MR. OMAR ALBERTO COLON GUTIERREZ MD
NPI 1063413482
Physical Medicine & Rehabilitation in Plano, TX

Active since August 09, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2800 W 15TH ST, PLANO, TX 75075(972) 378-6908(972) 378-6586 Get Directions Write a Review

NPPES record last updated: March 12, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Omar Alberto Colon Gutierrez Md NPPES

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

MR. OMAR ALBERTO COLON GUTIERREZ MD (NPI 1063413482) is an individual physical medicine & rehabilitation provider in Plano, Texas, licensed in Texas (L3943) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Sana Healthcare Carrollton D/b/a Carrollton Regional Medical Center, and is a graduate of University Of Texas Southwestern Medical School At Dallas (2001).

NPPES Registry Identity

NPI1063413482
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameMR. OMAR ALBERTO COLON GUTIERREZCredential: MD
Location Address2800 W 15TH STPlano, TX 75075-7526
Mailing Address7750 North Macarthur, Suite 120 338Irving, TX 75063-7514 · (972) 378-6908 · Fax (972) 378-6586
Fax(972) 378-6586
Sole ProprietorNo
Medical School CMSUniversity Of Texas Southwestern Medical School At DallasGraduated 2001
Enumeration DateAugust 9, 2005
Last NPPES UpdateMarch 12, 2014
NPI 1063413482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in TX · L3943
Definition

Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.

Also ListedRehabilitation PractitionerTaxonomy 225400000X · License L3943 (TX)
2800 W 15TH ST, Plano, TX 75075

Other Identifiers 7

Medicare PIN8F3570TX
Medicare PINP00666587TX
OtherL3943TX · License Number
Medicare UPINH71993
Medicare PINP00301227TX
Other8V3207Bcbs
Medicare PIN8F2271TX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Omar Alberto Colon Gutierrez Md 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 ID1850362070
PECOS Enrollment IDI20040803000084
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.

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
8,092 services926 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
2,363 services248 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
1,310 services737 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
935 services776 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
652 services602 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
338 services268 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

2/5 CMS rating
OwnershipProprietary
CMS Certification Number450730
Location4343 North Josey LaneCarrollton, TX 75010 · Denton County

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality95
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%1,707 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%11,337 patients5/55-star benchmark: 100%
Elder Maltreatment Screen and Follow-Up Plan
100%687 patients
Falls: Plan of Care
100%32 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%738 patients5/55-star benchmark: 98%
Rehabilitative Therapy Referral for Patients with Parkinson's Disease
100%20 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 23

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
4 suppliers61 claims61 services$42.49 avg. paid by Medicare
Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
2 suppliers15 claims15 services$8.55 avg. paid by Medicare
Seat attachment, walker E0156
DME-Other DME · category DE000N
4 suppliers22 claims22 services$14.14 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
2 suppliers36 claims36 services$45.82 avg. paid by Medicare
Commode chair, mobile or stationary, with detachable arms E0165
DME-Other DME · category DE000N
3 suppliers339 claims339 services$7.63 avg. paid by Medicare
Gel or gel-like pressure pad for mattress, standard mattress length and width E0185
DME-Other DME · category DE000N
4 suppliers12 claims12 services$139.49 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Medicine & Rehabilitation
2800 W 15TH ST
PLANO, TX 75075
Speech-Language Pathologist
2800 W 15TH ST
PLANO, TX 75075
Dietitian, Registered
2800 W 15TH ST
PLANO, TX 75075
Physical Medicine & Rehabilitation
2800 W 15TH ST
PLANO, TX 75075
Physician Assistant
2800 W 15TH ST
PLANO, TX 75075
Physician Assistant
2800 W 15TH ST
PLANO, TX 75075
Speech-Language Pathologist
2800 W 15TH ST
PLANO, TX 75075
Nurse Practitioner (Gerontology)
2800 W 15TH ST
PLANO, TX 75075

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 Omar Colon Gutierrez's NPI number?

The NPI number for Omar Colon Gutierrez is 1063413482. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Omar Colon Gutierrez located?

Omar Colon Gutierrez practices at 2800 W 15th St, Plano, TX 75075. The listed phone number is (972) 378-6908.

What is Omar Colon Gutierrez's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Omar Colon Gutierrez enrolled in Medicare?

Yes. Omar Colon 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.

What insurance does Omar Colon Gutierrez accept?

Health plans from Blue Cross and Blue Shield of Texas and WellPoint list Omar Colon 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.

Is Omar Colon Gutierrez affiliated with any hospitals?

According to CMS data, Omar Colon Gutierrez is affiliated with Sana Healthcare Carrollton D/B/A Carrollton Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Omar Colon Gutierrez was last updated on March 12, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.