DR. SERGIO MARTIN LEMA GUTIERREZ
NPI 1538435912
Internal Medicine in Presque Isle, ME
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 maintains a secondary practice location in Presque Isle.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Sergio Lema Gutierrez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Queensbury, NY 12804
- Reassigned Medicare billing, New York enrollment
- 456 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, NYSaratoga Hospital
Acute Care Hospitals · Saratoga Springs, NYPhysician 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.
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.
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.
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.
PRESQUE ISLE, ME 04769
PRESQUE ISLE, ME 04769
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.
Which organization bills Medicare for Sergio Lema Gutierrez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sergio Lema Gutierrez reassigns Medicare benefits to Saratoga Hospital (Queensbury, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sergio Lema Gutierrez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Dr. Sergio Martin Lema Gutierrez · NPI 1538435912
Internal Medicine physician in Presque Isle, Maine. Individual provider, active in the CMS NPPES registry since March 29, 2012.
## Identity
- **NPI:** 1538435912 (Entity type: Individual)
- **Enumerated:** March 29, 2012
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 291223 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 140 ACADEMY ST, Presque Isle, ME 04769-3102
- **Phone:** (207) 768-4000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Saratoga Hospital (NPI 1275177321, Queensbury, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** March 17, 2018
- **Other identifiers:** Medicaid 1538435912 (ME)
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Source: [NPI Profile](https://npiprofile.com/npi/1538435912) · Data from the CMS NPPES public registry.