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DR. SERGIO MARTIN LEMA GUTIERREZ
NPI 1538435912
Internal Medicine in Presque Isle, ME

Active since March 29, 2012PECOS EnrolledAccepts Medicare Assignment
65.44/100
CMS Quality Rating
140 ACADEMY ST, PRESQUE ISLE, ME 04769(207) 768-4000 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Sergio Martin Lema Gutierrez NPPES

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

DR. SERGIO MARTIN LEMA GUTIERREZ (NPI 1538435912) is an individual internal medicine provider in Presque Isle, Maine, licensed in New York (291223) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1538435912
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. SERGIO MARTIN LEMA GUTIERREZ
Location Address140 ACADEMY STPresque Isle, ME 04769-3102
Mailing Address211 Church StSaratoga Springs, NY 12866-1003 · (518) 587-3222
Phone(207) 768-4000
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateMarch 29, 2012
Last NPPES UpdateMarch 17, 2018
✔ NPI 1538435912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NY · 291223✔ Licensed in ME · MD19416
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
140 ACADEMY ST, Presque Isle, ME 04769
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Other Identifiers 1

Medicaid1538435912ME

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. Sergio Martin Lema Gutierrez 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 ID9931350907
PECOS Enrollment IDI20180208002215
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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
151 services78 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.
96 services57 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.
68 services68 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
50 services49 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
15 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330013
Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County
Emergency services Birthing friendly

Saratoga Hospital

Acute Care Hospitals · Saratoga Springs, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330222
Location211 Church StreetSaratoga Springs, NY 12866 · Saratoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04769 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
$123.23 typical visit price
range $53.26 – $162.77
Typical copayment $30.80 (range $13.31 – $40.69)
Most-billed visit code 99204
Established Patient
$94.60 typical visit price
range $16.90 – $132.79
Typical copayment $23.65 (range $4.22 – $33.19)
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.

65.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.37
Improvement Activities40
Cost64.8

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers15 claims15 services$15.52 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers15 claims15 services$71.83 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

AMANDA HOTHAM MS, SLP
Speech-Language Pathologist
140 ACADEMY ST
PRESQUE ISLE, ME 04769
Aroostook County (207) 768-4735
RALPH B MCPHERSON LCSW
Social Worker (Clinical)
140 ACADEMY ST
PRESQUE ISLE, ME 04769
Aroostook County (207) 768-4256
GEORGE MONTEE PAC
Physician Assistant
140 ACADEMY ST, SUITE3
PRESQUE ISLE, ME 04769
Aroostook County (207) 768-3011
DR. RAM MOHAN RAO VENEPALLY MD
Hospitalist
140 ACADEMY ST
PRESQUE ISLE, ME 04769
Aroostook County (207) 768-4412
DR. RONALD ARTHUR ROHE MD
Internal Medicine (Hematology & Oncology)
140 ACADEMY ST
PRESQUE ISLE, ME 04769
Aroostook County (207) 764-5215
MARY T HAMILTON CNM
Advanced Practice Midwife
140 ACADEMY ST
PRESQUE ISLE, ME 04769
Aroostook County (207) 768-5944
DR. JOHN C GERSHMAN-TEWKSBURY MD
Pathology (Clinical Pathology/Laboratory Medicine)
140 ACADEMY ST
PRESQUE ISLE, ME 04769
Aroostook County (207) 768-4209
STEPHEN PORTER FNP
Nurse Practitioner (Family)
140 ACADEMY ST
PRESQUE ISLE, ME 04769
Aroostook County (207) 764-3142

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 Sergio Lema Gutierrez's NPI number?

The NPI number for Sergio Lema Gutierrez is 1538435912. It was assigned to this individual provider in the NPPES registry on March 29, 2012.

Where is Sergio Lema Gutierrez located?

Sergio Lema Gutierrez practices at 140 Academy St, Presque Isle, ME 04769. The listed phone number is (207) 768-4000.

What is Sergio Lema Gutierrez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Sergio Lema Gutierrez enrolled in Medicare?

Yes. Sergio Lema 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 Sergio Lema Gutierrez affiliated with any hospitals?

According to CMS data, Sergio Lema Gutierrez is affiliated with Albany Medical Center Hospital and Saratoga Hospital.

When was this NPI record last updated?

The NPPES record for Sergio Lema Gutierrez was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.