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CHARLES JOHN GUTIERREZ M.D.
NPI 1104807627
Surgery in Beaumont, TX

Active since November 10, 2005PECOS EnrolledAccepts Medicare Assignment
350 PINE ST, SUITE 1415, BEAUMONT, TX 77701(409) 924-8600(409) 924-8607 Get Directions Write a Review

NPPES record last updated: March 5, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 5, 2024, Oct 20, 2016 (2 updates tracked since 2016).

About Charles John Gutierrez M.d. NPPES

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

CHARLES JOHN GUTIERREZ M.D. (NPI 1104807627) is an individual surgery provider in Beaumont, Texas, licensed in Texas (K9794) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, maintains a secondary practice location in Corpus Christi, and is a graduate of University Of Southern California Keck School Of Medicine (1994).

NPPES Registry Identity

NPI1104807627
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameCHARLES JOHN GUTIERREZCredential: M.D.
Location Address350 PINE ST, SUITE 1415Beaumont, TX 77701-2441
Mailing Address350 Pine St, Suite 1415Beaumont, TX 77701-2441 · (409) 924-8600 · Fax (409) 924-8607
Phone(409) 924-8600
Fax(409) 924-8607
Sole ProprietorYes
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1994
Enumeration DateNovember 10, 2005
Last NPPES UpdateMarch 5, 20242 updates tracked since enumeration
NPPES CertifiedMarch 5, 2024
✔ NPI 1104807627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TX · K9794
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedSurgery · Vascular SurgeryTaxonomy 2086S0129X · License K9794 (TX)
350 PINE ST, Beaumont, TX 77701
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Secondary Practice Location 1

Location 11521 S Staples St Ste 510Corpus Christi, TX 78404-3152 · Phone (361) 882-4000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Charles John Gutierrez M.d. 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 ID7719928704
PECOS Enrollment IDI20050519000923
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 Reassignments

2

Medicare enrollment records show Charles Gutierrez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

East Texas Surgical Associates, PA
Same address
Surgery
350 PINE STREET, SUITE 1415
Beaumont, TX 77701
  • Reassigned Medicare billing, Texas enrollment
  • 12 clinicians in this Medicare group
NPI 1497892152 (409) 924-8600
Robert Marriott Medical Corp
2.8 mi
Surgery
1175 DENTON ST
Beaumont, TX 77707
  • Reassigned Medicare billing, Texas and New Mexico enrollments
  • Also billed through NPI 1083883938 (New Mexico)
  • 46 clinicians in this Medicare group
NPI 1073064689 (877) 878-3289

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.

Chemical destruction of first incompetent vein of arm or leg using imaging guidance 36482
This procedure involves using a chemical to close off a malfunctioning vein in your arm or leg. Imaging guidance is used to accurately locate the vein. This helps improve blood flow by rerouting it through healthier veins.
155 services62 patients
Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
139 services117 patients
Injection of chemical agent into single incompetent vein of leg using ultrasound guidance 36465
This procedure involves injecting a chemical agent into a non-functioning vein in your leg. Ultrasound technology is used to accurately locate the vein. The chemical helps to close off the vein, rerouting blood flow to healthier veins.
92 services53 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
84 services84 patients
Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance 36466
This procedure involves injecting a special chemical into problematic veins in your leg, using ultrasound technology to accurately target the veins. This helps to reduce issues like pain and swelling by improving blood flow in the leg.
46 services34 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.
44 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77701 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
$83.80 typical visit price
range $54.04 – $164.93
Typical copayment $20.95 (range $13.51 – $41.23)
Most-billed visit code 99203
Established Patient
$67.64 typical visit price
range $17.17 – $134.47
Typical copayment $16.91 (range $4.29 – $33.61)
Most-billed visit code 99213
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.

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%63 patients5/55-star benchmark: 100%
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 2

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

Segmental pneumatic appliance for use with pneumatic compressor, trunk E0656
DME-Other DME · category DE000N
1 supplier13 claims13 services$55.43 avg. paid by Medicare
Segmental pneumatic appliance for use with pneumatic compressor, full leg E0667
DME-Other DME · category DE000N
1 supplier18 claims36 services$309.67 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 3

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

DERMATOLOGY AND LASER MEDICINE OF SOUTHEAST TEXAS PLLC
Dermatology
350 PINE ST, SUITE 1438
BEAUMONT, TX 77701
Jefferson County (409) 835-2737
DR. SHARON MARY HEARTFIELD MARCHAND M.D.
Dermatology
350 PINE ST, SUITE 1438
BEAUMONT, TX 77701
Jefferson County (409) 835-2737
DR. LISA SUZANNE DURSO DNP, FNP
Nurse Practitioner (Family)
350 PINE ST
BEAUMONT, TX 77701
Jefferson County (409) 833-4004

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 Charles Gutierrez's NPI number?

The NPI number for Charles Gutierrez is 1104807627. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Where is Charles Gutierrez located?

Charles Gutierrez practices at 350 Pine St Suite 1415, Beaumont, TX 77701. The listed phone number is (409) 924-8600.

What is Charles Gutierrez's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Charles Gutierrez enrolled in Medicare?

Yes. Charles 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 organizations bill Medicare for Charles Gutierrez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Gutierrez reassigns Medicare benefits to 2 organizations: East Texas Surgical Associates, PA (Beaumont, TX) and Robert Marriott Medical Corp (Beaumont, TX). Each 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 Charles Gutierrez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Gutierrez accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Charles 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 Charles Gutierrez was last updated on March 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.