DR. FELIX GUTIERREZ II M.D.
NPI 1538160387
Internal Medicine - Cardiovascular Disease in Wormleysburg, PA

Active since August 02, 2005PECOS EnrolledAccepts Medicare Assignment
78.97/100
CMS Quality Rating
1000 N FRONT ST, WORMLEYSBURG, PA 17043(717) 731-0101(717) 731-8359 Get Directions Write a Review

NPPES record last updated: January 2, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jan 2, 2021, Jun 9, 2020, Jan 19, 2018 and 4 more (7 updates tracked since 2016).

About Dr. Felix Gutierrez Ii M.d. NPPES

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

DR. FELIX GUTIERREZ II M.D. (NPI 1538160387) is an individual cardiovascular disease provider in Wormleysburg, Pennsylvania, licensed in Pennsylvania (MD019654E) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and is a graduate of Other (1970).

NPPES Registry Identity

NPI1538160387
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. FELIX GUTIERREZ IICredential: M.D.
Location Address1000 N FRONT STWormleysburg, PA 17043-1034
Mailing Address1000 N Front StWormleysburg, PA 17043-1021
Fax(717) 731-8359
Sole ProprietorNo
Medical School CMSOtherGraduated 1970
Enumeration DateAugust 2, 2005
Last NPPES UpdateJanuary 2, 20217 updates tracked since enumeration
NPPES CertifiedJanuary 2, 2021
✔ NPI 1538160387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in PA · MD019654E
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1000 N FRONT ST, Wormleysburg, PA 17043

Other Identifiers 1

Medicaid000644741PA

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. Felix Gutierrez Ii 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 ID4183511132
PECOS Enrollment IDI20050601000611
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 16

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.

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.
494 services361 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.
396 services322 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
212 services197 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
91 services64 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.
61 services61 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
52 services51 patients

Hospital Affiliations CMS Care Compare 3

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

Wellspan York Hospital

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390046
Location1001 South George StreetYork, PA 17403 · York County
Emergency services Birthing friendly

Upmc Carlisle

Acute Care Hospitals · Carlisle, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390058
Location361 Alexander Spring RoadCarlisle, PA 17015 · Cumberland County
Emergency services Birthing friendly

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17043 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

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.

78.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.63
Promoting Interoperability100
Improvement Activities40
Cost63.26

Other Providers at the Same Location NPPES 20

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

Internal Medicine (Cardiovascular Disease)
1000 N FRONT ST
WORMLEYSBURG, PA 17043
Internal Medicine (Cardiovascular Disease)
1000 N FRONT ST
WORMLEYSBURG, PA 17043
Internal Medicine (Cardiovascular Disease)
1000 N FRONT ST
WORMLEYSBURG, PA 17043
Internal Medicine (Cardiovascular Disease)
1000 N FRONT ST
WORMLEYSBURG, PA 17043
Internal Medicine (Cardiovascular Disease)
1000 N FRONT ST
WORMLEYSBURG, PA 17043
Physician Assistant (Medical)
1000 N FRONT ST
WORMLEYSBURG, PA 17043
Internal Medicine (Cardiovascular Disease)
1000 N FRONT ST, SUITE 200
WORMLEYSBURG, PA 17043
Internal Medicine (Cardiovascular Disease)
1000 N FRONT ST
WORMLEYSBURG, PA 17043

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 Felix Gutierrez's NPI number?

The NPI number for Felix Gutierrez is 1538160387. It was assigned to this individual provider in the NPPES registry on August 2, 2005.

Where is Felix Gutierrez located?

Felix Gutierrez practices at 1000 N Front St, Wormleysburg, PA 17043. The listed phone number is (717) 731-0101.

What is Felix Gutierrez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Felix Gutierrez enrolled in Medicare?

Yes. Felix 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.

Is Felix Gutierrez affiliated with any hospitals?

According to CMS data, Felix Gutierrez is affiliated with Wellspan York Hospital, Upmc Carlisle and Upmc Pinnacle Hospitals.

When was this NPI record last updated?

The NPPES record for Felix Gutierrez was last updated on January 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.