EDUARDO GUTIERREZ (PA) – Physician Assistant, NPI 1780631119

EDUARDO GUTIERREZ (PA) is a healthcare provider. based in New braunfels, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA02628 (TX). The NPI Number for EDUARDO GUTIERREZ (PA) is 1780631119

Main info

Male
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
EDUARDO GUTIERREZ (PA)
NPI
1780631119
Phone
(830) 387-4991
Address
1659 TX-46 STE 160
Enumeration Date
30 May 2006
Last Update Date
21 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1999 (27 years ago)
PAC ID
4183635808
Group Practice PAC ID
3072426741
Professional Enrollment ID
I20060509000965
Address ID
TX752846098DAPOXXXBOXX201
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for EDUARDO GUTIERREZ (PA)

  • 1659 TX-46 STE 160

    NEW BRAUNFELS, TX 78132

    Phone: (830) 387-4991

    Type: Location

  • Central Texas Medical Center, 1301, Wonder World Drive, Mockingbird Hills, San Marcos, Hays County, Texas, 78666, United States

    SAN MARCOS, TX 786667533

    Phone: (512) 753-3796

    Type: Location

  • 310 LONG MDW

    SPRING BRANCH, TX 780705929

    Phone: (210) 884-3308

    Type: Mailing

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: 2006-05-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060509000965IPhysician AssistantTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making105103$0
99284Emergency department visit with moderate level of medical decision making9593$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3434$0
99283Emergency department visit with low level of medical decision making1818$0
View full utilization report →

Insurance plans in this area (ZIP 78132)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072426741View full group profile
NameSpecialtyState
General SurgeryAZ
Physician AssistantTX
Internal MedicineTX
Nurse PractitionerTX
Nurse PractitionerTX
-TX
Hematology/Oncology, Internal MedicineTX
E N D O C R I N O L O G YTX
Nurse PractitionerIL
-NC

Reviews

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Frequently asked questions

Is there an official ID for EDUARDO GUTIERREZ (PA) in U.S. healthcare records?
The official identifier for EDUARDO GUTIERREZ (PA) is NPI 1780631119.
Would EDUARDO GUTIERREZ (PA) appear as active to a payer?
You can treat EDUARDO GUTIERREZ (PA) as active for directory purposes; confirm clinical privileges separately.
What expertise is attributed to EDUARDO GUTIERREZ (PA)?
EDUARDO GUTIERREZ (PA)'s specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Where in Texas is EDUARDO GUTIERREZ (PA) registered?
Use New Braunfels, Texas as the headline location for EDUARDO GUTIERREZ (PA) here.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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