MR. SERVANDO GUTIERREZ (PA-C) – Physician Assistant, NPI 1033153275
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,243 PHYSICIAN ASSISTANT in CT
Provider Addresses for MR. SERVANDO GUTIERREZ (PA-C)
2416 Whitney Ave Fl 1
Hamden, CT 065183248
Phone: (203) 407-3550
Fax: (203) 407-4244
Type: Location
235 Boston Post Rd
Orange, CT 064773229
Phone: (203) 795-4784
Fax: (203) 799-1179
Type: Location
330 Bridgeport Ave
Shelton, CT 064843861
Phone: (203) 538-0020
Fax: (203) 538-0023
Type: Location
701 N Colony Rd
Wallingford, CT 064922407
Phone: (203) 265-1800
Fax: (203) 284-9010
Type: Location
Orthopaedic & Spine Center of the Rockies, 2500, East Prospect Road, Fort Collins, Larimer County, Colorado, 80525, United States
FORT COLLINS, CO 805259718
Phone: (970) 493-0112
Fax: (970) 493-1794
Type: Location
2408 WHITNEY AVE
HAMDEN, CT 065183209
Phone: (203) 626-0160
Fax: (203) 294-6734
Type: Mailing
900 MAIN ST S STE 100
SOUTHBURY, CT 064884213
Phone: (860) 650-3848
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-06-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20060810000477 | I | Physician Assistant | FL | TBD |
| I20200128000041 | I | Physician Assistant | CO | TBD |
| I20240620002819 | I | Physician Assistant | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 35 | 34 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 21 | 21 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 15 | 15 | $0 |
| 99211 | Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional | 13 | 13 | $0 |
| 81002 | Urinalysis, manual test | 11 | 11 | $0 |
Insurance plans in this area (ZIP 06518)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | NY | |
| - | CT | |
| - | CT | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | NY | |
| - | PA | |
| Nurse Practitioner | CT | |
| Nurse Practitioner | CT | |
| Physician Assistant | CT | |
| Physician Assistant | CT |
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