ERNESTO GUTIERREZ (MD) – Rheumatology Physician, NPI 1255330718
Rheumatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
404 RHEUMATOLOGY in PA
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Provider Addresses for ERNESTO GUTIERREZ (MD)
Norman Drive, Hauckville, North Cornwall Township, Lebanon County, Pennsylvania, 17042, United States
LEBANON, PA 170427497
Phone: (717) 273-6706
Fax: (717) 273-1435
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $165.
Total Amount is formed as General ($165) + Research ($0) + Ownership ($0) = $165.
Last reported payment date: 2023-10-11 • Largest payer in this snapshot: Otsuka America Pharmaceutical, Inc. ($136).
Total Amount
$165
General + Research + Ownership
Payments
3
Total payment records
General Amount
$165
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Otsuka America Pharmaceutical, Inc. | $136 |
| Medtronic, Inc. | $29 |
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: 2006-06-20
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 |
|---|---|---|---|---|
| I20060620000140 | I | Rheumatology | PA | 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 |
|---|---|---|---|---|
| J0897 | Injection, denosumab, 1 mg | 9,900 | 110 | $0 |
| J9250 | Methotrexate sodium, 5 mg | 1,284 | 36 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,017 | 509 | $0 |
| 96401 | Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle | 656 | 155 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 316 | 47 | $0 |
Insurance plans in this area (ZIP 17042)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| RHEUMATOLOGY | PA | 97001 | Physical therapy evaluation | 17 | 15 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O L O G Y | PA | |
| Family Practice | PA | |
| Emergency Medicine | PA | |
| Family Practice | PA | |
| Family Practice | PA | |
| Orthopedic Surgery | PA | |
| Physician Assistant | PA | |
| Internal Medicine | MA | |
| Physician Assistant | PA | |
| Orthopedic Surgery | PA |
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