DR. FELIPE GUTIERREZ MD
NPI 1851896807
Family Medicine in Mcallen, TX

Active since March 29, 2018PECOS EnrolledAccepts Medicare Assignment
92.53/100
CMS Quality Rating
1421 N COL ROWE BLVD STE A, MCALLEN, TX 78501(956) 362-5030(956) 362-5035 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 24, 2023, Sep 22, 2021, Mar 29, 2018 (3 updates tracked since 2018).

About Dr. Felipe Gutierrez Md NPPES

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

DR. FELIPE GUTIERREZ MD (NPI 1851896807) is an individual family medicine provider in Mcallen, Texas, licensed in Texas (T3291) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Starr County Memorial Hospital, and maintains a secondary practice location in Rio Grande City.

NPPES Registry Identity

NPI1851896807
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. FELIPE GUTIERREZCredential: MD
Location Address1421 N COL ROWE BLVD STE AMcallen, TX 78501-2304
Mailing AddressPo Box 4767Mcallen, TX 78502-4767 · (956) 362-5030 · Fax (956) 362-5035
Fax(956) 362-5035
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 29, 2018
Last NPPES UpdateMarch 24, 20233 updates tracked since enumeration
NPPES CertifiedMarch 24, 2023
NPI 1851896807 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · T3291
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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License T3291 (TX)
1421 N COL ROWE BLVD STE A, Mcallen, TX 78501

Secondary Practice Location 1

Location 1128 N Fm 3167Rio Grande City, TX 78582-6211 · Phone (956) 487-9025 · Fax (956) 487-4680

Other Identifiers 1

OtherT3291TX · Texas Medical Board

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. Felipe 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 ID446657829
PECOS Enrollment IDI20210928001606
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 2

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
19 services19 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
18 services18 patients

Hospital Affiliations CMS Care Compare 3

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

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

Cedar Park Regional Medical Center

Acute Care Hospitals · Cedar Park, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number670043
Location1401 Medical ParkwayCedar Park, TX 78613 · Williamson 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 78501 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.

92.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.45
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

Nurse Practitioner (Family)
1421 N COL ROWE BLVD STE A
MCALLEN, TX 78501
Nurse Practitioner (Family)
1421 N COL ROWE BLVD STE A
MCALLEN, TX 78501
Nurse Practitioner (Family)
1421 N COL ROWE BLVD STE A
MCALLEN, TX 78501
Physician Assistant
1421 N COL ROWE BLVD STE A
MCALLEN, TX 78501
Family Medicine
1421 N COL ROWE BLVD STE A
MCALLEN, TX 78501
Nurse Practitioner (Family)
1421 N COL ROWE BLVD STE A
MCALLEN, TX 78501
Clinic/Center (Urgent Care)
1421 N COL ROWE BLVD STE A
MCALLEN, TX 78501
Nurse Practitioner (Family)
1421 N COL ROWE BLVD STE A
MCALLEN, TX 78501

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 Felipe Gutierrez's NPI number?

The NPI number for Felipe Gutierrez is 1851896807. It was assigned to this individual provider in the NPPES registry on March 29, 2018.

Where is Felipe Gutierrez located?

Felipe Gutierrez practices at 1421 N Col Rowe Blvd Ste A, Mcallen, TX 78501. The listed phone number is (956) 362-5030.

What is Felipe Gutierrez's specialty?

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

Is Felipe Gutierrez enrolled in Medicare?

Yes. Felipe 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 Felipe Gutierrez accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Felipe 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 Felipe Gutierrez affiliated with any hospitals?

According to CMS data, Felipe Gutierrez is affiliated with Starr County Memorial Hospital, Cedar Park Regional Medical Center and Ascension Seton Hays.

When was this NPI record last updated?

The NPPES record for Felipe Gutierrez was last updated on March 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.