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DR. MARIO GUTIERREZ M.D.
NPI 1205254968
Family Medicine - Sports Medicine in Fresno, CA

Active since March 31, 2014PECOS EnrolledAccepts Medicare Assignment
3636 N 1ST ST STE 160, FRESNO, CA 93726(559) 944-9298(559) 943-9701 Get Directions Write a Review

NPPES record last updated: November 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Mario Gutierrez M.d. NPPES

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

DR. MARIO GUTIERREZ M.D. (NPI 1205254968) is an individual sports medicine provider in Fresno, California, licensed in California (A145700) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1205254968
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDR. MARIO GUTIERREZCredential: M.D.
Location Address3636 N 1ST ST STE 160Fresno, CA 93726-6869
Mailing Address3636 N 1st St Ste 160Fresno, CA 93726-6869 · (559) 944-9298 · Fax (559) 943-9701
Phone(559) 944-9298
Fax(559) 943-9701
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 31, 2014
Last NPPES UpdateNovember 6, 2024
NPPES CertifiedNovember 6, 2024
✔ NPI 1205254968 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in CA · A145700
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Also ListedFamily MedicineTaxonomy 207Q00000X · License A145700 (CA)
3636 N 1ST ST STE 160, Fresno, CA 93726
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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. Mario 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 ID4486995040
PECOS Enrollment IDI20230302001655
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93726 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
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 3

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

SANDOVAL FARFAN INTERPRISE
Occupational Therapist
3636 N 1ST ST STE 160
FRESNO, CA 93726
Fresno County (559) 225-5882
GABRIEL CARPIO-BRACHO M.D.
Family Medicine (Sports Medicine)
3636 N 1ST ST STE 160
FRESNO, CA 93726
Fresno County (559) 944-9298
CARPIO-BRACHO & GUTIERREZ, A MEDICAL CORPORATION
Family Medicine (Sports Medicine)
3636 N 1ST ST STE 160
FRESNO, CA 93726
Fresno County (559) 944-9298

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 Mario Gutierrez's NPI number?

The NPI number for Mario Gutierrez is 1205254968. It was assigned to this individual provider in the NPPES registry on March 31, 2014.

Where is Mario Gutierrez located?

Mario Gutierrez practices at 3636 N 1st St Ste 160, Fresno, CA 93726. The listed phone number is (559) 944-9298.

What is Mario Gutierrez's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Mario Gutierrez enrolled in Medicare?

Yes. Mario 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.

When was this NPI record last updated?

The NPPES record for Mario Gutierrez was last updated on November 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.