18, 2020, Jun 19, 2019 (3 updates tracked since 2019).

About Jorge Gutierrez Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORGE GUTIERREZ DO (NPI 1053971259) is an individual family medicine provider in Guilford, Connecticut, licensed in Connecticut (75422) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in East Norriton, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1053971259
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJORGE GUTIERREZCredential: DO
Location Address652 BOSTON POST RD STE 1Guilford, CT 06437-2748
Mailing Address630 Chapel St Apt 508New Haven, CT 06510-3176 · (973) 986-2499
Phone(203) 453-0677
Fax(203) 458-7015
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJune 19, 2019
Last NPPES UpdateJuly 11, 20233 updates tracked since enumeration
NPPES CertifiedJuly 11, 2023
✔ NPI 1053971259 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CT · 75422
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
652 BOSTON POST RD STE 1, Guilford, CT 06437
Open in Google Maps ↗

Secondary Practice Location 1

Location 12701 Dekalb PikeEast Norriton, PA 19401-1820 · Phone (610) 292-6535

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jorge Gutierrez Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294145157
PECOS Enrollment IDI20230720000900
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Jorge Gutierrez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mill Hill Medical Consultants Inc
14 mi
Hospitalist
20 YORK ST, CB 2041
New Haven, CT 06510
  • Reassigned Medicare billing, Connecticut enrollment
  • Medicare enrollment name: Northeast Medical Group Inc
  • 1,824 clinicians in this Medicare group
NPI 1952624769 (203) 688-4741

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
195 services111 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
64 services64 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
62 services53 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
38 services37 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
28 services28 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
18 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06437 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.72
Promoting Interoperability78.03
Improvement Activities40

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jorge Gutierrez's NPI number?

The NPI number for Jorge Gutierrez is 1053971259. It was assigned to this individual provider in the NPPES registry on June 19, 2019.

Where is Jorge Gutierrez located?

Jorge Gutierrez practices at 652 Boston Post Rd Ste 1, Guilford, CT 06437. The listed phone number is (203) 453-0677.

What is Jorge Gutierrez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jorge Gutierrez enrolled in Medicare?

Yes. Jorge Gutierrez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jorge Gutierrez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jorge Gutierrez reassigns Medicare benefits to Mill Hill Medical Consultants Inc (New Haven, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jorge Gutierrez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jorge Gutierrez accept?

Health plans from Anthem Blue Cross and Blue Shield list Jorge Gutierrez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jorge Gutierrez was last updated on July 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.