CHARLES JOHN GUTIERREZ (M.D.) – Surgery Physician, NPI 1104807627
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
492 VASCULAR SURGERY in TX
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Provider Addresses for CHARLES JOHN GUTIERREZ (M.D.)
Edison Plaza, 350, Pine Street, Beaumont, Jefferson County, Texas, 77701, United States
SUITE 1415
BEAUMONT, TX 777012441
Phone: (409) 924-8600
Fax: (409) 924-8607
Type: Mailing
1521 S Staples St Ste 510
Corpus Christi, TX 784043152
Phone: (361) 882-4000
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 34 Open Payments records for all available years, with a total value of $525.
Total Amount is formed as General ($525) + Research ($0) + Ownership ($0) = $525.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: TACTILE SYSTEMS TECHNOLOGY INC ($441).
Total Amount
$525
General + Research + Ownership
Payments
34
Total payment records
General Amount
$525
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| TACTILE SYSTEMS TECHNOLOGY INC | $441 |
| Medtronic, Inc. | $84 |
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: 2020-06-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20050519000923 | I | Vascular Surgery | TX | TBD |
| I20200624002003 | I | Vascular Surgery | NM | 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 |
|---|---|---|---|---|
| 36482 | Chemical destruction of first incompetent vein of arm or leg using imaging guidance | 127 | 54 | $0 |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 103 | 88 | $0 |
| 11043 | Removal of muscle and/or tissue, 20.0 sq cm or less | 96 | 23 | $0 |
| 36465 | Injection of chemical agent into single incompetent vein of leg using ultrasound guidance | 81 | 56 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 66 | 66 | $0 |
Insurance plans in this area (ZIP 77701)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| VASCULAR SURGERY | TX | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 48 | 41 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TX | |
| Diagnostic Radiology, Interventional Radiology | TX | |
| Nurse Practitioner | TX |
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