DR. TIMOTHY L GUTIERREZ SR. DMD
NPI 1275613788
Dentist - Oral and Maxillofacial Surgery in Albuquerque, NM

Active since October 17, 2006Opted out of Medicare · through Aug 17, 2026
1513 CARLISLE BLVD NE, ALBUQUERQUE, NM 87110(505) 881-7373(505) 881-5096 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Timothy L Gutierrez Sr. Dmd NPPES

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

DR. TIMOTHY L GUTIERREZ SR. DMD (NPI 1275613788) is an individual oral and maxillofacial surgery provider in Albuquerque, New Mexico, licensed in New Mexico (1556) and active in the NPI registry since October 2006. He has opted out of Medicare through August 17, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1275613788
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. TIMOTHY L GUTIERREZ SR.Credential: DMD
Location Address1513 CARLISLE BLVD NEAlbuquerque, NM 87110
Mailing Address1513 Carlisle Blvd NeAlbuquerque, NM 87110 · (505) 881-7373 · Fax (505) 881-5096
Fax(505) 881-5096
Sole ProprietorNo
Enumeration DateOctober 17, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1275613788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in NM · 1556
Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

1513 CARLISLE BLVD NE, Albuquerque, NM 87110

Other Identifiers 2

Medicare UPINU05897
Medicaid88906NM

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Timothy L Gutierrez Sr. Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 17, 2012 through August 17, 2026.

Opt-Out Effective DateAugust 17, 2012
Opt-Out In Effect ThroughAugust 17, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 87110 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
$84.79 typical visit price
range $54.26 – $166.80
Typical copayment $21.19 (range $13.56 – $41.70)
Most-billed visit code 99203
Established Patient
$68.00 typical visit price
range $17.00 – $135.35
Typical copayment $17.00 (range $4.25 – $33.83)
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.

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.

Dentist (Oral and Maxillofacial Surgery)
1513 CARLISLE BLVD NE
ALBUQUERQUE, NM 87110
Dentist (Oral and Maxillofacial Surgery)
1513 CARLISLE BLVD NE
ALBUQUERQUE, NM 87110
Dentist (Oral and Maxillofacial Surgery)
1513 CARLISLE BLVD NE
ALBUQUERQUE, NM 87110

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 Timothy Gutierrez's NPI number?

The NPI number for Timothy Gutierrez is 1275613788. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Timothy Gutierrez located?

Timothy Gutierrez practices at 1513 Carlisle Blvd NE, Albuquerque, NM 87110. The listed phone number is (505) 881-7373.

What is Timothy Gutierrez's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Timothy Gutierrez enrolled in Medicare?

No. Timothy Gutierrez has opted out of Medicare through August 17, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Timothy Gutierrez accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Timothy 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.

When was this NPI record last updated?

The NPPES record for Timothy Gutierrez was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.