DR. GERARDO GARZA GUTIERREZ M.D.
NPI 1710901954
Internal Medicine - Pulmonary Disease in San Antonio, TX

Q: What is Gerardo Garza Gutierrez's NPI number?

The NPI number for Gerardo Garza Gutierrez is 1710901954. It was assigned to this individual provider in the NPPES registry on July 27, 2006. The provider is also known as Dr. Gerardo Garza Gutierrez MD.

Q: What is Gerardo Garza Gutierrez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment

91.25/100

CMS Quality Rating

10007 HUEBNER RD STE 402, SAN ANTONIO, TX 78240(210) 692-0361(210) 692-0151 Get Directions Write a Review

NPPES record last updated: June 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 11, 2021, Apr 15, 2020, Jul 24, 2018 and 1 more (4 updates tracked since 2018).

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About Dr. Gerardo Garza Gutierrez M.d. NPPES

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

DR. GERARDO GARZA GUTIERREZ M.D. (NPI 1710901954) is an individual pulmonary disease provider in San Antonio, Texas, licensed in Texas (M9303) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Medical Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1710901954

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameDR. GERARDO GARZA GUTIERREZCredential: M.D.

Location Address10007 HUEBNER RD STE 402San Antonio, TX 78240-1640

Mailing Address10007 Huebner Rd Ste 402San Antonio, TX 78240-1640 · (210) 692-0361 · Fax (210) 692-0151

Phone(210) 692-0361

Fax(210) 692-0151

Sole ProprietorNo

Medical School CMSOtherGraduated 2001

Enumeration DateJuly 27, 2006

Last NPPES UpdateJune 11, 20214 updates tracked since enumeration

NPPES CertifiedJune 11, 2021

✔ NPI 1710901954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in TX · M9303

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License M9303 (TX)

10007 HUEBNER RD STE 402, San Antonio, TX 78240

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Other Names 1

Professional Name (2)Dr. Gerardo Garza Gutierrez Md

Other Identifiers 2

Medicaid181406304TX

Other334403YPJXTX · Cms-novitas Solutions

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan 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. Gerardo Garza 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 ID6002810777

PECOS Enrollment IDI20060912000094

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 11

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 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.

463 services169 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

282 services106 patients

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.

258 services109 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.

92 services92 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

90 services78 patients

Test to measure expiratory airflow and volume changes before and after medication administration 94060

This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.

88 services76 patients

Hospital Affiliations CMS Care Compare 3

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

Baptist Medical Center

Acute Care Hospitals · San Antonio, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450058

Location111 Dallas StreetSan Antonio, TX 78205 · Bexar County

Emergency services Birthing friendly

Methodist Hospital

Acute Care Hospitals · San Antonio, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450388

Location7700 Floyd Curl DrSan Antonio, TX 78229 · Bexar County

Emergency services Birthing friendly

Methodist Hospital Stone Oak

Acute Care Hospitals · San Antonio, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number670055

Location1139 E Sonterra Blvd,San Antonio, TX 78258 · Bexar County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78240 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.

91.25/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

83.75

Promoting Interoperability

Improvement Activities

Cost

71.65

Reported Quality Measures

Advance Care Plan

16%879 patients1/55-star benchmark: 100%

Closing the Referral Loop: Receipt of Specialist Report

15%34 patients1/55-star benchmark: 87%

Controlling High Blood Pressure

69%32 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

69%999 patients3/55-star benchmark: 100%

e-Prescribing

94%248 patients2/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

24%309 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

30%489 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

28%629 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 96% · 214 patients

Patients screened: 96% · 214 patients

95%20 patients4/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

73%150 patients3/55-star benchmark: 100%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 321 patients

Patients totalRate: 0% · 322 patients

0%322 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 15

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

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

9 suppliers26 claims26 services$31.85 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

5 suppliers14 claims14 services$76.85 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

5 suppliers16 claims45 services$31.16 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

6 suppliers13 claims73 services$14.94 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

6 suppliers14 claims74 services$12.95 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

11 suppliers27 claims27 services$47.69 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 8

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

PALOMA SANCHEZ MD

Internal Medicine (Pulmonary Disease)