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MIGUEL GUTIERREZ-DIAZ D.O.
NPI 1194777912
Family Medicine in Pensacola, FL

Active since May 17, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 10D2193452 · Waiver
83.26/100
CMS Quality Rating
4700 BAYOU BLVD STE 2C, PENSACOLA, FL 32503(850) 378-0158(850) 378-0161 Get Directions Write a Review

NPPES record last updated: September 18, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Miguel Gutierrez-diaz D.o. NPPES

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

MIGUEL GUTIERREZ-DIAZ D.O. (NPI 1194777912) is an individual family medicine provider in Pensacola, Florida, licensed in Florida (OS6687) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through September 21, 2026, and is affiliated with Sacred Heart Hospital.

NPPES Registry Identity

NPI1194777912
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMIGUEL GUTIERREZ-DIAZCredential: D.O.
Location Address4700 BAYOU BLVD STE 2CPensacola, FL 32503-2670
Mailing Address4700 Bayou Blvd Ste 2cPensacola, FL 32503-2670 · (850) 501-8862 · Fax (850) 378-0162
Phone(850) 378-0158
Fax(850) 378-0161
Sole ProprietorYes
Medical School CMSUniversity Of New England, College Of Osteo MedicineGraduated 1992
Enumeration DateMay 17, 2006
Last NPPES UpdateSeptember 18, 2020
NPPES CertifiedSeptember 2, 2020
✔ NPI 1194777912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · OS6687
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.
4700 BAYOU BLVD STE 2C, Pensacola, FL 32503
Open in Google Maps ↗

Secondary Practice Location 1

Location 14501 N Davis Hwy Ste APensacola, FL 32503-2724 · Phone (850) 476-9000 · Fax (850) 478-2332

Other Identifiers 1

Medicaid377918100FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).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

Miguel Gutierrez-diaz D.o. 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 ID4284790064
PECOS Enrollment IDI20090303000192
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2193452

Miguel A Gutierrez-Diaz Do PLLC · Pensacola, FL
Active · expires Sep 21, 2026
CLIA Number10D2193452
Laboratory TypePhysician Office
Certificate Effective DateSeptember 22, 2024
Certificate Expiration DateSeptember 21, 2026
Laboratory DirectorMiguel A. Gutierrez-Diaz
Laboratory Phone(850) 501-8862
Laboratory LocationMiguel A Gutierrez-Diaz Do PLLC4700 Bayou Blvd Suite 2C, Pensacola, FL 32503
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 6

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.
567 services222 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
213 services79 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
28 services25 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
26 services12 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
24 services20 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
16 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100025
Location5151 N 9th AvePensacola, FL 32504 · Escambia County
Emergency services Birthing friendly

Baptist Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100093
Location123 Baptist WayPensacola, FL 32503 · Escambia County
Emergency services Birthing friendly

Gulf Breeze Hospital

Acute Care Hospitals · Gulf Breeze, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100266
Location1110 Gulf Breeze PkwyGulf Breeze, FL 32561 · Santa Rosa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32503 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

83.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality78.42
Improvement Activities40
Cost72.96

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%72 patients
Breast Cancer Screening
49%233 patients3/55-star benchmark: 93%
Cervical Cancer Screening
1%291 patients1/55-star benchmark: 98%
Chlamydia Screening for Women
0%20 patients
Closing the Referral Loop: Receipt of Specialist Report
24%623 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
7%525 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
65%428 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
0%165 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
52%165 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
95%1,300 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%285 patients1/55-star benchmark: 100%
HIV Screening
3%668 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
37%885 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%743 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
30%699 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 282 patients
0%282 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
88%215 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 293 patients
Patients totalRate: 22% · 305 patients
22%305 patients2/55-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 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers34 claims142 services$6.51 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
3 suppliers12 claims12 services$2.93 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers20 claims57 services$1.18 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
5 suppliers42 claims42 services$196.47 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

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

MIGUEL A GUTIERREZ-DIAZ, D.O., PLLC
Clinic/Center (Primary Care)
4700 BAYOU BLVD STE 2C
PENSACOLA, FL 32503
Escambia County (850) 501-3935

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 Miguel Gutierrez-diaz's NPI number?

The NPI number for Miguel Gutierrez-diaz is 1194777912. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Miguel Gutierrez-diaz located?

Miguel Gutierrez-diaz practices at 4700 Bayou Blvd Ste 2C, Pensacola, FL 32503. The listed phone number is (850) 378-0158.

What is Miguel Gutierrez-diaz's specialty?

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

Is Miguel Gutierrez-diaz enrolled in Medicare?

Yes. Miguel Gutierrez-diaz 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.

Does Miguel Gutierrez-diaz hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2193452) is associated with this NPI, valid through September 21, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Miguel Gutierrez-diaz accept?

Health plans from Blue Cross and Blue Shield of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Miguel Gutierrez-diaz 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 Miguel Gutierrez-diaz affiliated with any hospitals?

According to CMS data, Miguel Gutierrez-diaz is affiliated with Sacred Heart Hospital, Baptist Hospital and Gulf Breeze Hospital.

When was this NPI record last updated?

The NPPES record for Miguel Gutierrez-diaz was last updated on September 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.