MARY LOU GUTIERREZ MD
NPI 1992913412
Psychiatry & Neurology - Psychiatry in New York, NY

Active since May 18, 2007PECOS Enrolled
109 W 27TH ST RM 5S, NEW YORK, NY 10001(917) 634-5311(888) 815-3583 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mary Lou Gutierrez Md NPPES

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

MARY LOU GUTIERREZ MD (NPI 1992913412) is an individual psychiatry provider in New York, New York, licensed in Illinois (036107891) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Denver.

NPPES Registry Identity

NPI1992913412
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameMARY LOU GUTIERREZCredential: MD
Location Address109 W 27TH ST RM 5SNew York, NY 10001-6208
Mailing Address109 W 27th St Rm 5sNew York, NY 10001-6208 · (917) 634-5311 · Fax (888) 815-3583
Fax(888) 815-3583
Sole ProprietorNo
Enumeration DateMay 18, 2007
Last NPPES UpdateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
✔ NPI 1992913412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in IL · 036107891✔ Licensed in WA · MD.MD.70038835✔ Licensed in CO · DR.0072520
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License MD.MD.70038835 (WA), DR.0072520 (CO), 036107891 (IL)
109 W 27TH ST RM 5S, New York, NY 10001

Secondary Practice Location 1

Location 12373 Central Park Blvd Unit 100Denver, CO 80238-2300 · Phone (720) 806-1559 · Fax (888) 815-3583

Other Identifiers 1

Medicaid036107891IL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Lou Gutierrez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mary Lou Gutierrez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
1301 RIVERPLACE BLVD STE 800
Jacksonville, FL 32207
  • Reassigned Medicare billing, Colorado enrollment
  • 79 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
2860 S CIRCLE DR STE 109
Colorado Springs, CO 80906
  • Reassigned Medicare billing, Colorado enrollment
  • 400 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10001 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Psychiatry & Neurology (Psychiatry)
109 W 27TH ST RM 5S
NEW YORK, NY 10001
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST RM 5S
NEW YORK, NY 10001
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST RM 5S
NEW YORK, NY 10001
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST RM 5S
NEW YORK, NY 10001
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST RM 5S
NEW YORK, NY 10001
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST RM 5S
NEW YORK, NY 10001
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST RM 5S
NEW YORK, NY 10001
Psychiatry & Neurology (Psychiatry)
109 W 27TH ST RM 5S
NEW YORK, NY 10001

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 Mary Lou Gutierrez's NPI number?

The NPI number for Mary Lou Gutierrez is 1992913412. It was assigned to this individual provider in the NPPES registry on May 18, 2007.

Where is Mary Lou Gutierrez located?

Mary Lou Gutierrez practices at 109 W 27th St Rm 5S, New York, NY 10001. The listed phone number is (917) 634-5311.

What is Mary Lou Gutierrez's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Mary Lou Gutierrez enrolled in Medicare?

Yes. Mary Lou Gutierrez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Lou Gutierrez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Lou Gutierrez reassigns Medicare benefits to 2 organizations: Mccd Fl Psychiatry Services PA (Jacksonville, FL) and Family Care Center, LLC (Colorado Springs, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mary Lou Gutierrez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Lou Gutierrez accept?

Health plans from Oscar Insurance Company, Select Health and UnitedHealthcare list Mary Lou 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.

When was this NPI record last updated?

The NPPES record for Mary Lou Gutierrez was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.