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FRANCISCO J GUTIERREZ GARCIA MD
NPI 1316020456
Family Medicine in Laredo, TX

Active since October 23, 2006PECOS EnrolledAccepts Medicare Assignment
97.26/100
CMS Quality Rating
815 SALINAS AVE, STE C, LAREDO, TX 78040(956) 753-7489(956) 462-5921 Get Directions Write a Review

NPPES record last updated: April 27, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Francisco J Gutierrez Garcia Md NPPES

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

FRANCISCO J GUTIERREZ GARCIA MD (NPI 1316020456) is an individual family medicine provider in Laredo, Texas, licensed in Texas (M5740) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Doctors Hospital Of Laredo, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1316020456
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameFRANCISCO J GUTIERREZ GARCIACredential: MD
Location Address815 SALINAS AVE, STE CLaredo, TX 78040-8007
Mailing Address815 Salinas Ave, Ste CLaredo, TX 78040-8007 · (956) 753-7489 · Fax (956) 462-5921
Phone(956) 753-7489
Fax(956) 462-5921
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateOctober 23, 2006
Last NPPES UpdateApril 27, 2016
✔ NPI 1316020456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in TX · M5740✔ Licensed in ND · PT10356
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
815 SALINAS AVE, Laredo, TX 78040
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Other Identifiers 4

Other8BA020TX · Bcbs
Medicaid196893501TX
Medicare PIN8F9946TX
Medicare UPINI48482ND

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Insurance Company.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

Francisco J Gutierrez Garcia Md 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 ID6204850639
PECOS Enrollment IDI20080227000622
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.

Areas of Expertise CMS Part B claims 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
25 services25 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
15 services15 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Doctors Hospital Of Laredo

Acute Care Hospitals · Laredo, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450643
Location10700 Mcpherson RoadLaredo, TX 78041 · Webb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78040 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

97.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.87
Improvement Activities40
Cost74.28

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 Francisco Gutierrez Garcia's NPI number?

The NPI number for Francisco Gutierrez Garcia is 1316020456. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Francisco Gutierrez Garcia located?

Francisco Gutierrez Garcia practices at 815 Salinas Ave Ste C, Laredo, TX 78040. The listed phone number is (956) 753-7489.

What is Francisco Gutierrez Garcia's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Francisco Gutierrez Garcia enrolled in Medicare?

Yes. Francisco Gutierrez Garcia 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.

What insurance does Francisco Gutierrez Garcia accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and Oscar Insurance Company list Francisco Gutierrez Garcia 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 Francisco Gutierrez Garcia affiliated with any hospitals?

According to CMS data, Francisco Gutierrez Garcia is affiliated with Doctors Hospital Of Laredo.

When was this NPI record last updated?

The NPPES record for Francisco Gutierrez Garcia was last updated on April 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.