DR. MARC R GUTIERREZ – Internal Medicine Physician, NPI 1508496126
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,491 HOSPITALIST in FL
Provider Addresses for DR. MARC R GUTIERREZ
307 BOATNER RD STE 114
EGLIN AFB, FL 325421302
Phone: (850) 883-8332
Type: Location
128 E APPLE ST FL 2
DAYTON, OH 454092902
Phone: (937) 257-9926
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $93.
Total Amount is formed as General ($93) + Research ($0) + Ownership ($0) = $93.
Last reported payment date: 2024-04-12 • Largest payer in this snapshot: Boston Scientific Corporation ($57).
Total Amount
$93
General + Research + Ownership
Payments
6
Total payment records
General Amount
$93
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $57 |
| Merck Sharp & Dohme LLC | $18 |
| GENZYME CORPORATION | $18 |
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: 2025-01-21
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 |
|---|---|---|---|---|
| I20250121001419 | I | Hospitalist | 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 32542)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL | |
| Internal Medicine, Infectious Disease | FL | |
| Nurse Practitioner | FL | |
| Family Practice | KS | |
| Internal Medicine | FL | |
| H O S P I T A L I S T | FL | |
| Internal Medicine, Internal Medicine, Hospitalist | PA | |
| Nurse Practitioner | AL | |
| Internal Medicine, Emergency Medicine | IL | |
| Internal Medicine, Hospitalist | FL |
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