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DR. CESAR HERNAN GUTIERREZ M.D.
NPI 1700263456
Internal Medicine in Weslaco, TX

Active since May 01, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1330 E 6TH ST STE 105, WESLACO, TX 78596(956) 296-7710 Get Directions Write a Review

NPPES record last updated: April 26, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 26, 2024, Jun 9, 2023, Jul 1, 2019 and 1 more (4 updates tracked since 2015).

About Dr. Cesar Hernan Gutierrez M.d. NPPES

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

DR. CESAR HERNAN GUTIERREZ M.D. (NPI 1700263456) is an individual internal medicine provider in Weslaco, Texas, licensed in Texas (R7468) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS, is affiliated with Knapp Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1700263456
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. CESAR HERNAN GUTIERREZCredential: M.D.
Location Address1330 E 6TH ST STE 105Weslaco, TX 78596-6608
Mailing AddressPo Box 531968Harlingen, TX 78553-1968 · (833) 887-4863
Phone(956) 296-7710
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateMay 1, 2015
Last NPPES UpdateApril 26, 20244 updates tracked since enumeration
NPPES CertifiedApril 26, 2024
✔ NPI 1700263456 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · R7468
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.
1330 E 6TH ST STE 105, Weslaco, TX 78596
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Other Names 1

Professional Name (2)Cesar Hernan Gutierrez Martinez

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Dr. Cesar Hernan Gutierrez 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 ID7315235447
PECOS Enrollment IDI20190528002078
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 6

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.
91 services47 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.
57 services30 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.
40 services40 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
25 services24 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.
20 services20 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.
13 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Knapp Medical Center

Acute Care Hospitals · Weslaco, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450128
Location1401 East Eight StreetWeslaco, TX 78596 · Hidalgo County
Emergency services Birthing friendly

Starr County Memorial Hospital

Acute Care Hospitals · Rio Grande City, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450654
Location128 N Fm Rd 3167Rio Grande City, TX 78582 · Starr County
Emergency services Birthing friendly

Doctors Hosptal At Renaissance

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipPhysician
CMS Certification Number450869
Location5501 South MccollEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78596 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality93.55
Improvement Activities40
Cost90.11

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.

FATIMAH OLUWAKEMI BELLO MD, MPH
Internal Medicine
1330 E 6TH ST STE 105
WESLACO, TX 78596
Hidalgo County (956) 296-7710
DR. BRANDON ROBERT CANTAZARO MD
Internal Medicine
1330 E 6TH ST STE 105
WESLACO, TX 78596
Hidalgo County (956) 296-7710
CHELSEA CHANG M.D.
Internal Medicine
1330 E 6TH ST STE 105
WESLACO, TX 78596
Hidalgo County (956) 296-7710
DIANA ACOSTA POZO MD
Student in an Organized Health Care Education/Training Program
1330 E 6TH ST STE 105
WESLACO, TX 78596
Hidalgo County (956) 840-9348
DR. ABELARDO RODRIGUEZ MD
Student in an Organized Health Care Education/Training Program
1330 E 6TH ST STE 105
WESLACO, TX 78596
Hidalgo County (956) 296-7722
DR. DONNEL DOCKERY MD
Student in an Organized Health Care Education/Training Program
1330 E 6TH ST STE 105
WESLACO, TX 78596
Hidalgo County (956) 296-7722
MS. ELIZABETH MILLS-REYES MD, FNP
Nurse Practitioner
1330 E 6TH ST STE 105
WESLACO, TX 78596
Hidalgo County (956) 296-7722
ANDRES ESTEBAN ARBOLEDA MOREJON MD
Internal Medicine
1330 E 6TH ST STE 105
WESLACO, TX 78596
Hidalgo County (956) 296-7710

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 Cesar Gutierrez's NPI number?

The NPI number for Cesar Gutierrez is 1700263456. It was assigned to this individual provider in the NPPES registry on May 1, 2015. The provider is also known as Cesar Hernan Gutierrez Martinez.

Where is Cesar Gutierrez located?

Cesar Gutierrez practices at 1330 E 6th St Ste 105, Weslaco, TX 78596. The listed phone number is (956) 296-7710.

What is Cesar Gutierrez's specialty?

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

Is Cesar Gutierrez enrolled in Medicare?

Yes. Cesar 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.

What insurance does Cesar Gutierrez accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Cesar Gutierrez 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 Cesar Gutierrez affiliated with any hospitals?

According to CMS data, Cesar Gutierrez is affiliated with Knapp Medical Center, Starr County Memorial Hospital and Doctors Hosptal At Renaissance.

When was this NPI record last updated?

The NPPES record for Cesar Gutierrez was last updated on April 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.