MRS. LARINA V. GUTENBERG DO
NPI 1194994681
Anesthesiology - Pain Medicine in San Antonio, TX

Q: What is Larina Gutenberg's NPI number?

The NPI number for Larina Gutenberg is 1194994681. It was assigned to this individual provider in the NPPES registry on February 28, 2008.

Q: What is Larina Gutenberg's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Q: When was this NPI record last updated?

The NPPES record for Larina Gutenberg was last updated on April 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since February 28, 2008PECOS EnrolledAccepts Medicare AssignmentCLIA Certified · 3 labs

0/100

CMS Quality Rating

5522 LONE STAR PKWY, BLDG 2, STE 101, SAN ANTONIO, TX 78253(210) 298-4900(210) 298-6631 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Mrs. Larina V. Gutenberg Do NPPES

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

MRS. LARINA V. GUTENBERG DO (NPI 1194994681) is an individual pain medicine provider in San Antonio, Texas, licensed in Texas (N3706) and active in the NPI registry since February 2008. She is enrolled in Medicare PECOS, holds 3 active CLIA laboratory certificates, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1194994681

Entity TypeIndividualFemale

Primary Taxonomy207LP2900X

Provider Legal NameMRS. LARINA V. GUTENBERGCredential: DO

Location Address5522 LONE STAR PKWY, BLDG 2, STE 101San Antonio, TX 78253

Mailing Address5522 Lone Star Pkwy, Bldg 2, Ste 101San Antonio, TX 78253 · (210) 298-4900 · Fax (210) 298-6631

Phone(210) 298-4900

Fax(210) 298-6631

Sole ProprietorYes

Medical School CMSOtherGraduated 2004

Enumeration DateFebruary 28, 2008

Last NPPES UpdateApril 26, 2022

NPPES CertifiedApril 26, 2022

✔ NPI 1194994681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207LP2900X

License✔ Licensed in TX · N3706

Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

Also ListedAnesthesiologyTaxonomy 207L00000X · License 58. 001534 (OH)

5522 LONE STAR PKWY, BLDG 2, San Antonio, TX 78253

Open in Google Maps ↗

Other Identifiers 1

Medicaid211146001TX

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

Mrs. Larina V. Gutenberg Do 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 ID2365591575

PECOS Enrollment IDI20091005000617

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 Reassignment

Medicare enrollment records show Larina Gutenberg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Larina V Gutenberg Do PLLC

Same address

Pain Medicine

5522 LONE STAR PKWY BLDG 2, STE 101
San Antonio, TX 78253

Reassigned Medicare billing, Texas enrollment
6 clinicians in this Medicare group

NPI 1710253646 (210) 298-4900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 4

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 45D2192403

Larina V Gutenberg Do PLLC · San Antonio, TX

Active · expires Sep 8, 2028

CLIA Number45D2192403

Laboratory TypePhysician Office

Certificate Effective DateSeptember 9, 2026

Certificate Expiration DateSeptember 8, 2028

Laboratory DirectorLarina Gutenberg

Laboratory Phone(210) 298-4900

Laboratory LocationLarina V Gutenberg Do PLLC5522 Lone Star Pkwy, Bldg 2 Ste 101, San Antonio, TX 78253

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Accreditation 45D2171894

Larina V Gutenberg Do PLLC · San Antonio, TX

Active · expires Jun 1, 2027

CLIA Number45D2171894

Laboratory TypePhysician Office

Certificate Effective DateJune 2, 2025

Certificate Expiration DateJune 1, 2027

Laboratory DirectorDavid J. Wells

Laboratory Phone(210) 298-4900

Laboratory LocationLarina V Gutenberg Do PLLC5522 Lone Star Pkwy Bldg 2 Ste 101, San Antonio, TX 78253

CLIA data matches this NPI record on: Address Phone

This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 45D2187639

Larina V Gutenberg Do PLLC · Boerne, TX

Active · expires Jul 5, 2028

CLIA Number45D2187639

Laboratory TypePhysician Office

Certificate Effective DateJuly 6, 2026

Certificate Expiration DateJuly 5, 2028

Laboratory DirectorLarina Gutenberg Do

Laboratory Phone(210) 298-4900

Laboratory LocationLarina V Gutenberg Do PLLC1510 S Main Street, Boerne, TX 78006

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 45D2312067

Larina V Gutenberg Do PLLC · San Antonio, TX

Expired · Oct 2, 2026

CLIA Number45D2312067

Laboratory TypePhysician Office

Certificate Effective DateOctober 3, 2024

Certificate Expiration DateOctober 2, 2026

Laboratory DirectorLarina V. Gutenberg

Laboratory Phone(210) 298-4900

Laboratory LocationLarina V Gutenberg Do PLLC9631 Huebner Rd, San Antonio, TX 78240

CLIA data matches this NPI record on: Phone

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 25

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.

