DR. CARLOS MANUEL GUTIERREZ MENDIOLA – Procedural Dermatology Physician, NPI 1114549938
Procedural Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
12,378 INTERNAL MEDICINE in FL
Provider Addresses for DR. CARLOS MANUEL GUTIERREZ MENDIOLA
900 VILLAGE SQUARE XING STE 210
PALM BEACH GARDENS, FL 334104550
Phone: (239) 313-2517
Type: Mailing
1880 W HILLSBORO BLVD STE A
DEERFIELD BEACH, FL 334421421
Phone: (954) 426-3494
Type: Location
150 NE 79TH ST APT 201
MIAMI, FL 331384871
Phone: (786) 602-5132
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $3,217.
Total Amount is formed as General ($3,217) + Research ($0) + Ownership ($0) = $3,217.
Last reported payment date: 2024-09-23 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($3,017).
Total Amount
$3,217
General + Research + Ownership
Payments
6
Total payment records
General Amount
$3,217
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $3,017 |
| Boston Scientific Corporation | $143 |
| Medtronic, Inc. | $29 |
| Tactile Systems Technology Inc | $15 |
| TACTILE SYSTEMS TECHNOLOGY INC | $13 |
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: 2024-07-16
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20240716000194 | I | Internal Medicine | FL | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33410)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | FL | |
| General Surgery | FL | |
| D E R M A T O L O G Y | FL | |
| Nurse Practitioner | FL | |
| - | FL | |
| D E R M A T O L O G Y | FL | |
| D E R M A T O L O G Y | FL | |
| D E R M A T O L O G Y | FL | |
| Physician Assistant | FL | |
| D E R M A T O L O G Y | FL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.