NICOLE M GRIGG GUTIERREZ MD
NPI 1750516035
Internal Medicine - Gastroenterology in Harlingen, TX

Q: What is Nicole Grigg Gutierrez's NPI number?

The NPI number for Nicole Grigg Gutierrez is 1750516035. It was assigned to this individual provider in the NPPES registry on May 15, 2009.

Q: What is Nicole Grigg Gutierrez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Active since May 15, 2009PECOS EnrolledAccepts Medicare Assignment

53.42/100

CMS Quality Rating

512 VICTORIA LN STE 2, HARLINGEN, TX 78550(956) 365-4400(956) 365-4111 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 22, 2021, Mar 5, 2020, Jan 11, 2017 and 2 more (5 updates tracked since 2016).

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About Nicole M Grigg Gutierrez Md NPPES

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

NICOLE M GRIGG GUTIERREZ MD (NPI 1750516035) is an individual gastroenterology provider in Harlingen, Texas, licensed in Texas (Q7052) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, is affiliated with Vhs Harlingen Hospital Company Llc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1750516035

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NameNICOLE M GRIGG GUTIERREZCredential: MD

Location Address512 VICTORIA LN STE 2Harlingen, TX 78550-3227

Mailing Address512 Victoria Ln Ste 2Harlingen, TX 78550-3227 · (956) 365-4400 · Fax (956) 365-4111

Phone(956) 365-4400

Fax(956) 365-4111

Sole ProprietorYes

Medical School CMSUniversity Central Del Caribe Escuela De MedicinaGraduated 2009

Enumeration DateMay 15, 2009

Last NPPES UpdateApril 22, 20215 updates tracked since enumeration

NPPES CertifiedApril 22, 2021

✔ NPI 1750516035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in TX · Q7052

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 18392 (PR), 2015-00773 (NC)

512 VICTORIA LN STE 2, Harlingen, TX 78550

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Secondary Practice Locations 2

Location 11401 E 8th StWeslaco, TX 78596-6640 · Phone (956) 854-4342 · Fax (956) 854-4157

Location 2305 Lorenaly DrBrownsville, TX 78526-4333 · Phone (956) 365-4400 · Fax (956) 365-4111

Other Identifiers 2

Medicaid1750516035NC

MedicaidNC2408SC

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

Nicole M Grigg Gutierrez Md 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 ID3476868753

PECOS Enrollment IDI20160809002005

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.

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.

198 services114 patients

Complete ultrasound scan of abdomen 76700

A complete ultrasound scan of the abdomen is a non-invasive imaging procedure. It uses sound waves to produce images of the organs in your abdomen, such as the liver, gallbladder, spleen, pancreas, and kidneys. It helps in diagnosing, monitoring, and planning treatments.

119 services117 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

97 services94 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.

76 services71 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

58 services58 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.

51 services51 patients

Hospital Affiliations CMS Care Compare 4

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

Vhs Harlingen Hospital Company LLC

Acute Care Hospitals · Harlingen, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450033

Location2101 Pease StHarlingen, TX 78550 · Cameron County

Emergency services Birthing friendly

Valley Regional Medical Center

Acute Care Hospitals · Brownsville, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450662

Location100 A Alton GloorBrownsville, TX 78526 · Cameron County

Emergency services Birthing friendly

Harlingen Medical Center

Acute Care Hospitals · Harlingen, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450855

Location5501 South Expressway 77Harlingen, TX 78550 · Cameron 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 78550 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.

53.42/100

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

Scored as part of a group practice

Quality

80.29

Promoting Interoperability

Improvement Activities

Cost

70.78

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.

MS. NADIA YVETTE LOZANO APRN, FNP-C

Nurse Practitioner (Family)