DR. JOSE MANUEL GUTIERREZ AMEZCUA MD
NPI 1154983971
Pathology - Anatomic Pathology & Clinical Pathology in Burlington, VT

Q: What is Jose Manuel Gutierrez Amezcua's NPI number?

The NPI number for Jose Manuel Gutierrez Amezcua is 1154983971. It was assigned to this individual provider in the NPPES registry on July 2, 2019.

Q: What is Jose Manuel Gutierrez Amezcua's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Active since July 02, 2019PECOS EnrolledAccepts Medicare Assignment

111 COLCHESTER AVE, BURLINGTON, VT 05401(802) 847-0000 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 9, 2025, Jul 2, 2019 (2 updates tracked since 2019).

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About Dr. Jose Manuel Gutierrez Amezcua Md NPPES

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

DR. JOSE MANUEL GUTIERREZ AMEZCUA MD (NPI 1154983971) is an individual anatomic pathology & clinical pathology provider in Burlington, Vermont, licensed in Vermont (042.0018655) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS, is affiliated with Champlain Valley Physicians Hospital Medical Ctr, and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1154983971

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameDR. JOSE MANUEL GUTIERREZ AMEZCUACredential: MD

Location Address111 COLCHESTER AVEBurlington, VT 05401-1473

Mailing Address520 2nd Ave Apt 11aNew York, NY 10016-8620 · (929) 218-6210

Phone(802) 847-0000

Sole ProprietorYes

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 2, 2019

Last NPPES UpdateJuly 9, 20252 updates tracked since enumeration

NPPES CertifiedJuly 9, 2025

✔ NPI 1154983971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in VT · 042.0018655

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

111 COLCHESTER AVE, Burlington, VT 05401

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Secondary Practice Location 1

Location 1550 1st AveNew York, NY 10016-6402 · Phone (212) 263-5506

Other Identifiers 1

Medicaid13-3971298NY

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

Dr. Jose Manuel Gutierrez Amezcua 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 ID7113425356

PECOS Enrollment IDI20250807003202

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.

Hospital Affiliations CMS Care Compare 5

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

Champlain Valley Physicians Hospital Medical Ctr

Acute Care Hospitals · Plattsburgh, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330250

Location75 Beekman StreetPlattsburgh, NY 12901 · Clinton County

Emergency services Birthing friendly

Central Vermont Medical Center

Acute Care Hospitals · Barre, VT

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number470001

LocationBox 547Barre, VT 05641 · Washington County

Emergency services Birthing friendly

Univ. Of Vermont - Fletcher Allen Health Care

Acute Care Hospitals · Burlington, VT

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number470003

Location111 Colchester AveBurlington, VT 05401 · Chittenden County

Emergency services Birthing friendly

Northwestern Medical Center Inc

Acute Care Hospitals · Saint Albans, VT

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number470024

Location133 Fairfield StreetSaint Albans, VT 05478 · Franklin County

Emergency services Birthing friendly

Porter Hospital, Inc

Critical Access Hospitals · Middlebury, VT

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number471307

Location115 Porter DriveMiddlebury, VT 05753 · Addison County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05401 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

$127.71 typical visit price

range $55.80 – $168.48

Typical copayment $31.92 (range $13.95 – $42.12)

Most-billed visit code 99204

Established Patient

$98.40 typical visit price

range $18.08 – $137.84

Typical copayment $24.60 (range $4.52 – $34.46)

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.

Other Providers at the Same Location NPPES 20

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

ELENA KOZAKEWICH

Internal Medicine (Pulmonary Disease)

111 COLCHESTER AVE, UVM MEDICAL CENTER, DEPT OF INTERNAL MEDICINE, 222WP2
BURLINGTON, VT 05401

Chittenden County (802) 847-2700

ANDREW HUY NGUYEN MD

Radiology (Diagnostic Radiology)