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DR. JUAN CARLOS GUTIERREZ M.D.
NPI 1194978932
Surgery in Ocala, FL

Active since October 24, 2008PECOS EnrolledAccepts Medicare Assignment
94.93/100
CMS Quality Rating
1720 SE 16TH AVE STE 303, OCALA, FL 34471(352) 368-1661(352) 867-9497 Get Directions Write a Review

NPPES record last updated: April 3, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Juan Carlos Gutierrez M.d. NPPES

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

DR. JUAN CARLOS GUTIERREZ M.D. (NPI 1194978932) is an individual surgery provider in Ocala, Florida, licensed in Florida (ME111240) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Ocala, and is a graduate of Albany Medical College Of Union University (2003).

NPPES Registry Identity

NPI1194978932
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JUAN CARLOS GUTIERREZCredential: M.D.
Location Address1720 SE 16TH AVE STE 303Ocala, FL 34471-4620
Mailing Address1720 Se 16th Ave Ste 303Ocala, FL 34471-4620 · (352) 368-1661 · Fax (352) 867-9497
Phone(352) 368-1661
Fax(352) 867-9497
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2003
Enumeration DateOctober 24, 2008
Last NPPES UpdateApril 3, 2019
✔ NPI 1194978932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in FL · ME111240
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.
1720 SE 16TH AVE STE 303, Ocala, FL 34471
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Other Identifiers 1

Medicaid004133900FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) 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

Dr. Juan Carlos 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 ID749456101
PECOS Enrollment IDI20120105000935
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 Juan Gutierrez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Florida Hospital Physician Group Inc
78 mi
Family Medicine
3000 MEDICAL PARK DR, STE 320
Tampa, FL 33613
  • Reassigned Medicare billing, Florida enrollment
  • 1,719 clinicians in this Medicare group
NPI 1174955256 (813) 336-5766
Dhhs, Phs, Naihs, Shiprock Hospital
1,572 mi
General Acute Care Hospital
6 ROAD 7586
Bloomfield, NM 87413
  • Reassigned Medicare billing, Texas enrollment
  • 572 clinicians in this Medicare group
NPI 1760427587 (505) 368-6401

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 5

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 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.
58 services31 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
40 services40 patients
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.
15 services13 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Adventhealth Ocala

Acute Care Hospitals · Ocala, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100062
Location1500 SW 1st AveOcala, FL 34474 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34471 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
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
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.

94.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.03
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

KEVIN MARCELL HODDINOTT MD
Surgery (Vascular Surgery)
1720 SE 16TH AVE STE 303
OCALA, FL 34471
Marion County (352) 369-0288
MRS. JENNIFER WEITLAUF APRN, FNP-C
Nurse Practitioner (Family)
1720 SE 16TH AVE STE 303
OCALA, FL 34471
Marion County (352) 369-0288
ALI ALSAMARAH MD
Internal Medicine (Interventional Cardiology)
1720 SE 16TH AVE STE 303
OCALA, FL 34471
Marion County (352) 369-0288
ALEXANDRA DANIELLE WALTERS D.O.
Internal Medicine (Cardiovascular Disease)
1720 SE 16TH AVE STE 303
OCALA, FL 34471
Marion County (352) 369-0288
GREGG ALAN KASINGER PA-C
Physician Assistant
1720 SE 16TH AVE STE 303
OCALA, FL 34471
Marion County (352) 369-0288
DR. OMENI N OSIAN M.D
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1720 SE 16TH AVE STE 303
OCALA, FL 34471
Marion County (352) 369-0288
MR. JORGE DUENAS GIURIA APRN
Nurse Practitioner (Family)
1720 SE 16TH AVE STE 303
OCALA, FL 34471
Marion County (352) 369-0288
ROBERT C. KUYKENDALL M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1720 SE 16TH AVE STE 303
OCALA, FL 34471
Marion County (352) 369-0288

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 Juan Gutierrez's NPI number?

The NPI number for Juan Gutierrez is 1194978932. It was assigned to this individual provider in the NPPES registry on October 24, 2008.

Where is Juan Gutierrez located?

Juan Gutierrez practices at 1720 SE 16th Ave Ste 303, Ocala, FL 34471. The listed phone number is (352) 368-1661.

What is Juan Gutierrez's specialty?

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

Is Juan Gutierrez enrolled in Medicare?

Yes. Juan 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 Juan Gutierrez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juan Gutierrez reassigns Medicare benefits to 2 organizations: Florida Hospital Physician Group Inc (Tampa, FL) and Dhhs, Phs, Naihs, Shiprock Hospital (Bloomfield, NM). 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 Juan Gutierrez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Juan Gutierrez accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Health First Commercial Plans, Inc. and 3 other insurers list Juan 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 Juan Gutierrez affiliated with any hospitals?

According to CMS data, Juan Gutierrez is affiliated with Adventhealth Ocala.

When was this NPI record last updated?

The NPPES record for Juan Gutierrez was last updated on April 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.