Injection, midazolam hydrochloride, per 1 mg J2250

Midazolam hydrochloride is a medication injected to help you relax or sleep before surgery or certain medical procedures. It works by calming the brain and nerves. It's given in small doses, measured in milligrams (mg).

1,406 services88 patients

Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml Q9966

Low osmolar contrast material with 200-299 mg/ml iodine concentration is a type of dye used in certain medical tests like CT scans or X-rays. It helps to highlight specific areas in your body, making them easier to see and examine. It's safe and commonly used.

688 services102 patients

Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702

This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.

555 services112 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.

530 services182 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.

491 services163 patients

Testing for presence of drug, by chemistry analyzers 80307

Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.

311 services198 patients

Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0482

A definitive drug test identifies specific drugs in your system. Advanced methods like GC/MS (Gas Chromatography/Mass Spectrometry) and LC/MS (Liquid Chromatography/Mass Spectrometry) are used. These can distinguish between similar drugs, providing precise results.

309 services196 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint 64636

This procedure involves using imaging technology to locate and treat nerves in your lower spine or sacral area that may be causing pain. Each additional facet joint refers to treating more than one spinal nerve. It's a non-invasive way to manage chronic back pain.

200 services71 patients

Injection, ketorolac tromethamine, per 15 mg J1885

Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.

175 services69 patients

Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes 99153

This service involves a physician administering medication to lower your consciousness during a procedure. It's done for your comfort and safety. The drug's effects last about 15 minutes, so additional doses may be given as needed.

171 services64 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

170 services13 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483

This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.

144 services81 patients

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level 64484

This procedure involves injecting an anesthetic or steroid drug into the sacral spine nerve root. It's done under imaging guidance to ensure accuracy. The process can be repeated for each additional level of the spine to help manage pain or inflammation.

143 services81 patients

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152

This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.

101 services67 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.

98 services74 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

90 services71 patients

Injection, methylprednisolone acetate, 40 mg J1030

Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.

57 services45 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

54 services27 patients

Injection of substance into middle or upper spine canal using imaging guidance 62321

This procedure involves injecting a substance into your middle or upper spine canal. It's performed under imaging guidance to ensure accuracy. The substance can help diagnose or treat various conditions, providing relief from symptoms.

37 services25 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.

37 services37 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

25 services14 patients

Fluoroscopic guidance for needle placement 77002

Fluoroscopic guidance for needle placement is a medical procedure that uses a special X-ray technology to help accurately place a needle in the body. It's often used in biopsies, injections or other treatments to ensure precision and safety.

25 services14 patients

Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096

This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.

23 services20 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

21 services15 patients

Injection of lower or sacral spine facet joint using imaging guidance, second level 64494

This procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.

21 services15 patients

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.

0/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Other Providers at the Same Location NPPES

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

DR. ROBERTO J DIAZ MD

Anesthesiology (Pain Medicine)

5522 LONE STAR PKWY, BLDG 2, STE 101
SAN ANTONIO, TX 78253

Bexar County (210) 298-4900

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 Larina Gutenberg's NPI number?

The NPI number for Larina Gutenberg is 1194994681. It was assigned to this individual provider in the NPPES registry on February 28, 2008.

Where is Larina Gutenberg located?

Larina Gutenberg practices at 5522 Lone Star Pkwy, Bldg 2 Ste 101, San Antonio, TX 78253. The listed phone number is (210) 298-4900.

What is Larina Gutenberg's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Larina Gutenberg enrolled in Medicare?

Yes. Larina Gutenberg 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 organization bills Medicare for Larina Gutenberg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Larina Gutenberg reassigns Medicare benefits to Larina V Gutenberg Do PLLC (San Antonio, TX). The 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 Larina Gutenberg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Larina Gutenberg hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Larina Gutenberg accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Larina Gutenberg 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 Larina Gutenberg was last updated on April 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

About Mrs. Larina V. Gutenberg Do NPPES

NPPES Registry Identity

Specialties & Licenses 2

Other Identifiers 1

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare Enrollment Status

Medicare Billing Reassignment

CLIA Laboratory Certificates CMS CLIA 4

Certificate of Waiver · 45D2192403

Certificate of Accreditation · 45D2171894

Certificate of Waiver · 45D2187639

Certificate of Waiver · 45D2312067

Areas of Expertise CMS Part B claims 25

Medicare Quality Performance CMS QPP · MIPS

Other Providers at the Same Location NPPES

Frequently Asked Questions NPPES & CMS

What is Larina Gutenberg's NPI number?

Where is Larina Gutenberg located?

What is Larina Gutenberg's specialty?

Is Larina Gutenberg enrolled in Medicare?

Which organization bills Medicare for Larina Gutenberg's services?

Does Larina Gutenberg hold CLIA laboratory certificates?

What insurance does Larina Gutenberg accept?

When was this NPI record last updated?

Certificate of Waiver 45D2192403

Certificate of Accreditation 45D2171894

Certificate of Waiver 45D2187639

Certificate of Waiver 45D2312067