Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AMY JEAN GUTIERREZ M.D.
NPI 1851395750
Family Medicine in San Antonio, TX

Active since June 08, 2005PECOS Enrolled
87.88/100
CMS Quality Rating
9355 BANDERA RD, STE 136, SAN ANTONIO, TX 78250(210) 798-9355(210) 798-9356 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Amy Jean Gutierrez M.d. NPPES

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

AMY JEAN GUTIERREZ M.D. (NPI 1851395750) is an individual family medicine provider in San Antonio, Texas, licensed in Texas (L6410) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Chi St Joseph Health Regional Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1851395750
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameAMY JEAN GUTIERREZCredential: M.D.
Location Address9355 BANDERA RD, STE 136San Antonio, TX 78250-2566
Mailing AddressPo Box 680186San Antonio, TX 78268-0186 · (210) 798-9355 · Fax (210) 798-9356
Fax(210) 798-9356
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJune 8, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1851395750 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · L6410
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9355 BANDERA RD, San Antonio, TX 78250

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

Amy Jean 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 ID4688731797
PECOS Enrollment IDI20090317000279
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 24

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
1,247 services195 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
1,082 services185 patients
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.
930 services489 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
419 services419 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
376 services376 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
372 services372 patients

Hospital Affiliations CMS Care Compare 4

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

Chi St Joseph Health Regional Hospital

Acute Care Hospitals · Bryan, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450011
Location2801 Franciscan DrBryan, TX 77802 · Brazos County
Emergency services Birthing friendly

Seton Smithville Regional Hospital

Acute Care Hospitals · Smithville, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number450143
Location1201 Hill Rd Attn: Fin DirSmithville, TX 78957 · Bastrop County
Emergency services

Columbus Community Hospital

Acute Care Hospitals · Columbus, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number450370
Location110 Shult DrColumbus, TX 78934 · Colorado County
Emergency services Birthing friendly

Ascension Seton Hays

Acute Care Hospitals · Kyle, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670056
Location6001 Kyle PkwyKyle, TX 78640 · Hays County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78250 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

87.88/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.76
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%76 patients
Breast Cancer Screening
78%514 patients4/55-star benchmark: 93%
Cervical Cancer Screening
56%400 patients3/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
22%609 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
66%1,025 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
77%753 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
29%297 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
16%297 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
99%4,084 patients4/55-star benchmark: 100%
e-Prescribing
99%4,644 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
88%914 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
76%1,692 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
79%1,383 patients4/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 95% · 1,602 patients
Patients screened: 99% · 1,602 patients
69%201 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
69%1,352 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
76%726 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 4% · 904 patients
Patients totalRate: 13% · 965 patients
12%965 patients3/55-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 13

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
4 suppliers19 claims42 services$5.94 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers29 claims29 services$40.50 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers15 claims49 services$16.78 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
4 suppliers21 claims21 services$67.24 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers23 claims23 services$19.51 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers31 claims113 services$2.40 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 2

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

Family Medicine
9355 BANDERA RD, STE. 136
SAN ANTONIO, TX 78250
Family Medicine
9355 BANDERA RD, STE. 136
SAN ANTONIO, TX 78250

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 Amy Gutierrez's NPI number?

The NPI number for Amy Gutierrez is 1851395750. It was assigned to this individual provider in the NPPES registry on June 8, 2005.

Where is Amy Gutierrez located?

Amy Gutierrez practices at 9355 Bandera Rd Ste 136, San Antonio, TX 78250. The listed phone number is (210) 798-9355.

What is Amy Gutierrez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Amy Gutierrez enrolled in Medicare?

Yes. Amy 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 Amy 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 Amy 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 Amy Gutierrez affiliated with any hospitals?

According to CMS data, Amy Gutierrez is affiliated with Chi St Joseph Health Regional Hospital, Seton Smithville Regional Hospital, Columbus Community Hospital and Ascension Seton Hays.

When was this NPI record last updated?

The NPPES record for Amy Gutierrez was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.