MR. LUIS CARLOS GUTIERREZ PA-C
NPI 1295106391
Physician Assistant in Phoenix, AZ

Active since October 14, 2015PECOS EnrolledAccepts Medicare Assignment
700 W CAMPBELL AVE STE 15, PHOENIX, AZ 85013(623) 600-4126(628) 412-7317 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 2, 2023, Jan 13, 2023, Oct 18, 2021 and 5 more (8 updates tracked since 2015).

About Mr. Luis Carlos Gutierrez Pa-c NPPES

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

MR. LUIS CARLOS GUTIERREZ PA-C (NPI 1295106391) is an individual physician assistant in Phoenix, Arizona, licensed in Arizona (6258) and active in the NPI registry since October 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1295106391
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. LUIS CARLOS GUTIERREZCredential: PA-C
Location Address700 W CAMPBELL AVE STE 15Phoenix, AZ 85013-2691
Mailing Address700 W Campbell Ave Ste 15Phoenix, AZ 85013-2691 · (623) 600-4126
Fax(628) 412-7317
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 14, 2015
Last NPPES UpdateNovember 2, 20238 updates tracked since enumeration
NPPES CertifiedNovember 2, 2023
NPI 1295106391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in AZ · 6258
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

700 W CAMPBELL AVE STE 15, Phoenix, AZ 85013

Other Identifiers 1

Medicaid075466AZ

Accepted 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

Mr. Luis Carlos Gutierrez Pa-c 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 ID7618277427
PECOS Enrollment IDI20151201001381
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 85013 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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

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

Family Medicine
700 W CAMPBELL AVE STE 15
PHOENIX, AZ 85013

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1295106391, enumerated as an "individual" on October 14, 2015.

The provider is located at 700 W CAMPBELL AVE STE 15 PHOENIX, AZ 85013 and the phone number is (623) 600-4126.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Ambetter from Arizona Complete Health, Blue Cross. Please consult your insurance carrier or call the provider to verify.