DR. ABSALON GUTIERREZ JR. MD
NPI 1801935846
Internal Medicine - Endocrinology, Diabetes & Metabolism in Houston, TX

Active since February 06, 2007PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
6410 FANNIN ST STE 600, HOUSTON, TX 77030(713) 325-7161 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Absalon Gutierrez Jr. Md NPPES

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

DR. ABSALON GUTIERREZ JR. MD (NPI 1801935846) is an individual endocrinology, diabetes & metabolism provider in Houston, Texas, licensed in Texas (N9869) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of University Of New Mexico School Of Medicine (2006).

NPPES Registry Identity

NPI1801935846
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. ABSALON GUTIERREZ JR.Credential: MD
Location Address6410 FANNIN ST STE 600Houston, TX 77030-5206
Mailing Address6431 Fannin St, Msb 5.108Houston, TX 77030-1501 · (713) 500-6533
Sole ProprietorNo
Medical School CMSUniversity Of New Mexico School Of MedicineGraduated 2006
Enumeration DateFebruary 6, 2007
Last NPPES UpdateMarch 28, 2024
NPPES CertifiedMarch 28, 2024
NPI 1801935846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in TX · N9869
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License N9869 (TX)
6410 FANNIN ST STE 600, Houston, TX 77030

Accepted 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. Absalon Gutierrez Jr. 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 ID6901061241
PECOS Enrollment IDI20120711000422
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 3

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.
28 services19 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
23 services11 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.
21 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Harris Health System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450289
Location2525 Holly HallHouston, TX 77054 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers11 claims34 services$6.74 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
5 suppliers32 claims32 services$185.87 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.

Nurse Practitioner (Family)
6410 FANNIN ST STE 600
HOUSTON, TX 77030
Internal Medicine (Endocrinology, Diabetes & Metabolism)
6410 FANNIN ST STE 600
HOUSTON, TX 77030
Internal Medicine (Endocrinology, Diabetes & Metabolism)
6410 FANNIN ST STE 600
HOUSTON, TX 77030
Internal Medicine (Nephrology)
6410 FANNIN ST STE 600
HOUSTON, TX 77030
Internal Medicine (Cardiovascular Disease)
6410 FANNIN ST STE 600
HOUSTON, TX 77030
Internal Medicine (Cardiovascular Disease)
6410 FANNIN ST STE 600
HOUSTON, TX 77030
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
6410 FANNIN ST STE 600
HOUSTON, TX 77030
Internal Medicine (Pulmonary Disease)
6410 FANNIN ST STE 600
HOUSTON, TX 77030

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 Absalon Gutierrez's NPI number?

The NPI number for Absalon Gutierrez is 1801935846. It was assigned to this individual provider in the NPPES registry on February 6, 2007.

Where is Absalon Gutierrez located?

Absalon Gutierrez practices at 6410 Fannin St Ste 600, Houston, TX 77030. The listed phone number is (713) 325-7161.

What is Absalon Gutierrez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Absalon Gutierrez enrolled in Medicare?

Yes. Absalon 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 Absalon 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 4 other insurers list Absalon 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 Absalon Gutierrez affiliated with any hospitals?

According to CMS data, Absalon Gutierrez is affiliated with Memorial Hermann - Texas Medical Center and Harris Health System.

When was this NPI record last updated?

The NPPES record for Absalon Gutierrez was last updated on March 28, 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.